Primary extracranial meningioma of the lower limb

İsmail Cengiz Tuncay; Ümit Özgür Güler; Çiğdem Vural; Rahmi Can Akgün; Hüseyin Demirörs; İlhami Kuru

İsmail Cengiz Tuncay¹, Ümit Özgür Güler¹, Çiğdem Vural², Rahmi Can Akgün¹, Hüseyin Demirörs¹, İlhami Kuru¹

¹Departments of Orthopedics and Traumatology;
²Pathology, Medical Faculty of Başkent University, Ankara, Turkey;

Keywords: Meningioma; neoplasm’s; unknown primary.

Abstract

This paper is about a primary extracranial meningioma case of a 40-year-old male patient who presented with a complaint of a rapidly growing painless stiff mass located in his left thigh. The magnetic resonance imaging examination revealed that the lesion was well-circumscribed and with isosignal intensity to muscle on T1-weighted images and with a relatively hiperintense on T2-weighted images. The histopathological analysis of the specimens both from the incisional biopsy and the excisional surgery were typical of meningioma showing spindle cell proliferation with a whirling pattern. Although extracranial meningiomas are very rare, it should be considered in the differential diagnosis of a spindle cell neoplasm.