Neurological Surgery No Shinkei Geka Volume 39, Issue 9 (September 2011)

A Case of Meningeal Melanocytoma in the Cerebellopontine Angle Masaaki MIKAMOTO 1,2 , Yoshinobu SEO 1,2 , Tamio ITO 1,2 , Jyoji NAKAGAWARA 1,2 , Hirohiko NAKAMURA 1,2 , Shinya TANAKA 3 1Department of Neurosurgery,Nakamura Memorial Hospital 2Hokkaido Brain Research Foundation 3Laboratory of Cancer Research,Department of Pathology,Hokkaido University,Graduate School of Medicine Keyword: meningeal melanocytoma , cerebellopontine angle , local reccurence pp.859-864
Published Date 2011/9/10
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 Meningeal melanocytomas are uncommon intracranial tumors and extremely rare in the cerebellopontine angle (CPA). The tumors are generally considered to be benign because they lack malignant features in histological examination,but several literatures describe malignant behavior of the tumors such as high frequency of local recurrence,malignant transformation with leptomeningeal seeding. We describe a case of meningeal melanocytoma in the CPA and discuss the features of the tumor.

 The case was a 43-year-old woman with a right CPA exta-axial mass suffering from vertigo and nausea. Computed tomography (CT) and magnetic resonance imaging (MRI) showed a mass in the right CPA. The mass was hyperintense on T1-weighted images and hypointense on T2-weighted images. Surgical removal was done and pathological diagnosis was made as meningeal melanocytoma. Twenty months after the first surgery,MRI revealed local recurrence of the tumor and subtotal resection was performed.

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Neurological Surgery 脳神経外科
39巻9号 (2011年9月)
電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院