Primary extradural meningiomas: a report on nine cases and review of the CT-era literature

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  • 1 Department of Neurosurgery, M. D. Anderson Cancer Center, The University of Texas, Houston, Texas
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Object. Primary meningiomas arising outside the intracranial compartment (primary extradural meningiomas [PEMs]) are rare tumors. To develop a better understanding of these tumors and to establish a comprehensive classification scheme for them, the authors analyzed a series of patients treated at the M. D. Anderson Cancer Center (MDACC) and reviewed all cases reported in the English-language literature since the inception of the use of computerized tomography (CT) scanning.

Methods. Clinical records, results of radiographic studies, and histological slides were reviewed for all cases of PEM at MDACC. Demographic features, symptoms, tumor location, histological grade, and patient outcome were assessed in all cases. A comprehensive literature search identified 168 PEMs in 142 patients reported during the CT era. These reports were also analyzed for common features. Tumors for both data sets were classified as purely extracalvarial (Type I), purely calvarial (Type II), and calvarial with extracalvarial extension (Type III). Type II and Type III tumors were further categorized as convexity (C) or skull base (B) lesions.

The incidence of PEMs at MDACC was 1.6%, which was consistent with the rate reported in the literature. In both data sets, the male/female ratio was nearly 1:1. The most common presenting symptom was a gradually expanding mass. The age of patients at diagnosis of PEM was bimodal, peaking during the second decade and during the fifth to seventh decades. In all MDACC cases and in 90% of those reported in the literature the PEMs were located in the head and neck. The majority of tumors originated in the skull (70%).

In the MDACC series and in the literature review, the majority (67% and 89%, respectively) of tumors were histologically benign. Although fewer PEMs were malignant or atypical (33% at MDACC and 11% in the literature), their incidence was higher than that observed for primary intracranial meningiomas. Distant metastasis was not a common feature reported for patients with PEMs (6% in the literature).

Outcome data were available in 96 of the cases culled from the CT-era literature. The combination of the MDACC data and the data obtained from the literature demonstrated that patients with benign Type IIB or Type IIIB lesions were more likely to experience recurrence than patients with benign Type IIC or Type IIIC tumors (26% compared with 0%, p < 0.05). The more aggressive atypical and malignant tumors were associated with a statistically significant higher death rate (29%) relative to benign tumors (4.8% death rate, p < 0.004).

Conclusions. Defining a tumor as a PEM is dependent on the tumor's relation to the dura mater and the extent and direction of its growth. Classification of PEMs as calvarial or extracalvarial and as convexity or skull base lesions correlates well with clinical outcome.

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Contributor Notes

Address reprint requests to: Frederick F. Lang, M.D., Department of Neurosurgery, M. D. Anderson Cancer Center, The University of Texas, 1515 Holcombe Boulevard, Box 064, Houston, Texas 77030–4095. email: flang@notes.mdacc.tmc.edu.
  • 1.

    Arana E, , Diaz C, & Latorre FF, et al: Primary intraosseous meningiomas. Acta Radiol 37:937942, 1996 Arana E, Diaz C, Latorre FF, et al: Primary intraosseous meningiomas. Acta Radiol 37:937–942, 1996

    • Search Google Scholar
    • Export Citation
  • 2.

    Atherino CCT, , Garcia R, & Lopes LJ: Ectopic meningioma of the nose and paranasal sinuses (report of a case). J Laryngol Otol 99:11611166, 1985 Atherino CCT, Garcia R, Lopes LJ: Ectopic meningioma of the nose and paranasal sinuses (report of a case). J Laryngol Otol 99:1161–1166, 1985

    • Search Google Scholar
    • Export Citation
  • 3.

    Azar-Kia B, , Sarwar M, & Marc JA, et al: Intraosseous meningioma. Neuroradiology 6:246253, 1974 Azar-Kia B, Sarwar M, Marc JA, et al: Intraosseous meningioma. Neuroradiology 6:246–253, 1974

    • Search Google Scholar
    • Export Citation
  • 4.

    Bertrand B, , Devars F, & Aouadi A, et al: Méningiome extracrânien primitif: a propos d'un cas de localisation infratemporale et naso-sinusienne. J Otolaryngol 25:182187, 1996 Bertrand B, Devars F, Aouadi A, et al: Méningiome extracrânien primitif: a propos d'un cas de localisation infratemporale et naso-sinusienne. J Otolaryngol 25:182–187, 1996

    • Search Google Scholar
    • Export Citation
  • 5.

    Bitoh S, , Obashi J, & Kobayashi Y: Primary ectopic extracalvarial meningioma. Surg Neurol 25:591594, 1986 Bitoh S, Obashi J, Kobayashi Y: Primary ectopic extracalvarial meningioma. Surg Neurol 25:591–594, 1986

    • Search Google Scholar
    • Export Citation
  • 6.

    Cech DA, , Leavens ME, & Larson DL: Giant intracranial and extracranial meningioma: case report and review of the literature. Neurosurgery 11:694697, 1982 Cech DA, Leavens ME, Larson DL: Giant intracranial and extracranial meningioma: case report and review of the literature. Neurosurgery 11:694–697, 1982

    • Search Google Scholar
    • Export Citation
  • 7.

    Changhong L, , Naiyin C, & Yuehuan G, et al: Primary intraosseous meningiomas of the skull. Clin Radiol 52:546549, 1997 Changhong L, Naiyin C, Yuehuan G, et al: Primary intraosseous meningiomas of the skull. Clin Radiol 52:546–549, 1997

    • Search Google Scholar
    • Export Citation
  • 8.

    Chatterjee S, , Foy P, & Diengdoh V: Intra-diploic meningioma in a child. Br J Neurosurg 7:315317, 1993 Chatterjee S, Foy P, Diengdoh V: Intra-diploic meningioma in a child. Br J Neurosurg 7:315–317, 1993

    • Search Google Scholar
    • Export Citation
  • 9.

    Chen KTK, & Dehner LP: Primary tumors of the external and middle ear. II. A clinicopathologic study of 14 paragangliomas and three meningiomas. Arch Otolaryngol 104:253259, 1978 Chen KTK, Dehner LP: Primary tumors of the external and middle ear. II. A clinicopathologic study of 14 paragangliomas and three meningiomas. Arch Otolaryngol 104:253–259, 1978

    • Search Google Scholar
    • Export Citation
  • 10.

    Chumas JC, & Lorelle CA: Pulmonary meningioma. A light- and electron-microscopic study. Am J Surg Pathol 6:795801, 1982 Chumas JC, Lorelle CA: Pulmonary meningioma. A light- and electron-microscopic study. Am J Surg Pathol 6:795–801, 1982

    • Search Google Scholar
    • Export Citation
  • 11.

    Chung CJ, , Mukherji S, & Fordham L, et al: Geniculate ganglion meningioma. Pediatr Radiol 27:847849, 1997 Chung CJ, Mukherji S, Fordham L, et al: Geniculate ganglion meningioma. Pediatr Radiol 27:847–849, 1997

    • Search Google Scholar
    • Export Citation
  • 12.

    Coons SW, & Johnson PC: Brachial plexus meningioma, report of a case with immunohistochemical and ultrastructural examination. Acta Neuropathol 77:445448, 1989 Coons SW, Johnson PC: Brachial plexus meningioma, report of a case with immunohistochemical and ultrastructural examination. Acta Neuropathol 77:445–448, 1989

    • Search Google Scholar
    • Export Citation
  • 13.

    Crawford TS, , Kleinschmidt-DeMasters BK, & Lillehei KO: Primary intraosseous meningioma. Case report. J Neurosurg 83:912915, 1995 Crawford TS, Kleinschmidt-DeMasters BK, Lillehei KO: Primary intraosseous meningioma. Case report. J Neurosurg 83:912–915, 1995

    • Search Google Scholar
    • Export Citation
  • 14.

    Daugaard S: Ectopic meningioma of a finger. Case report. J Neurosurg 58:778780, 1983 Daugaard S: Ectopic meningioma of a finger. Case report. J Neurosurg 58:778–780, 1983

    • Search Google Scholar
    • Export Citation
  • 15.

    De SK, , Chatterjee AK, & Misra AK: An unusual presentation of meningioma of the frontal sinus. J Laryngol Otol 100:711714, 1986 De SK, Chatterjee AK, Misra AK: An unusual presentation of meningioma of the frontal sinus. J Laryngol Otol 100:711–714, 1986

    • Search Google Scholar
    • Export Citation
  • 16.

    Dong YF, , Sha ZG, & Zhan HW: A case report of recurrence of primary subcutaneous meningioma in upper limb. Chin Med J 99:604605, 1986 Dong YF, Sha ZG, Zhan HW: A case report of recurrence of primary subcutaneous meningioma in upper limb. Chin Med J 99:604–605, 1986

    • Search Google Scholar
    • Export Citation
  • 17.

    Doron Y, & Gruszkiewicz J: Metastasis of invasive carcinoma of the breast to an extradural meningioma of the cranial vault. Cancer 60:10811084, 1987 Doron Y, Gruszkiewicz J: Metastasis of invasive carcinoma of the breast to an extradural meningioma of the cranial vault. Cancer 60:1081–1084, 1987

    • Search Google Scholar
    • Export Citation
  • 18.

    Drlicek M, , Grisold W, & Lorber J, et al: Pulmonary meningioma. Immunohistochemical and ultrastructural features. Am J Surg Pathol 15:455459, 1991 Drlicek M, Grisold W, Lorber J, et al: Pulmonary meningioma. Immunohistochemical and ultrastructural features. Am J Surg Pathol 15:455–459, 1991

    • Search Google Scholar
    • Export Citation
  • 19.

    Fagerlund M, , Stenling R, & Söderberg O: A subfrontal meningioma with primary origin from the nasal cavity. Acta Otolaryngol 95:365370, 1983 Fagerlund M, Stenling R, Söderberg O: A subfrontal meningioma with primary origin from the nasal cavity. Acta Otolaryngol 95:365–370, 1983

    • Search Google Scholar
    • Export Citation
  • 20.

    Farr HW, , Gray GF Jr, & Vrana M, et al: Extracranial meningioma. J Surg Oncol 5:411420, 1973 Farr HW, Gray GF Jr, Vrana M, et al: Extracranial meningioma. J Surg Oncol 5:411–420, 1973

    • Search Google Scholar
    • Export Citation
  • 21.

    Flynn SD, & Yousem SA: Pulmonary meningiomas: a report of two cases. Hum Pathol 22:469474, 1991 Flynn SD, Yousem SA: Pulmonary meningiomas: a report of two cases. Hum Pathol 22:469–474, 1991

    • Search Google Scholar
    • Export Citation
  • 22.

    Friedman CD, , Costantino PD, & Teitelbaum B, et al: Primary extracranial meningiomas of the head and neck. Laryngoscope 100:4148, 1990 Friedman CD, Costantino PD, Teitelbaum B, et al: Primary extracranial meningiomas of the head and neck. Laryngoscope 100:41–48, 1990

    • Search Google Scholar
    • Export Citation
  • 23.

    Fujita T, , Nakagawa H, & Tsuruzono K, et al: Extradural temporal meningioma directly extended to cervical bone—case report. Neurol Med Chir 33:458462, 1993 Fujita T, Nakagawa H, Tsuruzono K, et al: Extradural temporal meningioma directly extended to cervical bone—case report. Neurol Med Chir 33:458–462, 1993

    • Search Google Scholar
    • Export Citation
  • 24.

    Gelli MC, , Pasquinelli G, & Martinelli G, et al: Cutaneous meningioma: histochemical, immunohistochemical and ultrastructural investigation. Histopathology 23:576578, 1993 Gelli MC, Pasquinelli G, Martinelli G, et al: Cutaneous meningioma: histochemical, immunohistochemical and ultrastructural investigation. Histopathology 23:576–578, 1993

    • Search Google Scholar
    • Export Citation
  • 25.

    Geoffray A, , Lee YY, & Jing BS, et al: Extracranial meningiomas of the head and neck. AJNR 5:599604, 1984 Geoffray A, Lee YY, Jing BS, et al: Extracranial meningiomas of the head and neck. AJNR 5:599–604, 1984

    • Search Google Scholar
    • Export Citation
  • 26.

    Ghobashy A, & Tobler W: Intraosseous calvarial meningioma of the skull presenting as a solitary osteolytic skull lesion: case report and review of the literature. Acta Neurochir 129:105108, 1994 Ghobashy A, Tobler W: Intraosseous calvarial meningioma of the skull presenting as a solitary osteolytic skull lesion: case report and review of the literature. Acta Neurochir 129:105–108, 1994

    • Search Google Scholar
    • Export Citation
  • 27.

    Godel V, , Samuel Y, & Shanon E, et al: Maxillary meningioma appearing as exophthalmos. Arch Otolaryngol 107:626628, 1981 Godel V, Samuel Y, Shanon E, et al: Maxillary meningioma appearing as exophthalmos. Arch Otolaryngol 107:626–628, 1981

    • Search Google Scholar
    • Export Citation
  • 28.

    Gonzalez-Campora R, , Otal-Salaverri C, & Panea-Flores P, et al: Fine needle aspiration cytology of paraganglionic tumors. Acta Cytol 32:386390, 1989 Gonzalez-Campora R, Otal-Salaverri C, Panea-Flores P, et al: Fine needle aspiration cytology of paraganglionic tumors. Acta Cytol 32:386–390, 1989

    • Search Google Scholar
    • Export Citation
  • 29.

    Granich MS, , Pilch BZ, & Goodman ML: Meningiomas presenting in the paranasal sinuses and temporal bone. Head Neck Surg 5:319328, 1983 Granich MS, Pilch BZ, Goodman ML: Meningiomas presenting in the paranasal sinuses and temporal bone. Head Neck Surg 5:319–328, 1983

    • Search Google Scholar
    • Export Citation
  • 30.

    Guarnaschelli JJ, , Dzenitis AJ, & Ogden LL: Ectopic subgaleal meningioma and familial neurofibromatosis. Surg Neurol 23:371374, 1985 Guarnaschelli JJ, Dzenitis AJ, Ogden LL: Ectopic subgaleal meningioma and familial neurofibromatosis. Surg Neurol 23:371–374, 1985

    • Search Google Scholar
    • Export Citation
  • 31.

    Halpin SFS, , Britton J, & Wilkins P, et al: Intradiploic meningiomas. A radiological study of two cases confirmed histologically. Neuroradiology 33:247250, 1991 Halpin SFS, Britton J, Wilkins P, et al: Intradiploic meningiomas. A radiological study of two cases confirmed histologically. Neuroradiology 33:247–250, 1991

    • Search Google Scholar
    • Export Citation
  • 32.

    Higuchi M, , Tsuji M, & Fujimoto Y, et al: Spheno-orbital meningioma with unusual radiological features. Clin Neurol Neurosurg 100:288291, 1998 Higuchi M, Tsuji M, Fujimoto Y, et al: Spheno-orbital meningioma with unusual radiological features. Clin Neurol Neurosurg 100:288–291, 1998

    • Search Google Scholar
    • Export Citation
  • 33.

    Hlavka V, , Miklic P, & Besenski N, et al: Dumbbell meningioma of the cervico-clavicular region. Neurol Croat 40:319326, 1991 Hlavka V, Miklic P, Besenski N, et al: Dumbbell meningioma of the cervico-clavicular region. Neurol Croat 40:319–326, 1991

    • Search Google Scholar
    • Export Citation
  • 34.

    Ho KL: Primary meningioma of the nasal cavity and paranasal sinuses. Cancer 46:14421447, 1980 Ho KL: Primary meningioma of the nasal cavity and paranasal sinuses. Cancer 46:1442–1447, 1980

    • Search Google Scholar
    • Export Citation
  • 35.

    Hoye SJ, , Hoar CS Jr, & Murray JE: Extracranial meningioma presenting as a tumor of the neck. Am J Surg 100:486489, 1960 Hoye SJ, Hoar CS Jr, Murray JE: Extracranial meningioma presenting as a tumor of the neck. Am J Surg 100:486–489, 1960

    • Search Google Scholar
    • Export Citation
  • 36.

    Huszar M, , Fanburg JC, & Dickersin GR, et al: Retroperitoneal malignant meningioma. A light microscopic, immunohistochemical, and ultrastructural study. Am J Surg Pathol 20:492499, 1996 Huszar M, Fanburg JC, Dickersin GR, et al: Retroperitoneal malignant meningioma. A light microscopic, immunohistochemical, and ultrastructural study. Am J Surg Pathol 20:492–499, 1996

    • Search Google Scholar
    • Export Citation
  • 37.

    Ibrahim AW, , Satti MB, & Ibrahim EM: Extraspinal meningioma. Case report. J Neurosurg 64:328330, 1986 Ibrahim AW, Satti MB, Ibrahim EM: Extraspinal meningioma. Case report. J Neurosurg 64:328–330, 1986

    • Search Google Scholar
    • Export Citation
  • 38.

    Inglis AF Jr, , Yarington CT Jr, & Bolen J: Extrameningeal meningiomas of the infratemporal fossa: diagnosis and treatment. Laryngoscope 97:689692, 1987 Inglis AF Jr, Yarington CT Jr, Bolen J: Extrameningeal meningiomas of the infratemporal fossa: diagnosis and treatment. Laryngoscope 97:689–692, 1987

    • Search Google Scholar
    • Export Citation
  • 39.

    Ito H, , Takagi H, & Kawano N, et al: Primary intraosseous meningioma: case report. J Neurooncol 13:5761, 1992 Ito H, Takagi H, Kawano N, et al: Primary intraosseous meningioma: case report. J Neurooncol 13:57–61, 1992

    • Search Google Scholar
    • Export Citation
  • 40.

    Johnson TE, , Weatherhead RG, & Nasr AM, et al: Ectopic (extradural) meningioma of the orbit: a report of two cases in children. J Pediatr Ophthalmol Strabismus 30:4347, 1993 Johnson TE, Weatherhead RG, Nasr AM, et al: Ectopic (extradural) meningioma of the orbit: a report of two cases in children. J Pediatr Ophthalmol Strabismus 30:43–47, 1993

    • Search Google Scholar
    • Export Citation
  • 41.

    Junaid TA, , Nkposong EO, & Kolawole TM: Cutaneous meningiomas and an ovarian fibroma in a three-year-old girl. J Pathol 108:165167, 1972 Junaid TA, Nkposong EO, Kolawole TM: Cutaneous meningiomas and an ovarian fibroma in a three-year-old girl. J Pathol 108:165–167, 1972

    • Search Google Scholar
    • Export Citation
  • 42.

    Kakizoe S, , Kojiro M, & Hikita N: Primary cutaneous meningioma. Report of a case. Acta Pathol Jpn 37:511514, 1987 Kakizoe S, Kojiro M, Hikita N: Primary cutaneous meningioma. Report of a case. Acta Pathol Jpn 37:511–514, 1987

    • Search Google Scholar
    • Export Citation
  • 43.

    Kanmaz B, , Weissman DE, & Akansel G, et al: Intraosseous meningioma: appearance on bone scintigraphy over five years. J Nucl Med 34:961962, 1993 Kanmaz B, Weissman DE, Akansel G, et al: Intraosseous meningioma: appearance on bone scintigraphy over five years. J Nucl Med 34:961–962, 1993

    • Search Google Scholar
    • Export Citation
  • 44.

    Karp LA, , Zimmerman LE, & Borit A, et al: Primary intraorbital meningiomas. Arch Ophthalmol 91:2428, 1974 Karp LA, Zimmerman LE, Borit A, et al: Primary intraorbital meningiomas. Arch Ophthalmol 91:24–28, 1974

    • Search Google Scholar
    • Export Citation
  • 45.

    Kaur A, , Shetty SC, & Prasad D, et al: Primary ectopic meningioma of the palatine tonsil—a case report. J Laryngol Otol 111:179181, 1997 Kaur A, Shetty SC, Prasad D, et al: Primary ectopic meningioma of the palatine tonsil—a case report. J Laryngol Otol 111:179–181, 1997

    • Search Google Scholar
    • Export Citation
  • 46.

    Kemnitz P, , Spormann H, & Heinrich P: Meningioma of lung: first report with light and electron microscopic findings. Ultrastruct Pathol 3:359365, 1982 Kemnitz P, Spormann H, Heinrich P: Meningioma of lung: first report with light and electron microscopic findings. Ultrastruct Pathol 3:359–365, 1982

    • Search Google Scholar
    • Export Citation
  • 47.

    Kobayashi S, , Kyoshima K, & Nakagawa F, et al: Diploic meningioma of the orbital roof. Surg Neurol 13:277281, 1980 Kobayashi S, Kyoshima K, Nakagawa F, et al: Diploic meningioma of the orbital roof. Surg Neurol 13:277–281, 1980

    • Search Google Scholar
    • Export Citation
  • 48.

    Kulali A, , Ilcayto R, & Rahmanli O: Primary calvarial ectopic meningiomas. Neurochirurgia 34:174177, 1991 Kulali A, Ilcayto R, Rahmanli O: Primary calvarial ectopic meningiomas. Neurochirurgia 34:174–177, 1991

    • Search Google Scholar
    • Export Citation
  • 49.

    Kumar S, , Dhingra PL, & Gondal R: Ectopic meningioma of the paranasal sinuses. Childs Nerv Syst 9:483484, 1993 Kumar S, Dhingra PL, Gondal R: Ectopic meningioma of the paranasal sinuses. Childs Nerv Syst 9:483–484, 1993

    • Search Google Scholar
    • Export Citation
  • 50.

    Kumar S, , Malik R, & Gupta S, et al: Epidermoid cyst in association with subcutaneous meningioma. Clin Neurol Neurosurg 94:4547, 1992 Kumar S, Malik R, Gupta S, et al: Epidermoid cyst in association with subcutaneous meningioma. Clin Neurol Neurosurg 94:45–47, 1992

    • Search Google Scholar
    • Export Citation
  • 51.

    Kuzeyli K, , Duru S, & Baykal S, et al: Primary intraosseous meningioma of the temporal bone in an infant. A case report. Neurosurg Rev 19:197199, 1996 Kuzeyli K, Duru S, Baykal S, et al: Primary intraosseous meningioma of the temporal bone in an infant. A case report. Neurosurg Rev 19:197–199, 1996

    • Search Google Scholar
    • Export Citation
  • 52.

    Lapresle J, , Netsky MG, & Zimmerman HM: The pathology of meningiomas. A study of 121 cases. Am J Pathol 28:757791, 1952 Lapresle J, Netsky MG, Zimmerman HM: The pathology of meningiomas. A study of 121 cases. Am J Pathol 28:757–791, 1952

    • Search Google Scholar
    • Export Citation
  • 53.

    Lee HY, , Prager J, & Hahn Y, et al: Intraosseous meningioma: CT and MR appearance. J Comput Assist Tomogr 16:10001001, 1992 Lee HY, Prager J, Hahn Y, et al: Intraosseous meningioma: CT and MR appearance. J Comput Assist Tomogr 16:1000–1001, 1992

    • Search Google Scholar
    • Export Citation
  • 54.

    Lee KF, , Suh JH, & Lee YE, et al: Meningioma of the paranasal sinuses. Neuroradiology 17:165171, 1979 Lee KF, Suh JH, Lee YE, et al: Meningioma of the paranasal sinuses. Neuroradiology 17:165–171, 1979

    • Search Google Scholar
    • Export Citation
  • 55.

    Lee WH, , Tu YC, & Liu MY: Primary intraosseous malignant meningioma of the skull: case report. Neurosurgery 23:505508, 1988 Lee WH, Tu YC, Liu MY: Primary intraosseous malignant meningioma of the skull: case report. Neurosurgery 23:505–508, 1988

    • Search Google Scholar
    • Export Citation
  • 56.

    LeMay DR, , Bucci MN, & Farhat SM: Malignant transformation of recurrent meningioma with pulmonary metastases. Surg Neurol 31:365368, 1989 LeMay DR, Bucci MN, Farhat SM: Malignant transformation of recurrent meningioma with pulmonary metastases. Surg Neurol 31:365–368, 1989

    • Search Google Scholar
    • Export Citation
  • 57.

    Levin M, , Wertheim SE, & Klein E, et al: Unusual lytic intraosseous meningioma. J Neuroimaging 5:247248, 1995 Levin M, Wertheim SE, Klein E, et al: Unusual lytic intraosseous meningioma. J Neuroimaging 5:247–248, 1995

    • Search Google Scholar
    • Export Citation
  • 58.

    Leyva WH, & Gnepp DR: Pathologic quiz case 2. Meningioma. Arch Otolaryngol Head Neck Surg 113:206207, 1987 Leyva WH, Gnepp DR: Pathologic quiz case 2. Meningioma. Arch Otolaryngol Head Neck Surg 113:206–207, 1987

    • Search Google Scholar
    • Export Citation
  • 59.

    Lopez DA, , Silvers DN, & Helwig EB: Cutaneous meningiomas— a clinicopathologic study. Cancer 34:728744, 1974 Lopez DA, Silvers DN, Helwig EB: Cutaneous meningiomas— a clinicopathologic study. Cancer 34:728–744, 1974

    • Search Google Scholar
    • Export Citation
  • 60.

    Mackay B, , Bruner JM, & Luna MA, et al: Malignant meningioma of the scalp. Ultrastruct Pathol 18:235240, 1994 Mackay B, Bruner JM, Luna MA, et al: Malignant meningioma of the scalp. Ultrastruct Pathol 18:235–240, 1994

    • Search Google Scholar
    • Export Citation
  • 61.

    Malca SA, , Roche PH, & Thomassin JM, et al: Une tumeur cervicale inhabituelle: le meningiome. A propos d'un cas d'origine pétreuse. Revue de la littérature du méningiome se présentant comme une masse cervicale. Neurochirurgie 40:96108, 1994 Malca SA, Roche PH, Thomassin JM, et al: Une tumeur cervicale inhabituelle: le meningiome. A propos d'un cas d'origine pétreuse. Revue de la littérature du méningiome se présentant comme une masse cervicale. Neurochirurgie 40:96–108, 1994

    • Search Google Scholar
    • Export Citation
  • 62.

    Maniglia AJ: Intra and extracranial meningiomas involving the temporal bone. Laryngoscope 88 (Suppl 12):158, 1978 Maniglia AJ: Intra and extracranial meningiomas involving the temporal bone. Laryngoscope 88 (Suppl 12):1–58, 1978

    • Search Google Scholar
    • Export Citation
  • 63.

    Manni JJ: Ectopic meningioma of the maxillary sinus. J Laryngol Otol 97:657660, 1983 Manni JJ: Ectopic meningioma of the maxillary sinus. J Laryngol Otol 97:657–660, 1983

    • Search Google Scholar
    • Export Citation
  • 64.

    McCullough JB, , Evans AT, & Vaughan-Jones R, et al: Fine needle aspiration (FNA) of a nasal meningioma: a case report. Cytopathology 7:5660, 1996 McCullough JB, Evans AT, Vaughan-Jones R, et al: Fine needle aspiration (FNA) of a nasal meningioma: a case report. Cytopathology 7:56–60, 1996

    • Search Google Scholar
    • Export Citation
  • 65.

    Michel RG, & Woodard BH: Extracranial meningioma. Ann Otol Rhinol Laryngol 88:407412, 1979 Michel RG, Woodard BH: Extracranial meningioma. Ann Otol Rhinol Laryngol 88:407–412, 1979

    • Search Google Scholar
    • Export Citation
  • 66.

    Miyamoto T, , Mihara M, & Hagari Y, et al: Primary cutaneous meningioma on the scalp: report of two siblings. J Dermatol 22:611619, 1995 Miyamoto T, Mihara M, Hagari Y, et al: Primary cutaneous meningioma on the scalp: report of two siblings. J Dermatol 22:611–619, 1995

    • Search Google Scholar
    • Export Citation
  • 67.

    Mori S, , Kobayashi S, & Miki H, et al: Extracranial meningioma in the parapharyngeal space. Acta Pathol Jpn 43:130134, 1993 Mori S, Kobayashi S, Miki H, et al: Extracranial meningioma in the parapharyngeal space. Acta Pathol Jpn 43:130–134, 1993

    • Search Google Scholar
    • Export Citation
  • 68.

    Morrison MC, , Weiss KL, & Moskos MM: CT and MR appearance of a primary intraosseous meningioma. J Comput Assist Tomogr 12:169170, 1988 Morrison MC, Weiss KL, Moskos MM: CT and MR appearance of a primary intraosseous meningioma. J Comput Assist Tomogr 12:169–170, 1988

    • Search Google Scholar
    • Export Citation
  • 69.

    Muthukumar N: Primary calvarial meningiomas. Br J Neurosurg 11:388392, 1997 Muthukumar N: Primary calvarial meningiomas. Br J Neurosurg 11:388–392, 1997

    • Search Google Scholar
    • Export Citation
  • 70.

    Nager GT, , Heroy J, & Hoeplinger M: Meningiomas invading the temporal bone with extension to the neck. Am J Otolaryngol 4:297324, 1983 Nager GT, Heroy J, Hoeplinger M: Meningiomas invading the temporal bone with extension to the neck. Am J Otolaryngol 4:297–324, 1983

    • Search Google Scholar
    • Export Citation
  • 71.

    Nakao N, , Kubo K, & Moriwaki H: Multiple growths of primary calvarial meningiomas. Neurosurgery 29:452455, 1991 Nakao N, Kubo K, Moriwaki H: Multiple growths of primary calvarial meningiomas. Neurosurgery 29:452–455, 1991

    • Search Google Scholar
    • Export Citation
  • 72.

    Nichols RD, , Knighton RS, & Chason JL, et al: Meningioma in the parotid region. Laryngoscope 97:693696, 1987 Nichols RD, Knighton RS, Chason JL, et al: Meningioma in the parotid region. Laryngoscope 97:693–696, 1987

    • Search Google Scholar
    • Export Citation
  • 73.

    Nochomovitz LE, , Jannotta F, & Orenstein JM: Meningioma of the scalp. Light and electron microscopic observations. Arch Pathol Lab Med 109:9295, 1985 Nochomovitz LE, Jannotta F, Orenstein JM: Meningioma of the scalp. Light and electron microscopic observations. Arch Pathol Lab Med 109:92–95, 1985

    • Search Google Scholar
    • Export Citation
  • 74.

    Ohaegbulam SC: Ectopic epidural calvarial meningioma. Surg Neurol 12:3335, 1979 Ohaegbulam SC: Ectopic epidural calvarial meningioma. Surg Neurol 12:33–35, 1979

    • Search Google Scholar
    • Export Citation
  • 75.

    Ohnishi T, , Mori S, & Arita N: Primary meningioma of paranasal sinuses treated by the transbasal approach. Surg Neurol 27:195199, 1987 Ohnishi T, Mori S, Arita N: Primary meningioma of paranasal sinuses treated by the transbasal approach. Surg Neurol 27:195–199, 1987

    • Search Google Scholar
    • Export Citation
  • 76.

    Oka K, , Hirakawa K, & Yoshida S, et al: Primary calvarial meningiomas. Surg Neurol 32:304310, 1989 Oka K, Hirakawa K, Yoshida S, et al: Primary calvarial meningiomas. Surg Neurol 32:304–310, 1989

    • Search Google Scholar
    • Export Citation
  • 77.

    Oka K, , Tomonaga M, & Hirakawa K, et al: Primary calvarial meningiomas, in Schmidek HH (ed): Meningiomas and Their Surgical Management. Philadelphia: WB Saunders, 1991, pp 191202 Oka K, Tomonaga M, Hirakawa K, et al: Primary calvarial meningiomas, in Schmidek HH (ed): Meningiomas and Their Surgical Management. Philadelphia: WB Saunders, 1991, pp 191–202

    • Search Google Scholar
    • Export Citation
  • 78.

    O'Reilly RC, , Kapadia SB, & Kamerer DB: Primary extracranial meningioma of the temporal bone. Otolaryngol Head Neck Surg 118:690694, 1998 O'Reilly RC, Kapadia SB, Kamerer DB: Primary extracranial meningioma of the temporal bone. Otolaryngol Head Neck Surg 118:690–694, 1998

    • Search Google Scholar
    • Export Citation
  • 79.

    Palma L, , Mercuri S, & Ferrante L: Epidural calvarial meningioma. Surg Neurol 8:315318, 1977 Palma L, Mercuri S, Ferrante L: Epidural calvarial meningioma. Surg Neurol 8:315–318, 1977

    • Search Google Scholar
    • Export Citation
  • 80.

    Papavasiliou A, , Sawyer R, & Lund V: Effects of meningiomas on the facial skeleton. Arch Otolaryngol 108:255257, 1982 Papavasiliou A, Sawyer R, Lund V: Effects of meningiomas on the facial skeleton. Arch Otolaryngol 108:255–257, 1982

    • Search Google Scholar
    • Export Citation
  • 81.

    Pearl GS, , Takei Y, & Parent AD, et al: Primary intraosseous meningioma presenting as a solitary osteolytic skull lesion: case report. Neurosurgery 4:269270, 1979 Pearl GS, Takei Y, Parent AD, et al: Primary intraosseous meningioma presenting as a solitary osteolytic skull lesion: case report. Neurosurgery 4:269–270, 1979

    • Search Google Scholar
    • Export Citation
  • 82.

    Penas PF, , Jones-Caballero M, & Amigo A, et al: Cutaneous meningioma underlying congenital localized hypertrichosis. J Am Acad Dermatol 30:363366, 1994 Penas PF, Jones-Caballero M, Amigo A, et al: Cutaneous meningioma underlying congenital localized hypertrichosis. J Am Acad Dermatol 30:363–366, 1994

    • Search Google Scholar
    • Export Citation
  • 83.

    Perzin KH, & Pushparaj N: Nonepithelial tumors of the nasal cavity, paranasal sinuses, and nasopharynx. A clinicopathologic study. XIII: Meningiomas. Cancer 54:18601869, 1984 Perzin KH, Pushparaj N: Nonepithelial tumors of the nasal cavity, paranasal sinuses, and nasopharynx. A clinicopathologic study. XIII: Meningiomas. Cancer 54:1860–1869, 1984

    • Search Google Scholar
    • Export Citation
  • 84.

    Prado JA, , Sener RN, & Jinkins JR: Primary intraosseous calvarial meningioma. Comput Med Imaging Graph 18:467468, 1994 Prado JA, Sener RN, Jinkins JR: Primary intraosseous calvarial meningioma. Comput Med Imaging Graph 18:467–468, 1994

    • Search Google Scholar
    • Export Citation
  • 85.

    Ragoowansi R, , Thomas V, & Powell BW: Cutaneous meningioma of the scalp: a case report and review of literature. Br J Plast Surg 51:402404, 1998 Ragoowansi R, Thomas V, Powell BW: Cutaneous meningioma of the scalp: a case report and review of literature. Br J Plast Surg 51:402–404, 1998

    • Search Google Scholar
    • Export Citation
  • 86.

    Reale F, , Delfini R, & Cintorino M: An intradiploic meningioma of the orbital roof: case report. Ophthalmologica 177:8287, 1978 Reale F, Delfini R, Cintorino M: An intradiploic meningioma of the orbital roof: case report. Ophthalmologica 177:82–87, 1978

    • Search Google Scholar
    • Export Citation
  • 87.

    Rietz DR, , Ford CN, & Kurtycz DF, et al: Significance of apparent intratympanic meningiomas. Laryngoscope 93:13971404, 1983 Rietz DR, Ford CN, Kurtycz DF, et al: Significance of apparent intratympanic meningiomas. Laryngoscope 93:1397–1404, 1983

    • Search Google Scholar
    • Export Citation
  • 88.

    Rorat E, , Yang W, & DeLaTorre R: Fine needle aspiration cytology of parapharyngeal meningioma. Acta Cytol 35:497500, 1991 Rorat E, Yang W, DeLaTorre R: Fine needle aspiration cytology of parapharyngeal meningioma. Acta Cytol 35:497–500, 1991

    • Search Google Scholar
    • Export Citation
  • 89.

    Rose WS, , Makhija MC, & Sattenspiel S: Meningioma presenting as a tumor in the neck. AJR 134:10701072, 1980 Rose WS, Makhija MC, Sattenspiel S: Meningioma presenting as a tumor in the neck. AJR 134:1070–1072, 1980

    • Search Google Scholar
    • Export Citation
  • 90.

    Rosencrantz M, & Stattin S: Extradural meningiomas. Report of two cases. Acta Radiol 12:419427, 1972 Rosencrantz M, Stattin S: Extradural meningiomas. Report of two cases. Acta Radiol 12:419–427, 1972

    • Search Google Scholar
    • Export Citation
  • 91.

    Russell DS, & Rubinstein LJ: The tumours of the nervous system, in Russell DS, & Rubinstein LJ (eds): Pathology of Tumours of the Nervous System, ed 5. Baltimore: Williams & Wilkins, 1989, pp 452506 Russell DS, Rubinstein LJ: The tumours of the nervous system, in Russell DS, Rubinstein LJ (eds): Pathology of Tumours of the Nervous System, ed 5. Baltimore: Williams & Wilkins, 1989, pp 452–506

    • Search Google Scholar
    • Export Citation
  • 92.

    Sadar ES, , Conomy JP, & Benjamin SP, et al: Meningiomas of the paranasal sinuses, benign and malignant. Neurosurgery 4:227232, 1979 Sadar ES, Conomy JP, Benjamin SP, et al: Meningiomas of the paranasal sinuses, benign and malignant. Neurosurgery 4:227–232, 1979

    • Search Google Scholar
    • Export Citation
  • 93.

    Sadasivan B: Ectopic meningiomas, in Schmidek HH (ed): Meningiomas and Their Surgical Management. Philadelphia: WB Saunders, 1991, pp 493499 Sadasivan B: Ectopic meningiomas, in Schmidek HH (ed): Meningiomas and Their Surgical Management. Philadelphia: WB Saunders, 1991, pp 493–499

    • Search Google Scholar
    • Export Citation
  • 94.

    Salama N, & Stafford N: Meningiomas presenting in the middle ear. Laryngoscope 92:9297, 1982 Salama N, Stafford N: Meningiomas presenting in the middle ear. Laryngoscope 92:92–97, 1982

    • Search Google Scholar
    • Export Citation
  • 95.

    Sartor K, , Fliedner E, & Pfingst E: Angiographic demonstration of cervical extradural meningioma. Neuroradiology 14:147149, 1977 Sartor K, Fliedner E, Pfingst E: Angiographic demonstration of cervical extradural meningioma. Neuroradiology 14:147–149, 1977

    • Search Google Scholar
    • Export Citation
  • 96.

    Serwatka LM, & Mellette JR: Cutaneous meningioma. J Dermatol Surg Oncol 10:896900, 1984 Serwatka LM, Mellette JR: Cutaneous meningioma. J Dermatol Surg Oncol 10:896–900, 1984

    • Search Google Scholar
    • Export Citation
  • 97.

    Shuangshoti S: Primary meningiomas outside the central nervous system, in Al-Mefty O (ed): Meningiomas. New York: Raven Press, 1991, pp 107128 Shuangshoti S: Primary meningiomas outside the central nervous system, in Al-Mefty O (ed): Meningiomas. New York: Raven Press, 1991, pp 107–128

    • Search Google Scholar
    • Export Citation
  • 98.

    Shuangshoti S, , Hongsaprabhas C, & Netsky MG: Metastasizing meningioma. Cancer 26:832841, 1970 Shuangshoti S, Hongsaprabhas C, Netsky MG: Metastasizing meningioma. Cancer 26:832–841, 1970

    • Search Google Scholar
    • Export Citation
  • 99.

    Shuangshoti S, , Netsky MG, & Fitz-Hugh GS: Parapharyngeal meningioma with special reference to cell of origin. Ann Otol Rhinol Laryngol 80:464473, 1971 Shuangshoti S, Netsky MG, Fitz-Hugh GS: Parapharyngeal meningioma with special reference to cell of origin. Ann Otol Rhinol Laryngol 80:464–473, 1971

    • Search Google Scholar
    • Export Citation
  • 100.

    Shuangshoti S, & Panyathanya R: Ectopic meningiomas. Arch Otolaryngol Head Neck Surg 98:102105, 1973 Shuangshoti S, Panyathanya R: Ectopic meningiomas. Arch Otolaryngol Head Neck Surg 98:102–105, 1973

    • Search Google Scholar
    • Export Citation
  • 101.

    Shuangshoti S, & Panyathanya R: Meningiomas of the neuraxis: a study of 290 cases. J Med Assoc Thai 64:450463, 1981 Shuangshoti S, Panyathanya R: Meningiomas of the neuraxis: a study of 290 cases. J Med Assoc Thai 64:450–463, 1981

    • Search Google Scholar
    • Export Citation
  • 102.

    Sibley DA, & Cooper PH: Rudimentary meningocele: a variant of “primary cutaneous meningioma.” J Cutan Pathol 16:7280, 1989 Sibley DA, Cooper PH: Rudimentary meningocele: a variant of “primary cutaneous meningioma.” J Cutan Pathol 16:72–80, 1989

    • Search Google Scholar
    • Export Citation
  • 103.

    Siegel GJ, & Anderson PJ: Extracalvarial meningioma. Case report. J Neurosurg 25:8386, 1966 Siegel GJ, Anderson PJ: Extracalvarial meningioma. Case report. J Neurosurg 25:83–86, 1966

    • Search Google Scholar
    • Export Citation
  • 104.

    Simpson MT, & Sneddon KJ: Extracranial meningioma of the oral cavity. Br J Oral Maxillofac Surg 25:520525, 1987 Simpson MT, Sneddon KJ: Extracranial meningioma of the oral cavity. Br J Oral Maxillofac Surg 25:520–525, 1987

    • Search Google Scholar
    • Export Citation
  • 105.

    Solares J, & Lacruz C: Fine needle aspiration cytology diagnosis of an extracranial meningioma presenting as a cervical mass. Acta Cytol 31:502504, 1987 Solares J, Lacruz C: Fine needle aspiration cytology diagnosis of an extracranial meningioma presenting as a cervical mass. Acta Cytol 31:502–504, 1987

    • Search Google Scholar
    • Export Citation
  • 106.

    Som PM, , Sachdev VP, & Sacher MM, et al: Intrafrontal sinus primary meningioma. Neuroradiology 33:251252, 1991 Som PM, Sachdev VP, Sacher MM, et al: Intrafrontal sinus primary meningioma. Neuroradiology 33:251–252, 1991

    • Search Google Scholar
    • Export Citation
  • 107.

    Strempel I: Rare choroidal tumour simulating a malignant melanoma. Ophthalmologica 202:110114, 1991 Strempel I: Rare choroidal tumour simulating a malignant melanoma. Ophthalmologica 202:110–114, 1991

    • Search Google Scholar
    • Export Citation
  • 108.

    Strimlan CV, , Golembiewski RS, & Celko DA, et al: Primary pulmonary meningioma. Surg Neurol 29:410413, 1988 Strimlan CV, Golembiewski RS, Celko DA, et al: Primary pulmonary meningioma. Surg Neurol 29:410–413, 1988

    • Search Google Scholar
    • Export Citation
  • 109.

    Tampieri D, , Pokrupa R, & Melanson D, et al: Primary ectopic meningioma of the neck: MR features. J Comput Assist Tomogr 11:10541056, 1987 Tampieri D, Pokrupa R, Melanson D, et al: Primary ectopic meningioma of the neck: MR features. J Comput Assist Tomogr 11:1054–1056, 1987

    • Search Google Scholar
    • Export Citation
  • 110.

    Taxy JB: Meningioma of the paranasal sinuses. A report of two cases. Am J Surg Pathol 14:8286, 1990 Taxy JB: Meningioma of the paranasal sinuses. A report of two cases. Am J Surg Pathol 14:82–86, 1990

    • Search Google Scholar
    • Export Citation
  • 111.

    Theaker JM, & Fleming KA: Meningioma of the scalp: a case report with immunohistological features. J Cutan Pathol 14:4953, 1987 Theaker JM, Fleming KA: Meningioma of the scalp: a case report with immunohistological features. J Cutan Pathol 14:49–53, 1987

    • Search Google Scholar
    • Export Citation
  • 112.

    Tsunoda R, & Fukaya T: Extracranial meningioma presenting as a tumour of the external auditory meatus: a case report. J Laryngol Otol 111:148151, 1997 Tsunoda R, Fukaya T: Extracranial meningioma presenting as a tumour of the external auditory meatus: a case report. J Laryngol Otol 111:148–151, 1997

    • Search Google Scholar
    • Export Citation
  • 113.

    Walters GA, , Ragland RL, & Knorr JR, et al: Posttraumatic cutaneous meningioma of the face. AJNR 15:393395, 1994 Walters GA, Ragland RL, Knorr JR, et al: Posttraumatic cutaneous meningioma of the face. AJNR 15:393–395, 1994

    • Search Google Scholar
    • Export Citation
  • 114.

    Weinberger JM, , Birt BD, & Lewis AJ, et al: Primary meningioma of the nasopharynx: case report and review of ectopic meningioma. J Otolaryngol 14:317322, 1985 Weinberger JM, Birt BD, Lewis AJ, et al: Primary meningioma of the nasopharynx: case report and review of ectopic meningioma. J Otolaryngol 14:317–322, 1985

    • Search Google Scholar
    • Export Citation
  • 115.

    Willen R, , Gad A, & Willen H, et al: Extracranial meningioma presenting as a nasal polyp. ORL J Otorhinolaryngol Relat Spec 41:234239, 1979 Willen R, Gad A, Willen H, et al: Extracranial meningioma presenting as a nasal polyp. ORL J Otorhinolaryngol Relat Spec 41:234–239, 1979

    • Search Google Scholar
    • Export Citation
  • 116.

    Wilson AJ, , Ratliff JL, & Lagios MD, et al: Mediastinal meningioma. Am J Surg Pathol 3:557562, 1979 Wilson AJ, Ratliff JL, Lagios MD, et al: Mediastinal meningioma. Am J Surg Pathol 3:557–562, 1979

    • Search Google Scholar
    • Export Citation
  • 117.

    Wolman L: The extracranial spread of meningiomas. ENT Digest, July, 1969, p 46 Wolman L: The extracranial spread of meningiomas. ENT Digest, July, 1969, p 46

    • Search Google Scholar
    • Export Citation
  • 118.

    Young PH: Solitary subcutaneous meningioma appearing as an osteolytic skull defect. South Med J 76:10391040, 1983 Young PH: Solitary subcutaneous meningioma appearing as an osteolytic skull defect. South Med J 76:1039–1040, 1983

    • Search Google Scholar
    • Export Citation
  • 119.

    Zaaroor M, , Borovich B, & Bassan L, et al: Primary cutaneous extravertebral meningioma. Case report. J Neurosurg 60:10971098, 1984 Zaaroor M, Borovich B, Bassan L, et al: Primary cutaneous extravertebral meningioma. Case report. J Neurosurg 60:1097–1098, 1984

    • Search Google Scholar
    • Export Citation
  • 120.

    Zaritzky D, & Cowan RJ: Intraosseous meningioma: an unusual radionuclide presentation. J Nucl Med 18:943944, 1977 (Letter) Zaritzky D, Cowan RJ: Intraosseous meningioma: an unusual radionuclide presentation. J Nucl Med 18:943–944, 1977 (Letter)

    • Search Google Scholar
    • Export Citation
  • 121.

    Zhang FL, , Cheng XR, & Zhang YS, et al: Lung ectopic meningioma. A case report. Chin Med J 96:309311, 1983 Zhang FL, Cheng XR, Zhang YS, et al: Lung ectopic meningioma. A case report. Chin Med J 96:309–311, 1983

    • Search Google Scholar
    • Export Citation
  • 122.

    Zülch KJ: Brain Tumors: Their Biology and Pathology, ed 3. Berlin: Springer-Verlag, 1986, pp 7277 Zülch KJ: Brain Tumors: Their Biology and Pathology, ed 3. Berlin: Springer-Verlag, 1986, pp 72–77

    • Search Google Scholar
    • Export Citation

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