Extracranial Meningioma in the Scalp with Concurrent Steatocystoma

This report documents a rare case of an extracranial meningioma on the posterior scalp without apparent dural connection. Additionally, a sebaceous steatocystoma of the anterior scalp presented alongside the meningioma. A steatocystoma localized to the scalp is also remarkably rare. To our knowledge...

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Main Authors: Jiankun Tong, Sergei A. Aksenov, Mitchell I. Chorost, William H. Rodgers
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2020/6539064
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author Jiankun Tong
Sergei A. Aksenov
Mitchell I. Chorost
William H. Rodgers
author_facet Jiankun Tong
Sergei A. Aksenov
Mitchell I. Chorost
William H. Rodgers
author_sort Jiankun Tong
collection DOAJ
description This report documents a rare case of an extracranial meningioma on the posterior scalp without apparent dural connection. Additionally, a sebaceous steatocystoma of the anterior scalp presented alongside the meningioma. A steatocystoma localized to the scalp is also remarkably rare. To our knowledge, this is the first report documenting both an extracranial meningioma and a steatocystoma presenting concurrently on the scalp. A male patient in his thirties presented with a mass lesion on the scalp. A CT scan revealed one posterior scalp mass with no intracranial abnormalities. Post excision histologic examination confirmed an extracranial meningioma (meningothelial variant, WHO Grade I). A second anterior scalp mass, not revealed by CT scan, was discovered during surgery. It was excised and diagnosed as a steatocystoma. Meningiomas predominantly occur intracranially but, in some instances, may present as a standalone extracranial tumor without intracranial abnormalities. Because extracranial meningioma is uncommon, it may be overlooked during clinical diagnosis of scalp masses. We recommend that this neoplasm be routinely considered in the differential diagnosis of extracranial tumors. The discovery of another rare tumor—a steatocystoma located in immediate proximity on the scalp—is further remarkable. We briefly review relevant case reports and etiologies and consider a potential relationship between the two neoplasms. However, it remains more likely that the concurrence of these tumors in our patient was simply coincidental.
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spelling doaj-art-2578d50fb00644aa801d41fb373ea38d2025-02-03T06:46:39ZengWileyCase Reports in Pathology2090-67812090-679X2020-01-01202010.1155/2020/65390646539064Extracranial Meningioma in the Scalp with Concurrent SteatocystomaJiankun Tong0Sergei A. Aksenov1Mitchell I. Chorost2William H. Rodgers3Department of Pathology, New York Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USADepartment of Pathology, New York Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USADepartment of Surgery, St. Francis Hospital, 100 Port Washington Blvd., Roslyn, NY 11576, USADepartment of Pathology, New York Presbyterian Queens, 56-45 Main Street, Flushing, NY 11355, USAThis report documents a rare case of an extracranial meningioma on the posterior scalp without apparent dural connection. Additionally, a sebaceous steatocystoma of the anterior scalp presented alongside the meningioma. A steatocystoma localized to the scalp is also remarkably rare. To our knowledge, this is the first report documenting both an extracranial meningioma and a steatocystoma presenting concurrently on the scalp. A male patient in his thirties presented with a mass lesion on the scalp. A CT scan revealed one posterior scalp mass with no intracranial abnormalities. Post excision histologic examination confirmed an extracranial meningioma (meningothelial variant, WHO Grade I). A second anterior scalp mass, not revealed by CT scan, was discovered during surgery. It was excised and diagnosed as a steatocystoma. Meningiomas predominantly occur intracranially but, in some instances, may present as a standalone extracranial tumor without intracranial abnormalities. Because extracranial meningioma is uncommon, it may be overlooked during clinical diagnosis of scalp masses. We recommend that this neoplasm be routinely considered in the differential diagnosis of extracranial tumors. The discovery of another rare tumor—a steatocystoma located in immediate proximity on the scalp—is further remarkable. We briefly review relevant case reports and etiologies and consider a potential relationship between the two neoplasms. However, it remains more likely that the concurrence of these tumors in our patient was simply coincidental.http://dx.doi.org/10.1155/2020/6539064
spellingShingle Jiankun Tong
Sergei A. Aksenov
Mitchell I. Chorost
William H. Rodgers
Extracranial Meningioma in the Scalp with Concurrent Steatocystoma
Case Reports in Pathology
title Extracranial Meningioma in the Scalp with Concurrent Steatocystoma
title_full Extracranial Meningioma in the Scalp with Concurrent Steatocystoma
title_fullStr Extracranial Meningioma in the Scalp with Concurrent Steatocystoma
title_full_unstemmed Extracranial Meningioma in the Scalp with Concurrent Steatocystoma
title_short Extracranial Meningioma in the Scalp with Concurrent Steatocystoma
title_sort extracranial meningioma in the scalp with concurrent steatocystoma
url http://dx.doi.org/10.1155/2020/6539064
work_keys_str_mv AT jiankuntong extracranialmeningiomainthescalpwithconcurrentsteatocystoma
AT sergeiaaksenov extracranialmeningiomainthescalpwithconcurrentsteatocystoma
AT mitchellichorost extracranialmeningiomainthescalpwithconcurrentsteatocystoma
AT williamhrodgers extracranialmeningiomainthescalpwithconcurrentsteatocystoma