title: Primary extracranial meningioma of the foot: a case report.
abstract: We present a rare case of primary extracranial meningioma in a 36-year-old man, who had a solitary multinodular mass located in the plantar muscle of the foot. The histology of specimens from simple excision was typical of meningioma, showing bland spindle cell proliferation with a whorl pattern. Immunohistochemical analysis demonstrated that the tumor cells showed diffuse and strong positivity for epithelial membrane antigen as well as moderate reactivity for cytokeratin and vimentin. Ultrastructurally, the tumor cells were characterized by thin bipolar cytoplasmic processes and joined by multiple small desmosomes. There were frequent pinocytotic vesicles and a distinct external lamina on the cell surface. These findings suggest that this primary ectopic meningioma, arising in the soft tissue, may have been derived from perineurial cells of the peripheral nerve, but was morphologically distinguishable from perineurioma. Primary extracranial meningioma should be included in the differential diagnosis of soft-tissue spindle cell tumors, especially those of peripheral nerve origin.
authors.affiliation: Clinical Laboratory, National Cancer Center Hospital and Research Institute, Tokyo, Japan.
authors.forename: U
authors.initials: U
authors.lastname: Tomaru
authors.forename: T
authors.initials: T
authors.lastname: Hasegawa
authors.forename: F
authors.initials: F
authors.lastname: Hasegawa
authors.forename: M
authors.initials: M
authors.lastname: Kito
authors.forename: T
authors.initials: T
authors.lastname: Hirose
authors.forename: T
authors.initials: T
authors.lastname: Shimoda
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005534:Foot Diseases / Q000473:pathology*; D006801:Humans; D007150:Immunohistochemistry; D007633:Keratins / Q000032:analysis; D008297:Male; D008579:Meningioma / Q000473:pathology* / Q000648:ultrastructure; D018317:Nerve Sheath Neoplasms / Q000473:pathology; D012983:Soft Tissue Neoplasms / Q000473:pathology* / Q000648:ultrastructure; D014746:Vimentin / Q000032:analysis
chemical_list: D014746:Vimentin; D007633:Keratins