Dural lesions mimicking meningiomas.
Recently, a number of neoplastic and nonneoplastic entities have been reported that radiographically and clinically mimic meningiomas. Because these lesions occur infrequently and may resemble a meningioma during intraoperative analysis, they may not be considered in the differential diagnosis. This review (and case illustrations) considers some of the newly recognized and notable lesions that can mimic meningiomas, including solitary fibrous tumors, gliosarcomas, leiomyosarcomas, hemangiopericytomas, melanocytomas, Hodgkin's disease, plasmacytomas, inflammatory pseudotumors, neurosarcoidosis, plasma cell granulomas, Rosai-Dorfman disease, Castleman's disease, xanthomas, rheumatoid nodules, and tuberculomas. Awareness that these lesions involve the dura may facilitate intraoperative recognition and, in some cases, preclude unnecessary additional surgery.
Johnson
Mahlon D
MD
Department of Pathology, Vanderbilt Medical School, Nashville, TN 37232, USA.
Powell
Suzanne Z
SZ
Boyer
Philip J
PJ
Weil
Robert J
RJ
Moots
Paul L
PL
D000293:Adolescent; D000328:Adult; D002493:Central Nervous System Diseases / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004388:Dura Mater; D005260:Female; D015618:Histiocytosis, Sinus; D006689:Hodgkin Disease; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008577:Meningeal Neoplasms / Q000175:diagnosis* / Q000473:pathology; D008578:Meninges; D008579:Meningioma; D008875:Middle Aged; D009362:Neoplasm Metastasis; D012507:Sarcoidosis