title: Successful treatment of anaplastic meningioma metastatic to cervical lymph nodes.
abstract: BACKGROUND
  Cervical lymph node metastases of meningioma represent an important diagnostic and treatment challenge. Not only has this entity been rarely described, but successful treatment has never been reported in the literature.
  
  
  RESULTS
  This case report was conducted using reviews of the literature. A 58-year-old man with a history of resected anaplastic meningioma was referred for a right neck mass. Excisional biopsy revealed metastatic meningioma, and a metastatic workup was negative. Modified radical neck dissection showed positivity in 5 lymph nodes. The patient received adjuvant intensity-modulated radiation therapy (IMRT), for a mean target dose of 60 Gray (Gy). Two years after treatment, the patient was disease free. Eleven cases of cervical lymph node metastasis of meningioma were identified in our literature search, and none described successful treatment of this entity.
  
  
  CONCLUSIONS
  Cervical lymph node metastasis of anaplastic meningioma is potentially treatable with surgical resection and IMRT, although further studies with long-term follow-up are necessary.
authors.affiliation: Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, Notre-Dame Hospital, Centre Hospitalier de l'Université de Montréal, Montreal, Canada.
authors.forename: Sami P
authors.initials: SP
authors.lastname: Moubayed
authors.forename: Louis
authors.initials: L
authors.lastname: Guertin
authors.forename: Carole
authors.initials: C
authors.lastname: Lambert
authors.forename: Pascal
authors.initials: P
authors.lastname: Desrochers
authors.forename: Jade
authors.initials: J
authors.lastname: Nehmé
authors.forename: Geneviève
authors.initials: G
authors.lastname: Coulombe
mesh_terms: D006258:Head and Neck Neoplasms / Q000473:pathology / Q000532:radiotherapy* / Q000601:surgery; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology* / Q000601:surgery; D008207:Lymphatic Metastasis; D008297:Male; D008577:Meningeal Neoplasms / Q000473:pathology / Q000532:radiotherapy* / Q000601:surgery; D008579:Meningioma / Q000532:radiotherapy* / Q000556:secondary / Q000601:surgery; D008875:Middle Aged; D050397:Radiotherapy, Intensity-Modulated / Q000379:methods*; D016896:Treatment Outcome