Pineal chordoid meningioma complicated by repetitive hemorrhage during pregnancy: case report and literature review.
Chordoid meningioma is an uncommon variant of meningioma, and is very rarely found in the pineal region. We report a case of pineal region chordoid meningioma occurring in a young woman complicated by repetitive hemorrhages in the setting of pregnancy. A 23-year-old woman, 28 weeks pregnant, was transferred to our hospital for further management of a multi-septated, hemorrhagic pineal region mass and hydrocephalus. MRI revealed a heterogeneous T2-hyperintense lesion measuring 1.7 × 1.7 cm in the pineal gland. Resection of the tumor through an occipital transtentorial approach was performed. Histopathologic examination of the lesion confirmed the diagnosis of chordoid meningioma demonstrating cords and clusters of eosinophilic cells with rare cytoplasmic vacuolation arranged in a mucinous stroma. Additionally, there was abundant lymphoplasmacytic infiltration within the tumor. The details of this case are presented with a review of the literature.
Department of Pathology, Northwestern University McGaw Medical Center, Chicago, Illinois 60611, USA.
Kyung-Hwa
KH
Lee
Rohan R
RR
Lall
James P
JP
Chandler
Eileen H
EH
Bigio
Qinwen
Q
Mao
D001932:Brain Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D002543:Cerebral Hemorrhage / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008577:Meningeal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008579:Meningioma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D010871:Pinealoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000601:surgery; D055815:Young Adult