title: A Clinical Pitfall: Optimal Management of Single Dural-based Metastatic Carcinoma of the Breast Mimicking Meningioma.
abstract: Meningioma is the most common benign brain lesion in adults. Conservative treatment is suggested if there is no obvious neurological symptom or mass effect, but cerebral metastases require aggressive therapy. Single dural-based metastatic carcinoma mimicking meningioma is uncommon. Here is a case of clinical dilemma between meningioma and metastatic carcinoma mimicking meningioma. A woman with a history of invasive ductal carcinoma of the breast presented with headache and blurred vision. Brain computed tomography and magnetic resonance imaging (MRI) both gave the impression of meningioma. After surgical resection of the brain lesion, histopathology revealed that it was a metastatic lesion from the breast. This report discussed the optimal management of single dural-based metastatic carcinoma mimicking meningioma.
authors.affiliation: Departments of *Surgery ‡Surgery, Zoying Branch, Kaohsiung Armed Forces General Hospital, Kaohsiung †Department of Neurological Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.
authors.forename: Chiao-Zhu
authors.initials: CZ
authors.lastname: Li
authors.forename: Chiao-Ching
authors.initials: CC
authors.lastname: Li
authors.forename: Meng-Chi
authors.initials: MC
authors.lastname: Lin
authors.forename: Hsieh
authors.initials: H
authors.lastname: Chih-Chuan
authors.forename: Nan-Fu
authors.initials: NF
authors.lastname: Chen
authors.forename: Chun-Lin
authors.initials: CL
authors.lastname: Chen
authors.forename: Chi-Tun
authors.initials: CT
authors.lastname: Tang
mesh_terms: D001932:Brain Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000628:therapy; D001943:Breast Neoplasms / Q000473:pathology* / Q000601:surgery; D002277:Carcinoma / Q000473:pathology* / Q000601:surgery; D005260:Female; D019788:Fluorodeoxyglucose F18 / Q000378:metabolism; D006801:Humans; D008279:Magnetic Resonance Imaging; D008577:Meningeal Neoplasms / Q000503:physiopathology*; D008579:Meningioma / Q000503:physiopathology*; D008875:Middle Aged; D049268:Positron-Emission Tomography
chemical_list: D019788:Fluorodeoxyglucose F18