Introduction: This paper aims to report a case of a female patient with a recurrent primary tumor and immunohistochemically proved multiple metastases of atypical meningioma in the lungs.
Case Outline: A 67-year-old female presented with sudden and rapid vision loss and severe tremor. A neuro magnetic resonance revealed a mass lesion at the occipital and superior sagittal sinus 11 x 6 x 5 cm with interhemispheric propagation, massive perifocal edema, compression of venous circulation and surrounding brain structures. A standard chest X-ray revealed multiple space occupying lesions in both lungs and chest multislice computed tomography showed that the largest mass (8 x 4 cm) was positioned in the right lung without mediastinal lymphadenopathy. After video-assisted thoracoscopy procedure and immunohistochemistry, the patient was diagnosed with recurrent primary meningioma and pulmonary metastatic atypical meningioma. Due to the patient’s poor general condition and inoperable multiple pulmonary nodes, palliative radiotherapy was ordinated.
Conclusions: Extracranial metastases of meningiomas should be considered in the cases of malignant or recurrent primary meningioma. Consistent follow-ups along with examinations of the chest, abdomen and bone are necessary in order to prevent and timely treat metastatic meningioma.