A case of a primary pulmonary meningioma mimicking a metastasis from a papillary thyroid carcinoma due to a size reduction after radioactive iodine therapy

Abstract Background Primary pulmonary meningiomas (PPMs) are a rare mostly benign disease presenting as a solitary pulmonary nodule and are hardly distinguishable from a metastatic tumor because of a lack of specific radiological features. We described a case of a PPM initially diagnosed as a metast...

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Main Authors: Ryo Fujikawa, Yoshifumi Arai, Yoshiro Otsuki, Toru Nakamura
Format: Article
Language:English
Published: Japan Surgical Society 2020-03-01
Series:Surgical Case Reports
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Online Access:http://link.springer.com/article/10.1186/s40792-020-00823-y
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author Ryo Fujikawa
Yoshifumi Arai
Yoshiro Otsuki
Toru Nakamura
author_facet Ryo Fujikawa
Yoshifumi Arai
Yoshiro Otsuki
Toru Nakamura
author_sort Ryo Fujikawa
collection DOAJ
description Abstract Background Primary pulmonary meningiomas (PPMs) are a rare mostly benign disease presenting as a solitary pulmonary nodule and are hardly distinguishable from a metastatic tumor because of a lack of specific radiological features. We described a case of a PPM initially diagnosed as a metastatic lung tumor from thyroid cancer with a size reduction after radioactive iodine therapy. Case presentation A 62-year-old woman who had undergone a total thyroidectomy for a papillary thyroid carcinoma 6 years prior presented with an enlarging pulmonary nodule. The nodule had decreased in size from 7.0 to 5.5 mm after adjuvant radioactive iodine therapy and enlarged to 8.7 mm over the next 5 years. Under a clinical diagnosis of a metastatic lung tumor, she underwent a thoracoscopic pulmonary wedge resection and was pathologically diagnosed with a PPM. Conclusion A surgical resection is required for histological diagnoses of PPMs especially in patients with a history of a malignancy.
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publishDate 2020-03-01
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spelling doaj-art-2b6e56eb7b964e6c90abd2d7ab5fde8b2025-08-20T03:28:43ZengJapan Surgical SocietySurgical Case Reports2198-77932020-03-01611410.1186/s40792-020-00823-yA case of a primary pulmonary meningioma mimicking a metastasis from a papillary thyroid carcinoma due to a size reduction after radioactive iodine therapyRyo Fujikawa0Yoshifumi Arai1Yoshiro Otsuki2Toru Nakamura3Department of General Thoracic Surgery, Seirei Hamamatsu General HospitalDepartment of Pathology, Seirei Hamamatsu General HospitalDepartment of Pathology, Seirei Hamamatsu General HospitalDepartment of General Thoracic Surgery, Seirei Hamamatsu General HospitalAbstract Background Primary pulmonary meningiomas (PPMs) are a rare mostly benign disease presenting as a solitary pulmonary nodule and are hardly distinguishable from a metastatic tumor because of a lack of specific radiological features. We described a case of a PPM initially diagnosed as a metastatic lung tumor from thyroid cancer with a size reduction after radioactive iodine therapy. Case presentation A 62-year-old woman who had undergone a total thyroidectomy for a papillary thyroid carcinoma 6 years prior presented with an enlarging pulmonary nodule. The nodule had decreased in size from 7.0 to 5.5 mm after adjuvant radioactive iodine therapy and enlarged to 8.7 mm over the next 5 years. Under a clinical diagnosis of a metastatic lung tumor, she underwent a thoracoscopic pulmonary wedge resection and was pathologically diagnosed with a PPM. Conclusion A surgical resection is required for histological diagnoses of PPMs especially in patients with a history of a malignancy.http://link.springer.com/article/10.1186/s40792-020-00823-yPrimary pulmonary meningiomaVideo-assisted thoracoscopic surgeryMetastatic lung tumor
spellingShingle Ryo Fujikawa
Yoshifumi Arai
Yoshiro Otsuki
Toru Nakamura
A case of a primary pulmonary meningioma mimicking a metastasis from a papillary thyroid carcinoma due to a size reduction after radioactive iodine therapy
Surgical Case Reports
Primary pulmonary meningioma
Video-assisted thoracoscopic surgery
Metastatic lung tumor
title A case of a primary pulmonary meningioma mimicking a metastasis from a papillary thyroid carcinoma due to a size reduction after radioactive iodine therapy
title_full A case of a primary pulmonary meningioma mimicking a metastasis from a papillary thyroid carcinoma due to a size reduction after radioactive iodine therapy
title_fullStr A case of a primary pulmonary meningioma mimicking a metastasis from a papillary thyroid carcinoma due to a size reduction after radioactive iodine therapy
title_full_unstemmed A case of a primary pulmonary meningioma mimicking a metastasis from a papillary thyroid carcinoma due to a size reduction after radioactive iodine therapy
title_short A case of a primary pulmonary meningioma mimicking a metastasis from a papillary thyroid carcinoma due to a size reduction after radioactive iodine therapy
title_sort case of a primary pulmonary meningioma mimicking a metastasis from a papillary thyroid carcinoma due to a size reduction after radioactive iodine therapy
topic Primary pulmonary meningioma
Video-assisted thoracoscopic surgery
Metastatic lung tumor
url http://link.springer.com/article/10.1186/s40792-020-00823-y
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