Skip to main content
Top
Published in: Neuroradiology 7/2005

01-07-2005 | Diagnostic Neuroradiology

Meningioma growth and interferon beta-1b treated multiple sclerosis: coincidence or relationship?

Authors: A. Drevelegas, E. Xinou, D. Karacostas, D. Parissis, G. Karkavelas, I. Milonas

Published in: Neuroradiology | Issue 7/2005

Login to get access

Abstract

Although the coincidence of multiple sclerosis (MS) and central nervous system (CNS) tumors has been reported in over 30 cases in English literature, meningioma growth was associated with interferon-beta (INF-b) treated MS only in two of them. We report the case of a 19-year-old woman with clinically possible, laboratory supported MS, and a concomitant right intraventricular tumor with magnetic resonance imaging (MRI) characteristics consistent with meningioma (similar signal with grey matter on T1 and T2-weighted images and homogenous, intense enhancement). Two years after initiation of INF-b treatment, follow-up brain MRI revealed enlargement of the intraventricular mass and relative increase in the number of white matter lesions without significant clinical deterioration. She underwent almost total resection of the mass and histology confirmed the diagnosis of papillary meningioma. Based on the immunohistochemistry results, we speculate that INF-b resulted in meningioma growth by enhancing platelet derived growth factor (PDGF) receptors or/and down-regulating transforming growth factor receptors on the tumor itself.
Literature
1.
go back to reference Bosch G (1912) Ein fall primarem Melanosarkom des Zentrlnervensystems bei multipler Sklerose. Zeit Med 33:917–922 Bosch G (1912) Ein fall primarem Melanosarkom des Zentrlnervensystems bei multipler Sklerose. Zeit Med 33:917–922
2.
go back to reference Scully RE, Mark EJ, McNeely WF, Ebeling SH, Philips LD (1997) Weekly clinicopathological exercises. Case 12-1997. N Engl J Med 336:1163–1171PubMed Scully RE, Mark EJ, McNeely WF, Ebeling SH, Philips LD (1997) Weekly clinicopathological exercises. Case 12-1997. N Engl J Med 336:1163–1171PubMed
3.
go back to reference Moller H, Kneller RW, Boice JD, Olsen JH (1991) Cancer incidence following hospitalization for multiple sclerosis in Denmark. Acta Neurol Scand 84:214–220PubMed Moller H, Kneller RW, Boice JD, Olsen JH (1991) Cancer incidence following hospitalization for multiple sclerosis in Denmark. Acta Neurol Scand 84:214–220PubMed
4.
go back to reference Spaar FW, Wilkstrom J (1978) Multiple sclerosis and malignant neoplasm in central nervous system: a clinical and anatomical report of three cases. J Neurol 218:23–33PubMed Spaar FW, Wilkstrom J (1978) Multiple sclerosis and malignant neoplasm in central nervous system: a clinical and anatomical report of three cases. J Neurol 218:23–33PubMed
5.
go back to reference Salvi F, Mascalchi M, Plasmati R, Calbucci F, Pozzo GP, Tassinari CA (1992) Multiple lesions in cerebral white matter in two young adults with thoracic extramedullary tumors. J Neurol Neurosurg Psychiatry 55:216–219PubMed Salvi F, Mascalchi M, Plasmati R, Calbucci F, Pozzo GP, Tassinari CA (1992) Multiple lesions in cerebral white matter in two young adults with thoracic extramedullary tumors. J Neurol Neurosurg Psychiatry 55:216–219PubMed
6.
go back to reference Batay F, Al-Merfy O (2002) Growth dynamics of meningiomas in patients with multiple sclerosis treated with interferon: report in two cases. Acta Neurochir 144:365–368 Batay F, Al-Merfy O (2002) Growth dynamics of meningiomas in patients with multiple sclerosis treated with interferon: report in two cases. Acta Neurochir 144:365–368
7.
go back to reference Costa MF, Novis SA, Niemeyer PF, Pimentel ML, Novis RF, Duarte F (2000). Multiple sclerosis, spinal cord ependymoma and intracranial meningioma: case report [In Portuguese]. Arq Neuro-Psiquiatr 58:1133–1137 Costa MF, Novis SA, Niemeyer PF, Pimentel ML, Novis RF, Duarte F (2000). Multiple sclerosis, spinal cord ependymoma and intracranial meningioma: case report [In Portuguese]. Arq Neuro-Psiquiatr 58:1133–1137
8.
go back to reference Lahl R (1980) Combination of multiple sclerosis and cerebral glioblastoma. Eur Neurol 19:192–197PubMed Lahl R (1980) Combination of multiple sclerosis and cerebral glioblastoma. Eur Neurol 19:192–197PubMed
9.
go back to reference Nahser HC, Vieregge P, Nau HE, Reinhardt V (1986) Coincidence of multiple sclerosis and glioma: clinical and radiological remarks on two cases. Surg Neurol 26:45–51PubMed Nahser HC, Vieregge P, Nau HE, Reinhardt V (1986) Coincidence of multiple sclerosis and glioma: clinical and radiological remarks on two cases. Surg Neurol 26:45–51PubMed
10.
go back to reference Khan OA, Bauserman SC, Rothman MI, Aldrich EF, Panitch HS (1997) Concurrence of multiple sclerosis and brain tumor: clinical considerations. Neurology 48:1330–1333PubMed Khan OA, Bauserman SC, Rothman MI, Aldrich EF, Panitch HS (1997) Concurrence of multiple sclerosis and brain tumor: clinical considerations. Neurology 48:1330–1333PubMed
11.
go back to reference Kaba SE, De Monte F, Bruner JM, Kyritsis AP, Jaekle KI, Levin V, Yung A (1997) The treatment of recurrent unresectable and malignant meningiomas with interferon alpha-2b. Neurosurgery 40(2):271–275PubMed Kaba SE, De Monte F, Bruner JM, Kyritsis AP, Jaekle KI, Levin V, Yung A (1997) The treatment of recurrent unresectable and malignant meningiomas with interferon alpha-2b. Neurosurgery 40(2):271–275PubMed
12.
go back to reference Magrassi L, De Fraja C, Conti L, Butti G, Infuso L, Govoni S, Gattaneo E (1999) Expression of the JAK and STAT superfamilies in human meningiomas. J Neurosurg 91(3):440–446PubMed Magrassi L, De Fraja C, Conti L, Butti G, Infuso L, Govoni S, Gattaneo E (1999) Expression of the JAK and STAT superfamilies in human meningiomas. J Neurosurg 91(3):440–446PubMed
13.
go back to reference Folkman J, Ingber D (1992) Inhibition of angiogenesis. Semin Cancer Biol 3:89–96PubMed Folkman J, Ingber D (1992) Inhibition of angiogenesis. Semin Cancer Biol 3:89–96PubMed
14.
go back to reference Yong VW (2002) Differential mechanisms of action of interferon-b and glatiramer acetate in MS. Neurology 59:802–808PubMed Yong VW (2002) Differential mechanisms of action of interferon-b and glatiramer acetate in MS. Neurology 59:802–808PubMed
15.
go back to reference Johnson MD, Woodard A, Kim P, Frexes-Steed M (2001) Evidence for mitogen-associated protein kinase activation and transduction of mitogen signals by platelet derived growth factor in human meningioma cells. J Neurosurg 94(2):293–300PubMed Johnson MD, Woodard A, Kim P, Frexes-Steed M (2001) Evidence for mitogen-associated protein kinase activation and transduction of mitogen signals by platelet derived growth factor in human meningioma cells. J Neurosurg 94(2):293–300PubMed
16.
go back to reference Maeda Y, Solanky M, Menonna J, Chapin J, Li W, Dowling P (2001) Platelet derived growth factor-alpha receptor-positive oligodendroglia are frequent in multiple sclerosis lesions. Ann Neurol 49(6):776–785PubMed Maeda Y, Solanky M, Menonna J, Chapin J, Li W, Dowling P (2001) Platelet derived growth factor-alpha receptor-positive oligodendroglia are frequent in multiple sclerosis lesions. Ann Neurol 49(6):776–785PubMed
17.
go back to reference Racke MK, Bonomo A, Scott DE (1994) Cytokine-induced immune deviation as a therapy for inflammatory autoimmune disease. J Expert Med 180:1961–1966 Racke MK, Bonomo A, Scott DE (1994) Cytokine-induced immune deviation as a therapy for inflammatory autoimmune disease. J Expert Med 180:1961–1966
18.
go back to reference Zhang ZJ, Muhr C, Wang JL (1996) Interferon-alpha inhibits the DNA synthesis induced by PDGF and EGF in cultured meningioma cells. Anticancer Res 16(2):1717–1723 Zhang ZJ, Muhr C, Wang JL (1996) Interferon-alpha inhibits the DNA synthesis induced by PDGF and EGF in cultured meningioma cells. Anticancer Res 16(2):1717–1723
Metadata
Title
Meningioma growth and interferon beta-1b treated multiple sclerosis: coincidence or relationship?
Authors
A. Drevelegas
E. Xinou
D. Karacostas
D. Parissis
G. Karkavelas
I. Milonas
Publication date
01-07-2005
Publisher
Springer-Verlag
Published in
Neuroradiology / Issue 7/2005
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-005-1392-6

Other articles of this Issue 7/2005

Neuroradiology 7/2005 Go to the issue

Head and Neck Radiology

Primary lymphoma of the skull base