Top

Published in:

01-10-2011 | Case Report

Simultaneously occurring tumours within the same cerebello-pontine angle: refining literature definitions and proposal for classification

Authors: Paolo Frassanito, Nicola Montano, Liverana Lauretti, Roberto Pallini, Eduardo Fernandez, Libero Lauriola, Mariangela Novello, Giulio Maira

Published in: Acta Neurochirurgica | Issue 10/2011

Abstract

We report on an unusual case of a patient, not affected by neurofibromatosis, harbouring two radiologically spatially contiguous tumours within the same cerebello-pontine angle. Pathological findings were consistent with the diagnosis of two spatially distinct primary tumours, namely a meningioma and a schwannoma. We proposed a classification of tumours occurring at the same location consistent with the different spatial arrangement and histological nature of these conditions. The correct classification of these nosological entities will allow further more accurate evaluations of these cases in order to clarify the pathogenesis, prognosis and best treatment of each one.

Bigorgne C, Thomine E, Hemet J, Lauret P (1992) Benign glandular schwannoma and Recklinghausen disease. Report of a case. Ann Pathol 12:114–120PubMed

Bonito D, Giarelli D, Falconieri G, Bonifacio-Gori D, Tomasic G, Vielh P (1993) Association of breast cancer and meningioma: report of 12 new cases and review of the literature. Pathol Res Pract 189:399–404PubMed

Bonneville F, Savatovsky J, Chiras J (2007) Imaging of cerebellopontine angle lesions: an update. Part 1: enhancing extra-axial lesions. Eur Radiol 17:2472–2482PubMedCrossRef

Campbell LV Jr, Gilbert E, Chamberlain CR Jr, Watne AL (1968) Metastases of cancer to cancer. Cancer 22(3):635–643PubMedCrossRef

Caroli E, Salvati M, Giangaspero F, Ferrante L, Santoro A (2006) Intrameningioma metastasis as first clinical manifestation of occult primary breast carcinoma. Neurosurg Rev 29(1):49–54PubMedCrossRef

Chandra PS, Hedge T (2000) A case of coexisting cerebellopontine angle meningioma and schwannoma. Neurol India 48:198PubMed

Dodge OG (1961) Gastro-oesophageal carcinoma of mixed histological type. J Pathol Bacteriol 81:459–471PubMedCrossRef

Gardner WJ, Turner OA (1939) Multiple intracranial tumors:a discussion of the relation of meningeal to acoustic tumors and a report of a case. JAMA 113:111–113

Geddes JF, Sutcliffe JC, King TT (1995) Mixed cranial nerve tumours in neurofibromatosis type 2. Clin Neuropathol 14:310–313PubMed

10.

Grauvogel J, Grauvogel TD, Taschner C, Baumgartner S, Maier W, Kaminsky J (2010) A rare case of radiologically not distinguishable coexistent meningioma and vestibular schwannoma in the cerebellopontine angle—case report and literature review. Case Rep Neurol 27(2):111–117, 2CrossRef

11.

Kan P, Gottfried O, Blumenthal DT et al (2004) Oligodendroglioma and juvenile pilocytic astrocytoma presenting as synchronous primary brain tumour. Case report with histological and molecular differentiation of the tumours and review of the literature. J Neurosurg 100:700–705PubMedCrossRef

12.

Kim DG, Paek SH, Chi JG, Chun YK, Han DH (1997) Mixed tumour of schwannoma and meningioma components in a patients with NF-2. Acta Neurochir (Wien) 139:1061–1065CrossRef

13.

Kutz JW, Barnett SL, Hatanpaa KJ, Mendelsohn DB (2009) Concurrent vestibular schwannoma and meningioma mimicking a single cerebellopontine angle tumor. Skull Base 19(6):443–446PubMedCrossRef

14.

Leeman DJ, Chandrasekhar SS, Brackmann DE, Poletti BJ (1997) Collision tumours at the cerebellopontine angle: case report with literature review. Otolaryngol-Head Neck Surg 117(6):S76–S80PubMedCrossRef

15.

Ludemann W, Stan AC, Tatagiba M, Samii M (2000) Sporadic unilateral vestibular schwannoma with islests of meningioma: case report. Neurosurgery 47:451–452PubMedCrossRef

16.

Lunardi P, Mastronardi L, Nardacci B, Acqui M, Fortuna A (1993) "Dural tail" adjacent to acoustic neuroma on MRI: a case report. Neuroradiology 35(4):270–271PubMedCrossRef

17.

Izci Y, Secer HI, Gonul E, Onguru O (2007) Simultaneously occurring vestibular schwannoma and meningioma in the cerebellopontine angle: case report and literature review. Clin Neuropathol 26(5):219–223PubMed

18.

Maiuri F, Cappabianca P, Iaconetta G, Esposito F, Messina A (2005) Simultaneous presentation of meningiomas with other intracranial tumours. Br J Neurosurg 19:368–375PubMedCrossRef

19.

Martuza RL, Parker SW, Nadol JB, Davis KR, Ojemann RG (1984) Diagnosis of cerebellopontine angle tumours. Clin Neurosurg 32:177–213

20.

Meyer R (1919) Beitrag zur Verstandigung uber die Namegebung in der Geschwulstlehre. Zentralbl Allg Pathol 30:291–296

21.

Muzumdar DP, Goel A (2004) Acoustic schwannoma and petroclival meningioma occurring as collision tumours: a case report. J Clin Neurosc 11:207–210CrossRef

22.

Muzumdar DP, Goel A, Desai KI (2001) Pontine glioma and cerebellopontine angle epidermoid tumour occurring as collision tumours. Br J Neurosurg 15(1):68–71PubMedCrossRef

23.

Pallini R, Tancredi A, Casalbore P et al (1998) Neurofibromatosis type 2: growth stimulation of mixed acoustic schwannoma by concurrent adjacent meningioma—possible role of growth factors: case report. J Neurosurg 89:149–154PubMedCrossRef

24.

Pamphlett R (1984) Carcinoma metastasis to meningioma. J Neurol Neurosurg Psychiatry 47:561–563PubMedCrossRef

25.

Rodriguez FJ, Scheithauer BW, Fourney DR, Robinson CA (2008) Ependymoma and intraparenchymal calcifying pseudoneoplasm of the neural axis: incidental collision or unique reactive phenomenon? Acta Neuropathol 115:363–366PubMedCrossRef

26.

Shah A, Goel A, Goel N (2010) A case of cerebellopontine angle epidermoid tumor and brainstem squamous cell carcinoma presenting as collision tumor. Acta Neurochir (Wien) 152(6):1087–1088CrossRef

27.

Sobel RA (1993) Vestibular (acoustic) schwannomas: histologic features in neurofibromatosis 2 and in unilateral cases. J Neuropathol Exp Neurol 52:106–113PubMedCrossRef

28.

Spagnolo DV, Heenan PJ (1980) Collision carcinoma at the esophagogastric junction:report of 2 cases. Cancer 46:2702–2708PubMedCrossRef

29.

Takei H, Powell SZ (2009) Tumor-to-tumor metastasis to the central nervous system. Neuropathology 29:303–308PubMedCrossRef

30.

Tang GC, Piao YS, Zhao L, Lu DH (2007) Lung adenocarcinoma metastasizing to cerebellopontine angle schwannoma (collision tumor). Acta Neurochir (Wien) 149:87–90CrossRef

31.

Wilms G, Plets C, Goosens L, Goffin J, Vanwambeke K (1992) The radiological differentiation of acoustic neurinoma and meningioma occurring together in the cerebellopontine angle. Neurosurgery 30(3):443–445PubMedCrossRef

Title: Simultaneously occurring tumours within the same cerebello-pontine angle: refining literature definitions and proposal for classification
Authors: Paolo Frassanito
Nicola Montano
Liverana Lauretti
Roberto Pallini
Eduardo Fernandez
Libero Lauriola
Mariangela Novello
Giulio Maira
Publication date: 01-10-2011
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 10/2011
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-011-1126-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Simultaneously occurring tumours within the same cerebello-pontine angle: refining literature definitions and proposal for classification

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 10/2011

Effects of combining electrical stimulation with BDNF gene transfer on the regeneration of crushed rat sciatic nerve

Intraoperative monitoring of visual function

Occipital WHO grade II gliomas: oncological, surgical and functional considerations

Letter to the editor: surgical management of advanced juvenile nasopharyngeal angiofibromas

Intraoperative monitoring of the visual function using cortical potentials after electrical epidural stimulation of the optic nerve

Resectable VX-2 rabbit brain tumor model for development of intraoperative local administration of drugs