Metastatic prostate carcinoma mimicking meningioma: Case report and review of the literature

Mark K. Lyons, Joseph F. Drazkowski, William W. Wong, Tom R. Fitch, Kent D. Nelson

Research output: Contribution to journalReview article

19 Scopus citations

Abstract

Background: Intracranial dural-based lesions can be due to benign or malignant processes. Imaging characteristics cannot always discern between different pathologic conditions. A thorough clinical evaluation may reveal likely diagnostic possibilities. However, in certain cases, the etiology of the underlying lesion may require biopsy or resection to appropriately treat the patient. Review Summary: We report the case of a large dural-based adenocarcinoma of the prostate clinically and radiographically mimicking a meningioma. We review the history and physical evaluation of the patient and subsequent treatment and response. We discuss the implications of dural-based intracranial lesions in patients with prostate cancer and review the literature of dural metastases, including the pathogenesis, tumor types, and clinical presentations. Conclusion: The differential diagnosis of dural-based lesions in the brain varies from incidental and benign to symptomatic and malignant. Careful vigilance in patients with a history of cancer and presenting with new symptoms or imaging evidence of dural-based lesions is critically important to provide timely intervention.

Original languageEnglish (US)
Pages (from-to)48-52
Number of pages5
JournalNeurologist
Volume12
Issue number1
DOIs
StatePublished - Jan 1 2006

Keywords

  • Carcinoma
  • Meningioma
  • Mimic
  • Prostate

ASJC Scopus subject areas

  • Clinical Neurology

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    Lyons, M. K., Drazkowski, J. F., Wong, W. W., Fitch, T. R., & Nelson, K. D. (2006). Metastatic prostate carcinoma mimicking meningioma: Case report and review of the literature. Neurologist, 12(1), 48-52. https://doi.org/10.1097/01.nrl.0000186809.04283.17