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

• Main Authors: Ryo Fujikawa, Yoshifumi Arai, Yoshiro Otsuki, Toru Nakamura
• Format: Article
• Language: English
• Published: SpringerOpen 2020-03-01
• Series: Surgical Case Reports
• Subjects: Primary pulmonary meningioma; Video-assisted thoracoscopic surgery; Metastatic lung tumor
• Online Access: http://link.springer.com/article/10.1186/s40792-020-00823-y

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.