Breast Cancer to Meningioma: A Rare Case of Tumor-to-Tumor Metastasis.

Woo Hyeong Joe, Chang-Young Lee, Chang-Hyun Kim, Young San Ko, Sang Pyo Kim, Sae Min Kwon
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Abstract

Tumor-to-tumor metastasis (TTM) is defined as the hematogenous metastasis within a primary host tumor from a donor neoplasm. Since there is insufficient evidence regarding the pathophysiology, clinical course, and management of TTM, there are no precise guidelines for its management. A 73-year-old female patient diagnosed with breast cancer was found to have convexity meningioma. Since the size of tumor and peritumoral brain edema increased during follow-up period, the meningioma was treated with surgical resection. Postoperatively, histopathologic examination confirmed metastasis of invasive ductal carcinoma within a secretory meningioma. The final diagnosis was TTM of breast cancer in meningioma. Here, we report a rare case of intra-meningioma metastasis and a review of literature to provide a better understanding of this rare phenomenon.

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乳腺癌到脑膜瘤:肿瘤到肿瘤转移的罕见病例。
肿瘤到肿瘤转移(TTM)被定义为原发宿主肿瘤从供体肿瘤的血液转移。由于关于TTM的病理生理、临床病程和治疗的证据不足,因此没有精确的治疗指南。一位73岁的女性患者被诊断为乳腺癌,发现有凸出性脑膜瘤。由于随访期间肿瘤大小及瘤周脑水肿增加,脑膜瘤行手术切除治疗。术后病理检查证实浸润性导管癌转移于分泌性脑膜瘤内。最终诊断为TTM型乳腺癌合并脑膜瘤。在此,我们报告一例罕见的脑膜瘤内转移病例,并回顾文献以提供对这种罕见现象的更好理解。
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