Sažetak sa skupa
Differential diagnosis of neck mass – a case report of atypical presentation of meningioma with extracranial extension
Mara Bebek
; KB Dubrava, Avenija Gojka Šuška 6, 10000 Zagreb, Hrvatska
Tomislav Tomičević
; KB Dubrava, Avenija Gojka Šuška 6, 10000 Zagreb, Hrvatska
Sažetak
Objective: A neck mass is a common clinical presentation with diverse etiologies, often manifested as a
painless, palpable lesion without other symptoms. The causes include inflammatory, congenital, and neoplastic
origins. In adults, persistent neck masses are more often malignant and should be considered as such until
proven otherwise. The aim is to present the diagnostic and therapeutic algorithm through a rare case of
meningioma extending from the cerebellopontine angle into the extracranial (cervical) space, presenting solely
as a neck mass. Case report: We describe a 29-year-old female with a painless right level II neck mass present
for one year. Ultrasound and FNA suggested a mesenchymal tumor, excluding epithelial tumors, thyroid
lesions, and paragangliomas. MSCT revealed a lesion extending from the cerebellopontine angle through the
jugular foramen to the carotid bifurcation. Histopathology confirmed a WHO grade I meningothelial
meningioma. Results: A narrative literature review was conducted to contextualize this rare presentation.
Meningiomas are the most common non-glial intracranial tumors (~15%), but extracranial extension is rare (1
– 2%), typically involving the orbit or paranasal sinuses. The presentation of an isolated neck mass without
neurological symptoms is exceptional but it has been reported. Conclusion: This case highlights the importance
of a structured and timely evaluation – starting from a clinical examination and targeted imaging to histological
confirmation. Every persistent neck mass in adults requires a multidisciplinary approach and a high index of
suspicion for malignancy or rare entities to avoid diagnostic delay and improve outcomes.
Ključne riječi
neck mass; meningioma; diagnostic algorithm
Hrčak ID:
336277
URI
Datum izdavanja:
10.11.2025.
Posjeta: 145 *