Two cases of primary cutaneous meningioma are described. A male and a femal
e patient, aged 56 and 61 years, respectively, presented each with a solita
ry subepidermal nodule, The initial diagnosis was established in both patie
nts by application of FNA biopsy. The subsequent histologic examination con
firmed the cytologic diagnosis, Extensive investigation of the patients by
computed tomography (CT) and nuclear magnetic resonance imaging (MRI) scans
failed to reveal any primary meningioma of the neuraxis, Neurologic examin
ation and routine laboratory test results were all normal. The microscopic
features, immunocytological study and histology, which all gave a similar p
attern to that seen in intracranial meningiomas, are discussed. Distinction
from other cutaneous lesions that may be considered in the differential di
agnosis is made, A brief review of the literature is also presented.