METASTATIC MALIGNANT MENINGIOMA OF THE LIVER WITH HYPOGLYCEMIA - REPORT OF A CASE

We herein present the case of a 68-year-old male who suffered an episo de of hypoglycemic shock 2 years after undergoing total removal of a b ifrontal parasagittal malignant meningioma. Imaging studies revealed t hree giant hypervascular tumors with a cystic portion in the right lob e, but no confirmed preoperative diagnosis could be made. At laparotom y, liver tumors were found in the medial segment of the left lobe as w ell as in the right lobe, and thus an extended right lobectomy was per formed. All the resected tumors were histologically diagnosed as metas tatic malignant meningiomas of the liver. Despite subsequent transarte rial chemoembolization for a recurrence in the residual liver, the pat ient died 11 months after surgery. To the best of our knowledge, only one other case of a hepatectomy for liver metastases from an intracran ial malignant meningioma has been reported in the literature, but ther e has never been any report of surgical treatment for a metastatic men ingeal tumor in the liver associated with hypoglycemia. Although our s urgical treatment provided effective palliation, the prognostic signif icance of a surgical strategy for such patients has yet to be establis hed.