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Japanese Journal of Clinical Oncology 30:313-317 (2000)
© 2000 Foundation for Promotion of Cancer Research

Primary Extracranial Meningioma of the Foot: A Case Report

Utano Tomaru1, Tadashi Hasegawa2, Fumio Hasegawa3, Masashi Kito4, Takanori Hirose5 and Tadakazu Shimoda1,+

1Clinical Laboratory, 2Pathology and 4Orthopedic Divisions and 3Electron Microscopy Laboratory, National Cancer Center Hospital and Research Institute, Tokyo and 5Department of Pathology, Saitama Medical School, Saitama, Japan

We present a rare case of primary extracranial meningioma in a 36-year-old man, who had a solitary multinodular mass located in the plantar muscle of the foot. The histology of specimens from simple excision was typical of meningioma, showing bland spindle cell proliferation with a whorl pattern. Immunohistochemical analysis demonstrated that the tumor cells showed diffuse and strong positivity for epithelial membrane antigen as well as moderate reactivity for cytokeratin and vimentin. Ultrastructurally, the tumor cells were characterized by thin bipolar cytoplasmic processes and joined by multiple small desmosomes. There were frequent pinocytotic vesicles and a distinct external lamina on the cell surface. These findings suggest that this primary ectopic meningioma, arising in the soft tissue, may have been derived from perineurial cells of the peripheral nerve, but was morphologically distinguishable from perineurioma. Primary extracranial meningioma should be included in the differential diagnosis of soft-tissue spindle cell tumors, especially those of peripheral nerve origin.

+ For reprints and all correspondence: Tadashi Hasegawa, Pathology Division, National Cancer Center Research Institute, 1–1 Tsukiji 5-chome, Chuo-ku, Tokyo 104-0045, Japan. E-mail: tdhasega@gan2.ncc.go.jp


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