J Korean Neurosurg Soc.  2003 Aug;34(2):153-155.

Secretory Meningioma with Elevated Serum Carcinoembryonic Antigen

Affiliations
  • 1Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea. ygpark@yumc.yonsei.ac.kr
  • 2Department of Pathology, Yonsei University College of Medicine, Seoul, Korea.
  • 3Brain Research Institute, Yonsei University College of Medicine, Seoul, Korea.

Abstract

A 57-year old woman is diagnosed with a cavernous sinus meningioma, which is accompanied by an elevated serum carcinoembryonic antigen (CEA). The pathological findings revealed a secretory meningioma containing numerous pseudopsammoma bodies that tested strongly periodic acid-Schiff positive. Secretory meningioma is a rare histological variant that is characterized by a unique epithelial differentiation of meningothelial cells resulting in the production of hyaline inclusions. Although the increased preoperative serum CEA level is not a confirmative tool for secretory meningioma, it appears to be a useful marker for post-treatment follow-up or for detecting a tumor recurrence.

Keyword

Brain tumor; Carcinoembryonic antigen; Pseudopsammoma body; Secretory meningioma; Skull base

MeSH Terms

Brain Neoplasms
Carcinoembryonic Antigen*
Cavernous Sinus
Female
Follow-Up Studies
Humans
Hyalin
Meningioma*
Middle Aged
Recurrence
Skull Base
Carcinoembryonic Antigen
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