Diagnostic challenge: Primary leptomeningeal melanoma with melanomatosis, illustrative case report.

Author:

ElOuazzani Hafsa1,Oudghiri Mohammed Yassaad2,Abbas Salma2,Regragui Asmaa2,Elouahabi Abdessamad2,Cherradi Nadia1

Affiliation:

1. 1 Department of Pathology HSR, Ibn Sina University Hospital Center Rabat, Morocco

2. 3 Department of Neurosurgery HSR, Ibn Sina University Hospital Center Rabat, Morocco

Abstract

Abstract Primary leptomeningeal melanoma is an extremely rare type of intracranial melanoma. It cannot be reliably distinguished from metastatic melanoma on neuroimaging and histopathological characteristics alone; its diagnosis is established only after exclusion of secondary metastatic disease from a cutaneous, mucosal or retinal primary. Prognosis is poor, partly due to its high rate of misdiagnosis. Herein, we report a case of a Primary Meningeal Melanoma of the skull base with Melanomatosis, in 31 years old man, mimicking Meningioma. Our aim is to highlight the diagnostic pitfalls and to discuss the histopathological differential diagnoses especially with other pigmented lesions of Central nervous system (CNS).

Publisher

Research Square Platform LLC

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