Abstract：
Although meningiomas are the most common central nervous system neoplasms, extracranial metastases are exceedingly rare. There are even fewer reports of metastatic meningiomas to the neck.
We described a patient with multiply recurrent orbital meningioma with metastasis to the neck found incidentally during neck exploration for composite resection and free tissue reconstruction. We performed a systematic review for all records pertaining to metastatic meningiomas to the cervical regions.
We found 9 previous reports of cervical metastatic meningiomas. Almost all cases underwent extensive local resection. There was no evidence of an association between the histological grade of the tumor and risk of metastasis to the neck. Cervical lymph node dissemination is more common in patients presenting after previous primary tumor resection.
In the context of a neck mass, our findings suggest that metastatic meningioma should be included in the differential diagnosis, especially in patients with previous resections.
We described a patient with multiply recurrent orbital meningioma with metastasis to the neck found incidentally during neck exploration for composite resection and free tissue reconstruction. We performed a systematic review for all records pertaining to metastatic meningiomas to the cervical regions.
We found 9 previous reports of cervical metastatic meningiomas. Almost all cases underwent extensive local resection. There was no evidence of an association between the histological grade of the tumor and risk of metastasis to the neck. Cervical lymph node dissemination is more common in patients presenting after previous primary tumor resection.
In the context of a neck mass, our findings suggest that metastatic meningioma should be included in the differential diagnosis, especially in patients with previous resections.
摘要：
尽管脑膜瘤是最常见的中枢神经系统肿瘤，颅外转移非常罕见。颈部转移性脑膜瘤的报道甚至更少。
我们描述了一名患有多次复发性眼眶脑膜瘤的患者，在颈部探查进行复合切除和游离组织重建时偶然发现颈部转移。我们对与宫颈区域转移性脑膜瘤有关的所有记录进行了系统回顾。
我们发现了9例先前的宫颈转移性脑膜瘤报告。几乎所有病例都进行了广泛的局部切除。没有证据表明肿瘤的组织学分级与转移到颈部的风险之间存在关联。颈淋巴结播散在先前原发肿瘤切除后出现的患者中更为常见。
在颈部质量的情况下，我们的研究结果表明，转移性脑膜瘤应包括在鉴别诊断中，尤其是以前切除过的患者。
我们描述了一名患有多次复发性眼眶脑膜瘤的患者，在颈部探查进行复合切除和游离组织重建时偶然发现颈部转移。我们对与宫颈区域转移性脑膜瘤有关的所有记录进行了系统回顾。
我们发现了9例先前的宫颈转移性脑膜瘤报告。几乎所有病例都进行了广泛的局部切除。没有证据表明肿瘤的组织学分级与转移到颈部的风险之间存在关联。颈淋巴结播散在先前原发肿瘤切除后出现的患者中更为常见。
在颈部质量的情况下，我们的研究结果表明，转移性脑膜瘤应包括在鉴别诊断中，尤其是以前切除过的患者。
