# Case Report: The price of intraoperative cell salvage? - implantation metastases of meningioma in both lungs and left cubital fossa

## TL;DR

This case report describes a rare meningioma that spread to unusual locations and highlights the risks of using intraoperative cell salvage during surgery.

## Contribution

The novelty lies in reporting implantation metastases to both lungs and the cubital fossa, along with intracranial recurrence.

## Key findings

- Meningioma metastasized to both lungs and the left cubital fossa.
- Intraoperative cell salvage may contribute to tumor spread in aggressive meningiomas.
- Recurrent intracranial progression was observed despite prior treatment.

## Abstract

Meningiomas are common Central Nervous System (CNS) tumors, typically benign, but they can occasionally metastasize or exhibit aggressive behavior. We present a case of meningioma with metastasis to unique sites (pulmonary and left cubital fossa) and intracranial recurrent progression. This case highlights challenges in managing recurrent and metastatic meningioma and the potential risks of intraoperative cell salvage (IOCS).