# An unusual facial location for a meningioma. Case report

## TL;DR

A rare case of a meningioma tumor appearing on the face of a woman with a history of brain tumors is reported, highlighting the need to consider such tumors in facial mass diagnoses.

## Contribution

This case adds to the limited literature on extracranial meningiomas by presenting a rare facial location example in a patient with prior intracranial tumors.

## Key findings

- The patient had a subcutaneous facial lesion confirmed as an atypical meningioma (WHO grade II).
- The case is classified as Type III cutaneous meningioma according to the López classification.
- The report emphasizes the importance of considering extracranial meningiomas in facial mass differential diagnoses.

## Abstract

Meningiomas are the most common primary tumors of the central nervous system (CNS), but their occurrence in extracranial locations such as soft tissue or skin is extremely rare. They may be congenital (Type I), ectopic soft tissue meningiomas (Type II), or secondary to an intracranial meningioma (Type III), according to the López classification.
We report the case of a woman with a history of multiple intracranial atypical meningiomas (WHO grade II) who presented with a subcutaneous lesion in the left malar region. Histopathological examination confirmed the diagnosis of atypical meningioma (WHO grade II).
This case represents a rare example of a Type III cutaneous meningioma according to the López classification. It underscores the importance of considering extracranial meningiomas in the differential diagnosis of facial subcutaneous masses, particularly in patients with a history of intracranial meningioma.