RT Journal Article SR Electronic T1 Sternal Metastasis of Brain Meningioma – A Case Report JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 4039 OP 4043 DO 10.21873/anticanres.15204 VO 41 IS 8 A1 SHUHEI MATSUMURA A1 TOSHIHIRO MATSUO A1 SHINJI HIRAI A1 TATSUYA KATAYAMA A1 TAKASHI NISHISAKA A1 ATSUSHI TOMINAGA A1 KEISUKE SHINBO A1 YU MOCHIZUKI A1 KOJI NISHIDA A1 MITSUHIRO NAKAMURA A1 RYOUSUKE MATSUSHITA A1 SHUHEI KAWAGUCHI A1 NOBUO ADACHI YR 2021 UL http://ar.iiarjournals.org/content/41/8/4039.abstract AB Background: Metastases of meningiomas are infrequent and the site of extracranial metastasis such as the bone is extremely rare. Case Report: A 75-year-old male had a history of five sessions of surgery and gamma-knife treatment for brain meningioma over a period of 29 years. He visited our hospital because he noticed a swelling in his anterior chest 2 years and 6 months after the final treatment. After an open biopsy, histopathological analysis revealed the mass to be a metastatic grade II meningioma. We resected the tumor along with the sternum, ribs, pleura, and pericardium. The patient had recurrences in the thoracic cavity and pericardium postoperatively and received radiation therapy. He also had metastasis in the abdominal cavity, which spread rapidly. Conclusion: We report on a rare instance of metastasis to the sternum in a case of atypical meningioma, showing rapid growth and invasion after long-term treatment.