An unusual case of sphenoid wing meningioma and adenocarcinoma of the caecum
Mahmood Dhahir Al-Mendalawi
Department of Paediatrics, Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq
|Date of Web Publication||8-Apr-2019|
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Al-Mendalawi MD. An unusual case of sphenoid wing meningioma and adenocarcinoma of the caecum. J Clin Sci Res 2018;7:151
|How to cite this URL:|
Al-Mendalawi MD. An unusual case of sphenoid wing meningioma and adenocarcinoma of the caecum. J Clin Sci Res [serial online] 2018 [cited 2019 Apr 9];7:151. Available from: http://www.jcsr.co.in/text.asp?2018/7/3/151/255673
In their interesting case report, Goudihalliet al. described a 76-year-old male patient diagnosed with left lateral sphenoid wing meningioma who underwent total excision of the tumour. Postoperatively, the patient developed intestinal obstruction due to perforation of colonic growth proved to be adenocarcinoma. In the view of the rarity of development of sequential tumours in a particular patient, I presume that the authors ought to consider defective immune status in the studied patient. Among defective immune states, infection with human immunodeficiency virus (HIV) is the leading cause. My presumption is based on the following point. It is obvious that immunocompromised individuals are more susceptible to various types of tumours compared to healthy controls. The increased susceptibility has been attributed to different factors, namely impaired immunity, co-infection with oncogenic viruses and life extension due to the use of antiretroviral treatment. The available data pointed out to HIV seroprevalence of 0.26% compared with a global average in India is 0.2%. Hence, arranging for HIV testing, CD4+ T-lymphocyte count and viral load estimation was expected. If these tests were to disclose HIV reactivity, the case in question could be truly considered a novel case report in India. This is because sequential tumours in HIV-positive patient has been rarely reported in the literature. Regrettably, the patient succumbed to septic shock before considering HIV testing.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
Goudihalli SR, Pathak A, Brar R, Kapoor R, Malhotra M. An unusual case of sphenoid wing meningioma and adenocarcinoma of the caecum. J Clin Sci Res 2017;6:249-52.