Evidence map›Paper›PMID 41660350›Full record

ArticleSurgical neurology international2026

Cryptococcal dumbbell inflammatory pseudotumor mimicking skull histiocytic sarcoma in immunocompetent patient.

Luca Ruggeri, Evier Andrea Giovannini, Giovanni Alessandro Cinquemani, Rita Lipani, Roberta Lo Coco, Jaime Mandelli, Giovanni Salvatore Urrico, Luigi Basile

Abstract readCase Reports
In one paragraph

Article in Surgical neurology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Luca RuggeriDepartment of Neurosurgery, Sant'Elia Hospital, Caltanissetta, Italy.
Evier Andrea GiovanniniDepartment of Neurosurgery, Sant'Elia Hospital, Caltanissetta, Italy.
Giovanni Alessandro CinquemaniDepartment of Neurosurgery, Sant'Elia Hospital, Caltanissetta, Italy.
Rita LipaniDepartment of Neurosurgery, Sant'Elia Hospital, Caltanissetta, Italy.
Roberta Lo CocoDepartment of Pathology, Sant'Elia Hospital, Caltanissetta, Italy.
Jaime MandelliDepartment of Neurosurgery, Sant'Elia Hospital, Caltanissetta, Italy.
Giovanni Salvatore UrricoDepartment of Pathology, Sant'Elia Hospital, Caltanissetta, Italy.
Luigi BasileDepartment of Neurosurgery, Sant'Elia Hospital, Caltanissetta, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Case Description: A 34-year-old immunocompetent male presented with a painless, progressive left parieto-occipital scalp swelling over 3 weeks. Imaging revealed a well-defined, dumbbell-shaped cystic mass beneath the scalp, causing lytic skull erosion and limited intracranial extension, suggestive of atypical meningioma or skull-based sarcoma. Surgical excision was performed, showing dural infiltration without leptomeningeal spread. Histopathology, the mass revealed granulomatous inflammation with abundant CD68+ histiocytes, mixed B- and T-cell infiltrates, and encapsulated budding yeasts (5-10 μm) within enlarged perivascular spaces. Gomori Methenamine Silver and periodic acid-Schiff staining confirmed fungal elements; culture identified Conclusion: Skull cryptococcosis in immunocompetent patients is rare but can occasionally present as an inflammatory pseudotumor with osteomyelitis and extracranial extension. Its imaging resemblance to aggressive neoplasms underscores the importance of including fungal etiologies in the differential diagnosis of destructive skull lesions, regardless of the immune status.

Indexed as

Atypical meningiomaCryptococcal inflammatory pseudotumorHistiocytic sarcomaImmunocompetenceMycotic osteomyelitis

Identifiers

PMID41660350
PMCPMC12875224

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