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Cutaneous meningiomas are divided into type I (congenital), type II (ectopic), and type III (via direct extension) lesions. We present a rare case of atypical meningioma of the skin in a 71\u2010year\u2010old woman who presented with a painful and enlarging lesion on the left central frontal scalp. Biopsy showed bone and soft tissue with involvement of a spindle cell neoplasm, consisting of whorled nests with atypical features, including variably increased mitotic index, areas of hypercellularity, and sheeted architecture. The overall findings were consistent with an atypical meningioma (World Health Organization grade 2). Atypical meningiomas constitute only 5% to 15% of all meningiomas. Magnetic resonance imaging of the skull later demonstrated a left frontal tumor consistent with an atypical meningioma that had eroded through the skull. Dermatopathologists should consider cutaneous meningioma as a differential diagnosis of spindle\u2010cell neoplasms of the skin and subcutaneous tissue in head and neck.<\/jats:p>","DOI":"10.1111\/cup.14200","type":"journal-article","created":{"date-parts":[[2022,1,10]],"date-time":"2022-01-10T06:27:40Z","timestamp":1641796060000},"page":"565-569","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Type <scp>III<\/scp> cutaneous atypical meningioma of the scalp"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9604-5638","authenticated-orcid":false,"given":"Jarett D.","family":"Anderson","sequence":"first","affiliation":[{"name":"Arizona College of Osteopathic Medicine (Midwestern University)  Glendale Arizona USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaclyn B.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Department of Pathology Stanford University  Stanford California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Albert","family":"Alhatem","sequence":"additional","affiliation":[{"name":"Department of Dermatology Saint Louis University School of Medicine  St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Walter","sequence":"additional","affiliation":[{"name":"Dermatology &amp; Skin Surgery Specialists  Scottsdale Arizona USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leila","family":"Langston","sequence":"additional","affiliation":[{"name":"Aurora Diagnostics  Scottsdale Arizona USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,1,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/biomedicines9030319"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr.03.2012.6134"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2000.93.6.0940"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00401\u2010007\u20100243\u20104"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097\u20100142(197409)34:3<728::aid\u2010cncr2820340332>3.0.co;2\u2010u"},{"key":"e_1_2_6_7_1","first-page":"1688","volume-title":"Weedon's Skin Pathology","author":"Patterson J","year":"2017"},{"key":"e_1_2_6_8_1","first-page":"1050","volume-title":"McKee Skin Pathology with Clinical Correlations","author":"Calonje E","year":"2020"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/cup.12198"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.5858\/arpa.2010\u20100505\u2010RS"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/idoj.IDOJ_169_16"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.39.4.435"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnen\/nlx008"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10549\u2010012\u20102374\u20100"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.4103\/1793\u20105482.181123"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2016.43.4.381"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.4103\/0378\u20106323.173592"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.44.600"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/02688690701485255"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuchi.2008.02.065"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2015.02.041"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/DAD.0000000000000821"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.01.185"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.5070\/D32011024679"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.4103\/ajns.AJNS_273_18"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.5070\/D316V7Q6S1"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13244\u2010019\u20100697\u20107"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2020.06.148"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.3171\/2009.2.JNS08877"}],"container-title":["Journal of Cutaneous Pathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cup.14200","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/cup.14200","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cup.14200","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T17:09:29Z","timestamp":1692983369000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cup.14200"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,26]]},"references-count":28,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1111\/cup.14200"],"URL":"https:\/\/doi.org\/10.1111\/cup.14200","archive":["Portico"],"relation":{},"ISSN":["0303-6987","1600-0560"],"issn-type":[{"type":"print","value":"0303-6987"},{"type":"electronic","value":"1600-0560"}],"subject":[],"published":{"date-parts":[[2022,1,26]]},"assertion":[{"value":"2021-09-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}