Meningioma surgery: Difference between revisions

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==Overview==
==Overview==
The predominant therapy for meningioma is surgical resection. Adjunctive [[radiation therapy]] may be required among certain patients.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref> The Simpson criteria for meningioma correlates the degree of [[surgical resection]] completeness with the probability of post-surgical [[tumor]] recurrence.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref><ref name="R">Simpson grade. Radiopaedia(2015) http://radiopaedia.org/articles/simpson-grade Accessed on September, 25th 2015</ref><ref name="N">Simpson Grading System. Neurosurgic.com(2015) http://www.neurosurgic.com/index.php?option=com_content&view=article&id=846:simpson-grading-system-for-removal-of-meningeomas&catid=152:usefulinfo&Itemid=603 Accessed on September, 25th 2015</ref> Surgical resection is not recommended among patients with [[asymptomatic]] stable meningioma.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref>  
The predominant therapy for meningioma is surgical resection. Adjunctive [[radiation therapy]] may be required among certain patients.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25 2015</ref> The Simpson criteria for meningioma correlates the degree of [[surgical resection]] completeness with the probability of post-surgical [[tumor]] recurrence.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25 2015</ref><ref name="R">Simpson grade. Radiopaedia(2015) http://radiopaedia.org/articles/simpson-grade Accessed on September, 25 2015</ref><ref name="N">Simpson Grading System. Neurosurgic.com(2015) http://www.neurosurgic.com/index.php?option=com_content&view=article&id=846:simpson-grading-system-for-removal-of-meningeomas&catid=152:usefulinfo&Itemid=603 Accessed on September, 25 2015</ref> Surgical resection is not recommended among patients with [[asymptomatic]] stable meningioma.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25 2015</ref>  


==Surgery==
==Surgery==
* The predominant therapy for meningioma is surgical resection. Adjunctive [[radiation therapy]] may be required among certain patients.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref>
* The predominant therapy for meningioma is surgical resection. Adjunctive [[radiation therapy]] may be required among certain patients.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25 2015</ref>
* Transarterial [[embolization]] has recently became a standard procedure in the preoperative management.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref>
* Transarterial [[embolization]] has recently became a standard procedure in the preoperative management.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25 2015</ref>
* Surgical resection procedures of meningioma include:<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref><ref name="R">Simpson grade. Radiopaedia(2015) http://radiopaedia.org/articles/simpson-grade Accessed on September, 25th 2015</ref><ref name="N">Simpson Grading System. Neurosurgic.com(2015) http://www.neurosurgic.com/index.php?option=com_content&view=article&id=846:simpson-grading-system-for-removal-of-meningeomas&catid=152:usefulinfo&Itemid=603 Accessed on September, 25th 2015</ref>
* Surgical resection procedures of meningioma include:<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25 2015</ref><ref name="R">Simpson grade. Radiopaedia(2015) http://radiopaedia.org/articles/simpson-grade Accessed on September, 25 2015</ref><ref name="N">Simpson Grading System. Neurosurgic.com(2015) http://www.neurosurgic.com/index.php?option=com_content&view=article&id=846:simpson-grading-system-for-removal-of-meningeomas&catid=152:usefulinfo&Itemid=603 Accessed on September, 25 2015</ref>
:* Complete meningioma resection, with excision of any involved bone, [[venous sinuses]], and dural attachments
:* Complete meningioma resection, with excision of any involved bone, [[venous sinuses]], and dural attachments
:* Complete meningioma resection and [[coagulation]] of dural attachment
:* Complete meningioma resection and [[coagulation]] of dural attachment
:* Partial meningioma resection sparing the [[dura]]
:* Partial meningioma resection sparing the [[dura]]
:* Subtotal meningioma resection
:* Subtotal meningioma resection
* Surgical resection is not recommended among patients with [[asymptomatic]] stable meningioma.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref>
* Surgical resection is not recommended among patients with [[asymptomatic]] stable meningioma.<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25 2015</ref>
* The Simpson criteria for meningioma correlates the degree of [[surgical resection]] completeness with the probability of post-surgical [[tumor]] recurrence:<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015</ref><ref name="R">Simpson grade. Radiopaedia(2015) http://radiopaedia.org/articles/simpson-grade Accessed on September, 25th 2015</ref><ref name="N">Simpson Grading System. Neurosurgic.com(2015) http://www.neurosurgic.com/index.php?option=com_content&view=article&id=846:simpson-grading-system-for-removal-of-meningeomas&catid=152:usefulinfo&Itemid=603 Accessed on September, 25th 2015</ref>
* The Simpson criteria for meningioma correlates the degree of [[surgical resection]] completeness with the probability of post-surgical [[tumor]] recurrence:<ref name="W">Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25 2015</ref><ref name="R">Simpson grade. Radiopaedia(2015) http://radiopaedia.org/articles/simpson-grade Accessed on September, 25 2015</ref><ref name="N">Simpson Grading System. Neurosurgic.com(2015) http://www.neurosurgic.com/index.php?option=com_content&view=article&id=846:simpson-grading-system-for-removal-of-meningeomas&catid=152:usefulinfo&Itemid=603 Accessed on September, 25 2015</ref>


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Revision as of 18:50, 1 October 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]

Overview

The predominant therapy for meningioma is surgical resection. Adjunctive radiation therapy may be required among certain patients.[1] The Simpson criteria for meningioma correlates the degree of surgical resection completeness with the probability of post-surgical tumor recurrence.[1][2][3] Surgical resection is not recommended among patients with asymptomatic stable meningioma.[1]

Surgery

  • The predominant therapy for meningioma is surgical resection. Adjunctive radiation therapy may be required among certain patients.[1]
  • Transarterial embolization has recently became a standard procedure in the preoperative management.[1]
  • Surgical resection procedures of meningioma include:[1][2][3]
  • Complete meningioma resection, with excision of any involved bone, venous sinuses, and dural attachments
  • Complete meningioma resection and coagulation of dural attachment
  • Partial meningioma resection sparing the dura
  • Subtotal meningioma resection
  • Surgical resection is not recommended among patients with asymptomatic stable meningioma.[1]
  • The Simpson criteria for meningioma correlates the degree of surgical resection completeness with the probability of post-surgical tumor recurrence:[1][2][3]
Simpson Grade Completeness of Resection 10-Year Recurrence
Grade 1
Complete removal including resection of underlying bone and associated dura

9%

Grade 2
Complete removal and coagulation of dural attachment

19%

Grade 3
Complete removal without resection of dura or coagulation

29%

Grade 4
Subtotal resection

40%

References

  1. ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25 2015
  2. ↑ 2.0 2.1 2.2 Simpson grade. Radiopaedia(2015) http://radiopaedia.org/articles/simpson-grade Accessed on September, 25 2015
  3. ↑ 3.0 3.1 3.2 Simpson Grading System. Neurosurgic.com(2015) http://www.neurosurgic.com/index.php?option=com_content&view=article&id=846:simpson-grading-system-for-removal-of-meningeomas&catid=152:usefulinfo&Itemid=603 Accessed on September, 25 2015


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