Meningioma surgery: Difference between revisions
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* The surgery is successful if the tumor is completely removed. This is considered curative.<ref name="pmid20056312">{{cite journal| author=Alexiou GA, Gogou P, Markoula S, Kyritsis AP| title=Management of meningiomas. | journal=Clin Neurol Neurosurg | year= 2010 | volume= 112 | issue= 3 | pages= 177-82 | pmid=20056312 | doi=10.1016/j.clineuro.2009.12.011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20056312 }} </ref> | * The surgery is successful if the tumor is completely removed. This is considered curative.<ref name="pmid20056312">{{cite journal| author=Alexiou GA, Gogou P, Markoula S, Kyritsis AP| title=Management of meningiomas. | journal=Clin Neurol Neurosurg | year= 2010 | volume= 112 | issue= 3 | pages= 177-82 | pmid=20056312 | doi=10.1016/j.clineuro.2009.12.011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20056312 }} </ref> | ||
*As an alternative to surgery, stereotactic radiosurgery can be used either as a first line treatment or at recurrence.<ref name="pmid20056312">{{cite journal| author=Alexiou GA, Gogou P, Markoula S, Kyritsis AP| title=Management of meningiomas. | journal=Clin Neurol Neurosurg | year= 2010 | volume= 112 | issue= 3 | pages= 177-82 | pmid=20056312 | doi=10.1016/j.clineuro.2009.12.011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20056312 }} </ref> | *As an alternative to surgery, stereotactic radiosurgery can be used either as a first line treatment or at recurrence.<ref name="pmid20056312">{{cite journal| author=Alexiou GA, Gogou P, Markoula S, Kyritsis AP| title=Management of meningiomas. | journal=Clin Neurol Neurosurg | year= 2010 | volume= 112 | issue= 3 | pages= 177-82 | pmid=20056312 | doi=10.1016/j.clineuro.2009.12.011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20056312 }} </ref> | ||
In situations where complete resection (with low morbidity) can be achieved, and/or to decompress tumors associated with pressure symptoms, surgery is highly appropriate.<ref name="pmid30782319">{{cite journal| author=Smee R, Williams J, Kotevski D, Schneider M| title=Radiotherapy as a means of treating meningiomas. | journal=J Clin Neurosci | year= 2019 | volume= 61 | issue= | pages= 210-218 | pmid=30782319 | doi=10.1016/j.jocn.2018.10.006 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30782319 }} </ref> | |||
* Radiotherapy is an option that can be used in the treatment of meningioma but, surgery is usually preferred. This is based on symptoms, age, radiological features, postoperative morbidity, patient preference and when a definite diagnosis is necessary.<ref name="pmid29492130">{{cite journal| author=Gurcay AG, Bozkurt I, Senturk S, Kazanci A, Gurcan O, Turkoglu OF et al.| title=Diagnosis, Treatment, and Management Strategy of Meningioma during Pregnancy. | journal=Asian J Neurosurg | year= 2018 | volume= 13 | issue= 1 | pages= 86-89 | pmid=29492130 | doi=10.4103/1793-5482.181115 | pmc=5820904 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29492130 }} </ref> | * Radiotherapy is an option that can be used in the treatment of meningioma but, surgery is usually preferred. This is based on symptoms, age, radiological features, postoperative morbidity, patient preference and when a definite diagnosis is necessary.<ref name="pmid29492130">{{cite journal| author=Gurcay AG, Bozkurt I, Senturk S, Kazanci A, Gurcan O, Turkoglu OF et al.| title=Diagnosis, Treatment, and Management Strategy of Meningioma during Pregnancy. | journal=Asian J Neurosurg | year= 2018 | volume= 13 | issue= 1 | pages= 86-89 | pmid=29492130 | doi=10.4103/1793-5482.181115 | pmc=5820904 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29492130 }} </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> | * 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> | ||
Revision as of 19:12, 29 March 2019
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Meningioma Microchapters |
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Treatment |
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Meningioma surgery On the Web |
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American Roentgen Ray Society Images of Meningioma surgery |
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
- Surgery is the preferred method for treating a meningioma.[4]
- The decision to undergo surgery is based on age, symptoms, radiological features, postoperative morbidity, and patient preference.[4]
- The surgery is successful if the tumor is completely removed. This is considered curative.[5]
- As an alternative to surgery, stereotactic radiosurgery can be used either as a first line treatment or at recurrence.[5]
In situations where complete resection (with low morbidity) can be achieved, and/or to decompress tumors associated with pressure symptoms, surgery is highly appropriate.[6]
- Radiotherapy is an option that can be used in the treatment of meningioma but, surgery is usually preferred. This is based on symptoms, age, radiological features, postoperative morbidity, patient preference and when a definite diagnosis is necessary.[4]
- 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 |
|---|---|---|
|
|
9% |
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19% |
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29% |
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40% |
References
- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25 2015
- ↑ 2.0 2.1 2.2 Simpson grade. Radiopaedia(2015) http://radiopaedia.org/articles/simpson-grade Accessed on September, 25 2015
- ↑ 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
- ↑ 4.0 4.1 4.2 Gurcay AG, Bozkurt I, Senturk S, Kazanci A, Gurcan O, Turkoglu OF; et al. (2018). "Diagnosis, Treatment, and Management Strategy of Meningioma during Pregnancy". Asian J Neurosurg. 13 (1): 86–89. doi:10.4103/1793-5482.181115. PMC 5820904. PMID 29492130.
- ↑ 5.0 5.1 Alexiou GA, Gogou P, Markoula S, Kyritsis AP (2010). "Management of meningiomas". Clin Neurol Neurosurg. 112 (3): 177–82. doi:10.1016/j.clineuro.2009.12.011. PMID 20056312.
- ↑ Smee R, Williams J, Kotevski D, Schneider M (2019). "Radiotherapy as a means of treating meningiomas". J Clin Neurosci. 61: 210–218. doi:10.1016/j.jocn.2018.10.006. PMID 30782319.