Meningioma surgery: Difference between revisions

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VisualWikitext

Revision as of 19:01, 27 September 2015

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: {HL}}

Overview

The predominant therapy for meningioma is surgical resection. Adjunctive radiation therapy may be required among certain patients.^[1]

Surgery

The predominant therapy for meningioma is surgical resection. Adjunctive radiation therapy may be required among certain patients.^[1]

Transarterial embolization has become a standard preoperative procedure in the preoperative management

If invasion of the adjacent bone occurs, total removal is nearly impossible.

The probability of a tumor recurring or growing after surgery may be estimated by comparing the tumor's WHO (World Health Organization) grade and by the extent of surgery by the Simpson Criteri


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

↑ ^1.0 ^1.1 Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015

Template:WikiDoc Sources

[W-1] 1.0 ^1.1 Meningioma. Wikipedia(2015) https://en.wikipedia.org/wiki/Meningioma Accessed on September, 25th 2015

[1]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Meningioma}}
-{{CMG}}
+{{CMG}} {{AE}}{HL}}
 ==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 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>
+==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>
+Transarterial embolization has become a standard preoperative procedure in the preoperative management
+If invasion of the adjacent bone occurs, total removal is nearly impossible.
+The probability of a tumor recurring or growing after surgery may be estimated by comparing the tumor's WHO (World Health Organization) grade and by the extent of surgery by the Simpson Criteri
+{| style="border: 0px; font-size: 90%; margin: 3px; width: 600px" align=center
+|valign=top|
+|+
+! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Simpson Grade}}
+! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Completeness of Resection}}
+! style="background: #4479BA; width: 50px;" | {{fontcolor|#FFF|10-year Recurrence}}
+|-
+| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |
+:Grade 1
+| style="padding: 5px 5px; background: #F5F5F5;" |
+:Complete removal including resection of underlying bone and associated dura
+| style="padding: 5px 5px; background: #F5F5F5;" |
+:9%
+|-
+| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |
+:Grade 2
+| style="padding: 5px 5px; background: #F5F5F5;" |
+:Complete removal and coagulation of dural attachment
+| style="padding: 5px 5px; background: #F5F5F5;" |
+:19%
+|-
+| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |
+:Grade 3
+| style="padding: 5px 5px; background: #F5F5F5;" |
+:Complete removal without resection of dura or coagulation
+| style="padding: 5px 5px; background: #F5F5F5;" |
+:29%
+|-
+| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |
+:Grade 4
+| style="padding: 5px 5px; background: #F5F5F5;" |
+:Subtotal resection
+| style="padding: 5px 5px; background: #F5F5F5;" |
+:40%
+|}
-==Surgical resection==
-Meningiomas can usually be surgically resected with permanent cure if the tumor is superficial on the dural surface and easily accessible. Transarterial [[embolization]] has become a standard preoperative procedure in the preoperative management. [http://www.aans.org/education/journal/neurosurgical/july03/15-1-10.pdf] For incompletely accessible tumors, recurrence is likely. These regions include the medial [[sphenoid bone]], parasellar region, or anterior brainstem. If invasion of the adjacent bone occurs, total removal is nearly impossible. [[Malignant]] transformation is rare.
 ==References==

Meningioma surgery: Difference between revisions

Revision as of 19:01, 27 September 2015

Overview

Surgery

References

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