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! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Simpson Grade}}
! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Simpson Grade}}
! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Completeness of Resection}}
! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Completeness of Resection}}
! style="background: #4479BA; width: 200px; text-align: center;" | {{fontcolor|#FFF|10-year Recurrence}}
! style="background: #4479BA; width: 200px; text-align: center;" | {{fontcolor|#FFF|10-Year Recurrence}}


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:Complete removal including resection of underlying bone and associated dura
:Complete removal including resection of underlying bone and associated dura
| style="padding: 5px 5px; background: #F5F5F5;text-align: center;" |
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9%


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:Complete removal and coagulation of dural attachment
:Complete removal and coagulation of dural attachment
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19%


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:Complete removal without resection of dura or coagulation
:Complete removal without resection of dura or coagulation
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29%


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:Subtotal resection
:Subtotal resection
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Revision as of 16:20, 1 October 2015

Meningioma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Meningioma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventions

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Meningioma surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Meningioma surgery

All Images
X-rays
Echo and Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Meningioma surgery

CDC on Meningioma surgery

Meningioma surgery in the news

Blogs on Meningioma surgery

Directions to Hospitals Treating Meningioma

Risk calculators and risk factors for 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

  • 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, 25th 2015
  2. ↑ 2.0 2.1 2.2 Simpson grade. Radiopaedia(2015) http://radiopaedia.org/articles/simpson-grade Accessed on September, 25th 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, 25th 2015


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