Meningioma surgery
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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 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
- The Simpson criteria for meningioma correlates the degree of surgical resection completeness with the probability of symptomatic tumor recurrence:[1][2][3]
Simpson Grade | Completeness of Resection | 10-year Recurrence |
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- Surgical resection is not recommended among patients with asymptomatic stable meningioma.[1]
- Surgical resection is not recommended among patients with advanced meningioma which invades the surrounding bone.[1]
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, 25th 2015
- ↑ 2.0 2.1 Simpson grade. Radiopaedia(2015) http://radiopaedia.org/articles/simpson-grade Accessed on September, 25th 2015
- ↑ 3.0 3.1 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