Meningioma surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
*Surgery is the preferred method for treating a meningioma. The decision to undergo surgery is based on age, symptoms, radiological features, postoperative morbidity, and patient preference.<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> | *Surgery is the preferred method for treating a meningioma.<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> | ||
*The decision to undergo surgery is based on age, symptoms, radiological features, postoperative morbidity, and patient preference.<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> | |||
* 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> | ||
Revision as of 15:02, 25 March 2019
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Meningioma Microchapters |
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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]
- 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 |
|---|---|---|
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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 1.7 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 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.