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['Benign' meningioma].

J G Wolbers1, C J Avezaat, P J Nowak

  • 1Afd. Neurochirurgie, Erasmus Universitair Medisch Centrum, Postbus 2040, 3000 CA Rotterdam. wolbers@neuro.fgg.eur.nl

Nederlands Tijdschrift Voor Geneeskunde
|December 1, 2001
PubMed
Summary

Meningiomas, a common brain tumor, require diverse treatments. Surgery is primary, but radiation therapy and radiosurgery offer effective management for residual or recurrent tumors.

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Area of Science:

  • Neurosurgery
  • Radiation Oncology
  • Oncology

Background:

  • Meningiomas constitute 20% of primary brain tumors, with over 90% being benign.
  • Despite high benign rates, a 5-year survival of only 70% is observed in population studies.
  • Complete surgical excision is challenging, occurring in only 75% of cases, often leading to tumor recurrence.

Observation:

  • Four women diagnosed with meningioma received varied treatments: surgery alone, surgery with radiotherapy, or stereotactic radiosurgery.
  • Patients showed good recovery and were managed with regular outpatient follow-ups.
  • Advanced radiation techniques demonstrate 80-90% tumor progression control.

Findings:

  • Meningioma treatment strategies vary based on residual tumor or specific tumor characteristics.
  • Stereotactic radiosurgery is an effective option for select meningioma cases.
  • Post-treatment monitoring is crucial for managing potential long-term effects.

Implications:

  • Optimizing meningioma treatment requires a multidisciplinary approach, balancing surgical and radiation techniques.
  • Further research is needed to compare the efficacy and long-term outcomes of different treatment modalities.
  • Understanding potential side effects like cranial nerve deficits and panhypopituitarism is vital for patient care.

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