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[Multiple intracranial and spinal meningiomas].

C R Spinas1, A Benini

  • 1Neurochirurgische Klinik Kantonspital, St. Gallen.

Schweizer Archiv Fur Neurologie Und Psychiatrie (Zurich, Switzerland : 1985)
|January 1, 1992
PubMed
Summary
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Meningiomas, often benign, can recur and spread systemically. This study highlights that 8% of patients experienced multiple tumors, impacting prognosis.

Area of Science:

  • Neurosurgery
  • Oncology
  • Pathology

Background:

  • Meningiomas are typically considered benign and fully removable.
  • However, recurrence and systemic spread can occur even with benign types.

Observation:

  • A series of 188 patients with meningiomas were reviewed.
  • 13 patients (8%) presented with multiple simultaneous or delayed tumors, including one spinal case without neurofibromatosis.

Findings:

  • A significant minority of meningioma cases (8%) exhibit multifocal disease.
  • These multifocal meningiomas require multiple surgical interventions.
  • The presence of multiple tumors negatively impacts patient prognosis.

Implications:

  • Highlights the importance of considering systemic disease in meningioma diagnosis.

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  • Suggests a need for vigilant long-term surveillance for recurrence and new tumor development.
  • Emphasizes the complex management and poorer prognosis associated with multifocal meningiomas.