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[Multiple meningiomas: report of 32 cases]
Liang-wen Zhang1, Shu-gan Zhu, Cheng-yuan Wu
1Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan 250012, China.
Objective:
To explore the genesis and classification and diagnosis as well as the treatment of multiple meningiomas.
Methods:
Retrospective study of the materials of 32 cases of multiple meningiomas, simultaneously review of the related articles.
Results:
All patients were divided into 5 groups, primary 18 cases, postoperative 7 cases, accompanied by neurofibromatosis (NF) 4 cases, meningiomatosis 1 case, accompanied with other intracranial tumor 2 cases, one with pituitary adenoma and the other with glioma. All the patients accepted operation, cured 25 cases, improved 7 cases.
Conclusions:
The cytogenesis of different type of multiple meningiomas probably varied. Estrogen may play an important role in the genesis of multiple meningiomas. One stage resection of all the tumors was feasible to most cases and advocated. Most cases had strong tolerance to several times of operation, staging operation was permitted. The prognosis and principle of treatment of different group varied.
Insights
Multiple meningiomas, tumors in the brain lining, likely arise from varied origins, with estrogen potentially playing a role. Surgical removal of all tumors is feasible and recommended for better outcomes.
Area of Science:
- Neuro-oncology
- Pathology
- Genetics
Context:
- Multiple meningiomas are rare intracranial neoplasms.
- Understanding their diverse origins and optimal management is crucial.
Purpose:
- To investigate the genesis, classification, diagnosis, and treatment of multiple meningiomas.
- To analyze treatment outcomes based on tumor classification.
Summary:
- A retrospective study of 32 multiple meningioma cases was conducted, classifying them into five groups: primary, postoperative, neurofibromatosis-associated, meningiomatosis, and those with other intracranial tumors.
- All patients underwent surgical resection, with 25 achieving a cure and 7 showing improvement.
- Findings suggest varied cytogenesis and a potential role for estrogen in multiple meningioma development.
Impact:
- This study advocates for single-stage resection of all tumors when feasible, acknowledging the tolerance for staged operations.
- It highlights that treatment principles and prognosis differ across various multiple meningioma classifications.
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