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Meningiomas: updating basic science, management, and outcome.

Katharine J Drummond1, Jay-Jiguang Zhu, Peter McL Black

  • 1Department of Neurosurgery, The Brigham and Women's Hospital, Boston, Massachusetts, USA. kjd@unimelb.edu.au

The Neurologist
|May 14, 2004
PubMed
Summary

Meningiomas, though often benign, present complex diagnostic and treatment challenges. Recent advances in basic science, surgery, and adjuvant therapies offer improved, evidence-based management strategies for better patient outcomes.

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Area of Science:

  • Neuro-oncology
  • Neurosurgery
  • Molecular Biology

Background:

  • Meningiomas are complex tumors of the brain and nervous system.
  • They pose significant clinical and surgical challenges despite potential for cure.

Purpose of the Study:

  • To review the current clinical context of meningiomas.
  • To summarize advances in basic science, including genetics and molecular biology.
  • To highlight recent progress in surgical and radiotherapeutic management.

Main Methods:

  • Review of clinical, histopathological, and neuroimaging data.
  • Summary of evolving basic science research (steroid receptors, viruses, cytogenetics, molecular biology).
  • Analysis of recent surgical and radiotherapy advancements.

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Main Results:

  • Updated histopathological classification, diagnosis, and neuroimaging techniques are presented.
  • Key areas of basic science research, including steroid hormone receptors, oncogenic viruses, cytogenetics, and molecular biology, are discussed.
  • Advances in skull-base surgery, image-guided surgery, and radiotherapy are emphasized.

Conclusions:

  • Meningiomas remain challenging despite being typically benign and curable.
  • Progress in basic science, surgical techniques, and adjuvant therapies enhances safe and effective management.
  • Evidence-based approaches are leading to improved patient outcomes.