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Meningiomas: report of a hospital-based registry
A B Shah1, G A Muzumdar, A R Chitale
1Department of Histopathology, Bombay Hospital and Medical Research Centre, 12, New Marine Lines, Mumbai. anita_bharat@hotmail.com
Abstract:
This is a hospital-based epidemiologic study of meningiomas. Of 1321 central nervous system tumours, meningiomas constituted 21% of the cases, being the second largest category of a single histologic type after astrocytomas. Of the 267 meningiomas studied, 247 were intra-cranial (92.5%). The age of the patients varied between 6 to 84 years. Histological subclassification is presented and treatment schedules discussed. 261 (98%) meningiomas were histologically benign and 5 were malignant meningiomas (1.9%). A 5-year follow-up was available in most cases, with the help of which it was possible to understand the biological behaviour of various sub-types and the influence of other parameters such as location and treatment schedules. Of note was the fact, that out of 261 patients with benign meningiomas, 11 succumbed in the immediate post-operative period and in 8 of these cases, the tumour was located at the base of the skull.
Insights
Meningiomas are the second most common central nervous system tumor. This study analyzed 267 meningiomas, finding most were benign, but some benign cases had post-operative mortality, especially those at the skull base.
Area of Science:
- Neurosurgery
- Neuropathology
- Epidemiology
Background:
- Meningiomas represent a significant proportion of central nervous system (CNS) tumors.
- This study focuses on the epidemiology and characteristics of meningiomas within a hospital setting.
Purpose of the Study:
- To conduct an epidemiologic analysis of meningiomas.
- To present histological subclassification and discuss treatment strategies.
- To evaluate the biological behavior and outcomes of different meningioma subtypes.
Main Methods:
- Hospital-based epidemiologic study of 267 meningiomas.
- Analysis of tumor location, histological type, and patient age (6-84 years).
- Review of treatment schedules and 5-year follow-up data.
Main Results:
- Meningiomas comprised 21% of 1321 CNS tumors, predominantly intracranial (92.5%).
- 98% of meningiomas were histologically benign; 1.9% were malignant.
- 11 of 261 benign meningioma patients died post-operatively, 8 with skull base tumors.
Conclusions:
- Meningiomas are common CNS tumors, mostly benign.
- Skull base location in benign meningiomas is associated with increased perioperative mortality.
- Further understanding of biological behavior and treatment is crucial.
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