A review of malignant meningiomas: diagnosis, characteristics, and treatment

Simon Hanft1, Peter Canoll, Jeffrey N Bruce

  • 1Department of Neurological Surgery, Columbia University Medical Center, New York, NY 10032, USA. sihanft@gmail.com

Insights

Malignant meningiomas (WHO Grade III) are rare, aggressive brain tumors. This review details their genetics, histology, and current/future treatment strategies for these understudied lesions.

Area of Science:

  • Neuro-oncology
  • Pathology
  • Genetics

Background:

  • Anaplastic or malignant meningiomas (WHO Grade III) are rare, aggressive intracranial tumors, comprising 1-3% of all meningiomas.
  • Their rarity has led to limited research, highlighting a need for improved understanding and clinical management strategies.
  • Existing knowledge of genetic and histologic features is growing, but therapeutic approaches require further elucidation.

Purpose of the Study:

  • To review the current understanding of malignant meningiomas.
  • To detail genetic alterations and histologic markers specific to these aggressive tumors.
  • To discuss current therapeutic strategies and future directions for managing malignant meningiomas.

Main Methods:

  • Literature review focusing on genetic alterations, histologic markers, and treatment strategies for malignant meningiomas.
  • Synthesis of current knowledge regarding the pathophysiology and clinical management of WHO Grade III meningiomas.

Main Results:

  • Malignant meningiomas exhibit distinct genetic alterations and histologic features compared to lower-grade subtypes.
  • Current management involves a multimodal approach, but optimal treatment protocols are still evolving.
  • Significant advancements in understanding these tumors offer potential for improved therapeutic interventions.

Conclusions:

  • Further research into the unique characteristics of malignant meningiomas is crucial for advancing patient care.
  • Developing targeted therapies based on genetic and histologic profiles holds promise for improved outcomes.
  • Continued investigation into novel treatment strategies is essential for addressing the aggressive nature of these rare brain tumors.

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