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Extracranial meningiomas in the head-and-neck region: A 15 years' experience
D Krasic1, M Stojanovic1, V Petrovic2
1Department for Maxillofacial Surgery, Clinic for Stomatology, Niš, Serbia.
Abstract:
Meningiomas constitute a large group of tumors of the central nervous system, with the prevalence of 18%-20%. Extracranial localization of meningeomas could appear due to their extracranial origin or due to the spreading of intracranial meningeomas. In this paper, we present our 15 years' experience in the diagnosis and treatment of extra- and intracranial meningiomas invading the head-and-neck region. In the period from 2001 to 2016 at our clinic, there were five patients (three men and two women), with meningiomas of extracranial origin or meningiomas of intracranial origin, spreading into the head-and-neck region. All patients were surgically treated, with the addition of adjuvant radiation therapy in some of the cases. Postoperative and postirradiation complications were described as well.
Insights
This study reviews 15 years of diagnosing and treating head-and-neck meningiomas, both extracranial and intracranial. Surgical treatment was effective for the five patients, with some requiring adjuvant radiation therapy.
Area of Science:
- Neurosurgery
- Oncology
Background:
- Meningiomas are common central nervous system tumors, accounting for 18-20% of primary brain tumors.
- Extracranial meningiomas can arise independently or spread from intracranial origins.
- Involvement of the head-and-neck region presents unique diagnostic and therapeutic challenges.
Observation:
- The study retrospectively analyzed five cases of meningiomas involving the head-and-neck region treated between 2001 and 2016.
- Patients included three males and two females with either extracranial meningiomas or intracranial tumors extending into the head-and-neck.
- All patients underwent surgical intervention.
Findings:
- Surgical resection was the primary treatment modality for all five patients.
- Adjuvant radiation therapy was utilized in select cases post-surgery.
- The study documented postoperative and postirradiation complications.
Implications:
- This case series highlights the surgical management of rare head-and-neck meningiomas.
- Understanding potential complications is crucial for patient management.
- Further research may elucidate optimal treatment strategies for these challenging tumors.
