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Pediatric Meningiomas in Southwestern Nigeria: A Single-Institutional Experience
Ayodeji A Salami1, Abiodun I Okunlola2, Mustapha A Ajani3
1Department of Pathology, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Background:
Meningiomas are the second commonest intracranial tumors in many places worldwide. They are rare in the pediatric age group, however, and most studies have been able to document only a few patients. Meningiomas in pediatric patients have also been shown to behave differently from those in the adult population. This study was done to examine histologic types of meningiomas seen in pediatric patients from a predominantly African population using the 2016 World Health Organization (WHO) grading system for intracranial tumors.
Methods:
Data from the operating logs of patients and histology reports of the samples sent to the pathology department during the study period were extracted. The data obtained were the age, sex, location of the intracranial tumor, histologic diagnosis, WHO grade, and tumor recurrence.
Results:
Nine pediatric age patients were found among the 166 surgically excised meningiomas received at the pathology department in our institution over a 19-year period. The age range was from 8 months to 17 years. There was a male-to-female ratio of 1:2 with a female predominance. Six tumors were basally located. All tumors were WHO grade I with transitional meningiomas being the commonest followed by meningothelial. There was no history of recurrence in any of the tumors after complete surgical excisions.
Conclusions:
Our study showed the rarity of meningiomas in the study population, and there was a predominance of basally located tumors.
Insights
Pediatric meningiomas are rare intracranial tumors, predominantly WHO grade I and basally located in this African cohort. No recurrences were observed after complete surgical excision, indicating a favorable prognosis.
Area of Science:
- Neuro-oncology
- Pediatric Neurosurgery
- Tumor Histopathology
Background:
- Meningiomas are common intracranial tumors, but rare in children.
- Pediatric meningiomas exhibit distinct behaviors compared to adult counterparts.
- This study focuses on pediatric meningiomas in an African population.
Purpose of the Study:
- To investigate the histologic types and characteristics of pediatric meningiomas.
- To apply the 2016 World Health Organization (WHO) grading system.
- To analyze data from a predominantly African patient cohort.
Main Methods:
- Retrospective review of surgical logs and pathology reports.
- Data extraction included age, sex, tumor location, histology, WHO grade, and recurrence.
- Analysis of 166 meningiomas over a 19-year period.
Main Results:
- Nine pediatric cases identified (8 months to 17 years old).
- Female predominance (1:2 male-to-female ratio); six tumors were basally located.
- All tumors were WHO grade I; transitional meningiomas were most common, followed by meningothelial. No recurrences reported.
Conclusions:
- Confirms the rarity of pediatric meningiomas in the studied population.
- Highlights a predilection for basal location in pediatric meningiomas.
- Suggests a favorable prognosis for pediatric meningiomas with complete surgical resection.
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