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High-dose radiation-induced meningiomas

M Salvati¹, L Cervoni, F Puzzilli

¹Department of Neurosurgery, Neuromed Institute, Pozzilli, Italy.

Surgical Neurology

|May 1, 1997

Summary

High-dose radiotherapy can cause radiation-induced meningiomas, particularly in children and young women. These tumors often present atypically and may recur, highlighting the need for careful monitoring after treatment.

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Area of Science:

Neuro-oncology
Radiation oncology
Pathology

Background:

Central nervous system (CNS) neoplasms can arise from radiation exposure.
Radiation-induced meningiomas are more common than radiation-induced gliomas or sarcomas.

Purpose of the Study:

To review cases of cerebral meningiomas following high-dose radiotherapy.
To analyze the pathological and clinical aspects of radiation-induced meningiomas.

Main Methods:

Review of 10 cases of cerebral meningiomas post-radiotherapy.
Analysis of pathological and clinical data from reviewed cases and world literature.

Main Results:

Female predominance (3:2 ratio) in affected patients.

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Young patient age (mean 33.1 years) with an average latency of 14.4 years.

Association with acute lymphocytic leukemia (ALL) in 40% of cases; atypical features and recurrence observed.

Conclusions:

Children are particularly sensitive to developing radiation-induced meningiomas.
These tumors show female predominance, peak frequency in the third decade, and a tendency for atypical presentation and recurrence.
Reporting new cases is crucial to understand this pathological correlation.