Multiple Intracranial Meningiomas: A Case Series and Review of the Literature

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art_PEREIRA_Multiple_Intracranial_Meningiomas_A_Case_Series_and_Review_2019.PDF (438.48 KB)
Citações na Scopus
15
Tipo de produção
article
Data de publicação
2019
DOI
Scopus
Web of Science
PubMed
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ISSN da Revista
Título do Volume
Editora
ELSEVIER SCIENCE INC
Autores
Citação
WORLD NEUROSURGERY, v.122, p.E1536-E1541, 2019
Projetos de Pesquisa
Unidades Organizacionais
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Resumo
OBJECTIVE: To review the published data to create a more comprehensive natural history of multiple meningiomas (MM). METHODS: A review of MM published until now was carried out through a Medline search up to August 2018. The use of the ""multiple meningiomas"" keyword returned 278 articles, and the characteristics analyzed in our present cohort were searched on those publications. Articles without detailed description of clinical findings, neuroimaging confirmation of tumor multiplicity, follow-up at least of 5 years, and clear description of clinical findings were excluded. We added series to this review. RESULTS: 293 patients with MM were analyzed: 220 women and 73 men, with a total of 932 tumors (3.1 tumors per patient). The majority of tumors were located in the convexity (653% to 74.5%). The total number of tumors treated was 429 (43.9%): 338 (78.8%) by surgical resection and 91 (21.2%) by radiotherapy. Histopathologic description was available in 303 of 429 cases, being grade I in 272 (90.3%) cases, with a predominance of the meningothelial subtype (30.7%). Tumor recurrence was described in 32 (8.07%) among 397 and only 10 deaths (3.4%) of 281 reported cases, where this characteristic was evaluated. CONCLUSIONS: World Health Organization grade I predominance was observed among multiple meningiomas in similarity to single meningiomas. Only a fraction of MM patients (43.89%) needed treatment. A benign tumor behavior was corroborated by the observed low frequency of recurrence and mortality.
Palavras-chave
Multiple meningioma, Recurrence, Surgery
URI
https://observatorio.fm.usp.br/handle/OPI/31172
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MNE
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/IPq
Artigos e Materiais de Revistas Científicas - LIM/15
Artigos e Materiais de Revistas Científicas - LIM/26
Artigos e Materiais de Revistas Científicas - ODS/03