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Pre-operative predictive factors of grade II and III meningiomas

Yıl 2021, Cilt: 12 Sayı: 1, 1 - 6, 16.12.2020

Mustafa Güdük Baran Bozkurt Murat Şakir Ekşi Murat İmre Usseli Mustafa Necmettin Pamir

https://doi.org/10.31067/acusaglik.834505
Cited By: 1

Öz

Purpose:Meningiomas are the most common primary intracranial tumors. They are graded into three pathologic grades. Surgical gross total resection is the definitive treatment of meningiomas, but follow-up or stereotactic radiosurgery is sometimes advised for asymptomatic, incidentally diagnosed meningiomas. For a decision making, pre-operative prediction of Grade II and III meningiomas which are more aggressive clinically, is important. We have reviewed our intracranial meningioma series, based on their clinical, radiological, and location, to analyze the predictive factors of Grade II and III meningiomas.
Patients and Methods:The clinical, radiological, operative and pathological reports of patients who were operated for intracranial meningiomas between September 1986 and July 2019 have been reviewed retrospectively from our patient database. Their age, sex, tumor location, absence or presence of peritumoral edema, and the pathological grade of meningiomas have been noted. The predictive effect of age, sex, peritumoral edema and location of tumor is analyzed statistically for pathological grade.
Results:There were 1401 patients with intracranial meningiomas, 1015 of them were female, 386 were male (female/male=2.6). Their mean age was 52.2 years. There were 1219 Grade I, 164 Grade II, and 18 Grade III meningiomas. Male sex, and non-skull base location were predictive for Grade II and III meningiomas.
Conclusion:While advising conservative treatment (follow-up, or stereotactic radiosurgery) for asymptomatic, incidental meningiomas, it should be kept in mind that male sex, and/or non-skull base location are risk factors for the more aggressive Grade II and III meningiomas.

Anahtar Kelimeler

meningiomas grade II meningiomas grade III meningiomas

Kaynakça

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  • 10. Starke RM, Przybylowski CJ, Sugoto M, Fezeu F, Awad AJ, Ding D, et al. Gamma Knife radiosurgery of large skull base meningiomas. J Neurosurg [Internet]. 2015 Feb [cited 2019 Oct 20];122(2):363–72. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25479122
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Derece II ve III meningiomların preoperatif prediktif faktörleri

Yıl 2021, Cilt: 12 Sayı: 1, 1 - 6, 16.12.2020

Mustafa Güdük Baran Bozkurt Murat Şakir Ekşi Murat İmre Usseli Mustafa Necmettin Pamir

https://doi.org/10.31067/acusaglik.834505
Cited By: 1

Öz

Amaç:Meningiomlar en sık görülen primer intrakranyal patolojilerdir. Patolojik olarak üç dereceleri vardır. Cerrahi ile total rezeksiyon belirleyici tedavi olmakla beraber, özellikle asemptomatik ve insidental vakalarda, yakın takip veya stereotaktik radyocerrahi tercih edilebilmektedir. Cerrahi tedavi ile konservatif tedavi arasında karar verebilmek açısından, daha agresif klinik seyir gösterebilen Derece II ve III meningiomların, ön görülebilmesi önem taşımaktadır. Çalışmamızda, meningiom serimizde kayıtlı hastaların klinik, radyolojik ve yerleşim özelliklerine göre patolojik derecelerinde prediktif olabilecek etkenleri araştırdık.
Hastalar ve Yöntem:İntrakranyal meningiom veri tabanımıza kayıtlı, Eylül 1986 ile Temmuz 2019 arasında opere edilen hastaların klinik, radyolojik, cerrahi ve patolojik raporları retrospektif olarak tarandı. Yaş, cinsiyet, tümör yerleşimi, peritümöral ödem olup olmaması, patolojik derecesi not edildi. Patoloji dereceleri açısından yaşın, cinsiyetin, ödemin ve tümör yerleşiminin prediktif olup olmadığı istatistiki yöntemler ile araştırıldı.
Bulgular:Veri tabanımızda 1401 intrakranyal meningiom hastası tespit edildi. Hastaların 1015’i kadın, 386’sı erkekti (kadın/erkek=2,6). Ortalama yaşları 52,2 yıl idi. Bin iki yüz on dokuz Derece I, 164 Derece II, 18 Derece III meningiom vardı. Erkek cinsiyeti ve/veya kafa tabanı dışı yerleşim Derece II ve III meningiomlar için prediktif olarak tespit edildi.
Sonuç:Asemptomatik, insidental olarak tespit edilen meningiomlarda, konservatif tedavi (yakın takip veya stereotaktik radyocerrahi) tercih edildiğinde, erkek ve/veya kafa tabanı dışı yerleşimli olanların, daha agresif davranışlı olan Derece II veya III olma ihtimalinin daha yüksek olduğu unutulmamalıdır.

Anahtar Kelimeler

meningiomlar derece II meningiomlar derece III meningiomlar

Kaynakça

  • 1. Ostrom QT, Gittleman H, Liao P, Vecchione-Koval T, Wolinsky Y, Kruchko C, et al. CBTRUS statistical report: Primary brain and other central nervous system tumors diagnosed in the United States in 2010-2014. Neuro Oncol [Internet]. 2017 [cited 2019 Sep 29];19(suppl_5):v1–88. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29117289
  • 2. Louis DN, Perry A, Reifenberger G, von Deimling A, Figarella-Branger D, Cavenee WK, et al. The 2016 World Health Organization Classification of tumors of the central nervous system: A summary. Acta Neuropathol [Internet]. 2016 May 9 [cited 2016 May 12];131(6):803–20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27157931
  • 3. Liang R-F, Xiu Y-J, Wang X, Li M, Yang Y, Mao Q, et al. The potential risk factors for atypical and anaplastic meningiomas: Clinical series of 1,239 cases. Int J Clin Exp Med [Internet]. 2014 [cited 2019 Oct 12];7(12):5696–700. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25664093
  • 4. Li D, Jiang P, Xu S, Li C, Xi S, Zhang J, et al. Survival impacts of extent of resection and adjuvant radiotherapy for the modern management of high-grade meningiomas. J Neurooncol [Internet]. 2019 Sep 6 [cited 2019 Sep 29]; Available from: http://link.springer.com/10.1007/s11060-019-03278-w
  • 5. Goldbrunner R, Minniti G, Preusser M, Jenkinson MD, Sallabanda K, Houdart E, et al. EANO guidelines for the diagnosis and treatment of meningiomas. Lancet Oncol [Internet]. 2016 Sep [cited 2019 Sep 29];17(9):e383-91. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1470204516303217
  • 6. Jenkinson MD, Javadpour M, Haylock BJ, Young B, Gillard H, Vinten J, et al. The ROAM/EORTC-1308 trial: Radiation versus observation following surgical resection of atypical meningioma: Study protocol for a randomised controlled trial. Trials [Internet]. 2015 Dec 14 [cited 2019 Sep 29];16(1):519. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26576533
  • 7. Jenkinson MD, Weber DC, Haylock BJ, Mallucci CL, Zakaria R, Javadpour M. Atypical meningoma: Current management dilemmas and prospective clinical trials. J Neurooncol [Internet]. 2015 Jan 26 [cited 2019 Sep 29];121(1):1–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25258253
  • 8. van Nieuwenhuizen D, Klein M, Stalpers LJA, Leenstra S, Heimans JJ, Reijneveld JC. Differential effect of surgery and radiotherapy on neurocognitive functioning and health-related quality of life in WHO grade I meningioma patients. J Neurooncol [Internet]. 2007 Sep 13 [cited 2019 Oct 22];84(3):271–8. Available from: http://link.springer.com/10.1007/s11060-007-9366-7
  • 9. Minniti G, Amichetti M, Enrici RM. Radiotherapy and radiosurgery for benign skull base meningiomas. Radiat Oncol [Internet]. 2009 Oct 14 [cited 2019 Oct 20];4:42. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19828022
  • 10. Starke RM, Przybylowski CJ, Sugoto M, Fezeu F, Awad AJ, Ding D, et al. Gamma Knife radiosurgery of large skull base meningiomas. J Neurosurg [Internet]. 2015 Feb [cited 2019 Oct 20];122(2):363–72. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25479122
  • 11. Islim AI, Mohan M, Moon RDC, Srikandarajah N, Mills SJ, Brodbelt AR, et al. Incidental intracranial meningiomas: A systematic review and meta-analysis of prognostic factors and outcomes. J Neurooncol [Internet]. 2019 Apr 17 [cited 2019 Oct 20];142(2):211–21. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30656531
  • 12. Czyz M, Radwan H, Li JY, Filippi CG, Tykocki T, Schulder M. Fractal analysis may improve the preoperative identification of atypical meningiomas. Neurosurgery [Internet]. 2017 Feb 1 [cited 2019 Oct 20];80(2):300–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28173535
  • 13. Filippi CG, Demopoulos A, Radwan H, Li J, Schulder M, Czyz M. Diffusion-weighted imaging and MRI-based fractal analysis as quantitative metrics for preoperative prediction of atypia in meningiomas. Neuro Oncol [Internet]. 2018 Jan 31 [cited 2019 Oct 20];20(suppl_1):i12–i12. Available from: https://academic.oup.com/neuro-oncology/article/20/suppl_1/i12/4831313
  • 14. Morin O, Chen WC, Nassiri F, Susko M, Magill ST, Vasudevan HN, et al. Integrated models incorporating radiologic and radiomic features predict meningioma grade, local failure, and overall survival. Neuro-Oncology Adv [Internet]. 2019 May 1 [cited 2019 Oct 20];1(1):vdz011. Available from: http://www.ncbi.nlm.nih.gov/pubmed/31608329
  • 15. Maier H, Öfner D, Hittmair A, Kitz K, Budka H. Classic, atypical, and anaplastic meningioma: Three histopathological subtypes of clinical relevance. J Neurosurg [Internet]. 1992 Oct [cited 2019 Oct 28];77(4):616–23. Available from: http://www.ncbi.nlm.nih.gov/pubmed/1527622
  • 16. Mahmood A, Caccamo D V., Tomecek FJ, Malik GM. Atypical and malignant meningiomas: A clinicopathological review. Neurosurgery [Internet]. 1993 Dec [cited 2019 Oct 6];33(6):955–63. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8134008
  • 17. McCarthy BJ, Davis FG, Freels S, Surawicz TS, Damek DM, Grutsch J, et al. Factors associated with survival in patients with meningioma. J Neurosurg [Internet]. 1998 May [cited 2019 Oct 28];88(5):831–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9576250
  • 18. Sade B, Chahlavi A, Krishnaney A, Nagel S, Choi E, Lee JH. World Health Organization grades II and III meningiomas are rare in the cranial base and spine. Neurosurgery [Internet]. 2007 Dec 1 [cited 2019 Oct 22];61(6):1194–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18162898
  • 19. Pasquier D, Bijmolt S, Veninga T, Rezvoy N, Villa S, Krengli M, et al. Atypical and malignant meningioma: Outcome and prognostic factors in 119 irradiated patients. A multicenter, retrospective study of the Rare Cancer Network. Int J Radiat Oncol Biol Phys [Internet]. 2008 Aug 1 [cited 2019 Oct 12];71(5):1388–93. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0360301607047608
  • 20. Kane AJ, Sughrue ME, Rutkowski MJ, Shangari G, Fang S, McDermott MW, et al. Anatomic location is a risk factor for atypical and malignant meningiomas. Cancer [Internet]. 2011 Mar 15 [cited 2019 Oct 6];117(6):1272–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21381014
  • 21. Cornelius JF, Slotty PJ, Steiger HJ, Hänggi D, Polivka M, George B. Malignant potential of skull base versus non-skull base meningiomas: Clinical series of 1,663 cases. Acta Neurochir (Wien) [Internet]. 2013 Mar 15 [cited 2019 May 10];155(3):407–13. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23318687
  • 22. Hammouche S, Clark S, Wong AHL, Eldridge P, Farah JO. Long-term survival analysis of atypical meningiomas: Survival rates, prognostic factors, operative and radiotherapy treatment. Acta Neurochir (Wien) [Internet]. 2014 Aug 26 [cited 2019 Oct 16];156(8):1475–81. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24965072
  • 23. Kalamarides M, Stemmer-Rachamimov AO, Niwa-Kawakita M, Chareyre F, Taranchon E, Han Z-Y, et al. Identification of a progenitor cell of origin capable of generating diverse meningioma histological subtypes. Oncogene [Internet]. 2011 May 17 [cited 2019 Oct 6];30(20):2333–44. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21242963
  • 24. Clark VE, Erson-Omay EZ, Serin A, Yin J, Cotney J, Ozduman K, et al. Genomic analysis of non-NF2 meningiomas reveals mutations in TRAF7, KLF4, AKT1, and SMO. Science [Internet]. 2013 Mar 1 [cited 2016 Jul 7];339(6123):1077–80. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23348505
  • 25. Patel AJ, Wan Y-W, Al-Ouran R, Revelli J-P, Cardenas MF, Oneissi M, et al. Molecular profiling predicts meningioma recurrence and reveals loss of DREAM complex repression in aggressive tumors. Proc Natl Acad Sci [Internet]. 2019 Oct 22 [cited 2019 Nov 14];116(43):21715–26. Available from: http://www.ncbi.nlm.nih.gov/pubmed/31591222
  • 26. Rohringer M, Sutherland GR, Louw DF, Sima AA. Incidence and clinicopathological features of meningioma. J Neurosurg [Internet]. 1989 Nov [cited 2019 Oct 6];71(5 Pt 1):665–72. Available from: https://thejns.org/view/journals/j-neurosurg/71/5/article-p665.xml
  • 27. Perry A, Stafford SL, Scheithauer BW, Suman VJ, Lohse CM. Meningioma grading: An analysis of histologic parameters. Am J Surg Pathol [Internet]. 1997 Dec [cited 2019 Nov 5];21(12):1455–65. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9414189
  • 28. Hwang WL, Marciscano AE, Niemierko A, Kim DW, Stemmer-Rachamimov AO, Curry WT, et al. Imaging and extent of surgical resection predict risk of meningioma recurrence better than WHO histopathological grade. Neuro Oncol [Internet]. 2016 Jun [cited 2016 May 20];18(6):863–72. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26597949
  • 29. Nakasu S, Nakasu Y, Nakajima M, Matsuda M, Handa J. Preoperative identification of meningiomas that are highly likely to recur. J Neurosurg [Internet]. 1999 Mar [cited 2019 Oct 6];90(3):455–62. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10067913
  • 30. Zhou P, Ma W, Yin S, Li Y, Jiang S. Three risk factors for WHO grade II and III meningiomas: A study of 1737 cases from a single center. Neurol India [Internet]. 2013 [cited 2019 May 10];61(1):40. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23466838
  • 31. Hsu DW, Efird JT, Hedley-Whyte ET. Progesterone and estrogen receptors in meningiomas: Prognostic considerations. J Neurosurg [Internet]. 1997 Jan [cited 2019 Oct 6];86(1):113–20. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8988089
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  • 33. Wolfsberger S, Doostkam S, Boecher-Schwarz H-G, Roessler K, van Trotsenburg M, Hainfellner JA, et al. Progesterone-receptor index in meningiomas: Correlation with clinico-pathological parameters and review of the literature. Neurosurg Rev [Internet]. 2004 Oct 27 [cited 2019 Oct 6];27(4):238–45. Available from: http://link.springer.com/10.1007/s10143-004-0340-y
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  • 38. Cahill KS, Claus EB. Treatment and survival of patients with nonmalignant intracranial meningioma: results from the Surveillance, Epidemiology, and End Results Program of the National Cancer Institute. Clinical article. J Neurosurg [Internet]. 2011 Aug [cited 2015 Sep 12];115(2):259–67. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3256743&tool=pmcentrez&rendertype=abstract
  • 39. de Vries J, Wakhloo AK. Cerebral oedema associated with WHO-I, WHO-II, and WHO-III meningiomas: Correlation of clinical, computed tomographic, operative and histological findings. Acta Neurochir (Wien) [Internet]. 1993 [cited 2019 Nov 1];125(1–4):34–40. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8122553
  • 40. Kasuya H, Kubo O, Tanaka M, Amano K, Kato K, Hori T. Clinical and radiological features related to the growth potential of meningioma. Neurosurg Rev [Internet]. 2006 Oct 5 [cited 2019 Nov 2];29(4):293–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16953450
  • 41. Hsu C-C, Pai C-Y, Kao H-W, Hsueh C-J, Hsu W-L, Lo C-P. Do aggressive imaging features correlate with advanced histopathological grade in meningiomas? J Clin Neurosci [Internet]. 2010 May [cited 2019 Nov 3];17(5):584–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20219376
  • 42. Kim B-W, Kim M-S, Kim S-W, Chang C-H, Kim O-L. Peritumoral brain edema in meningiomas : correlation of radiologic and pathologic features. J Korean Neurosurg Soc [Internet]. 2011 Jan [cited 2019 Nov 16];49(1):26–30. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21494359
  • 43. Lin B-J, Chou K-N, Kao H-W, Lin C, Tsai W-C, Feng S-W, et al. Correlation between magnetic resonance imaging grading and pathological grading in meningioma. J Neurosurg [Internet]. 2014 Nov [cited 2019 Nov 1];121(5):1201–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25148010
  • 44. Liu Y, Chotai S, Chen M, Jin S, Qi S, Pan J. Preoperative radiologic classification of convexity meningioma to predict the survival and aggressive meningioma behavior. Sherman JH, editor. PLoS One [Internet]. 2015 Mar 18 [cited 2019 Nov 1];10(3):e0118908. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25786236
Toplam 44 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makaleleri
Yazarlar

Mustafa Güdük

Baran Bozkurt

Murat Şakir Ekşi

Murat İmre Usseli

Mustafa Necmettin Pamir

Yayımlanma Tarihi 16 Aralık 2020
Gönderilme Tarihi 5 Ekim 2020
Yayımlandığı Sayı Yıl 2021Cilt: 12 Sayı: 1

Kaynak Göster

EndNote Güdük M, Bozkurt B, Ekşi MŞ, Usseli Mİ, Pamir MN (01 Aralık 2020) Pre-operative predictive factors of grade II and III meningiomas. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 12 1 1–6.

Cited By

Treatment and follow-up results of WHO grade II meningiomas
Journal of Clinical Neuroscience
https://doi.org/10.1016/j.jocn.2021.07.022
 Kapak Resmi İndir