Advertisement

Meningioma: Surgery Perspective

  • Lawrence S. Chin
  • Pulak Ray
  • John Caridi

Abstract

The first successful documented resection of a meningioma—a benign, slow-growing tumor—was performed by Zanobi Pecchiolo (1801–1866) at Siena University. In a vast surgical series published in 1847, 1524 cases were described, one of which was a large meningioma removed from the right sinciput through a triangular flap. Then on December 15, 1887, William W. Keen (1837–1932) was the first neurosurgeon to successfully resect a meningioma in the United States. The patient proceeded to survive for 30 years without any clinical signs of recurrence [1]. Because of much debate over the etiology and pathogenesis of this tumor, it was not until 1922 that Harvey Cushing, in his text entitled Meningiomas, Their Classification, Regional Behavior, Life History, and Surgical End Results, characterized the tumor as a meningioma, thus leaving room for the histogenetic type to be clarified [2], [3]. It is now known that meningiomas arise from transformed arachnoid cap cells that form slow-growing tumors that are attached to the overlying dura [4]. Whereas most are well circumscribed, approximately 10% spread diffusely following and sometimes invading the contours of the underlying bone. These are termed meningioma en plaque and are much more difficult to resect. Histologically, the World Health Organization (WHO) has separated meningiomas into three grades based on microscopic appearance [5].

Keywords

Optic Nerve Cavernous Sinus Gamma Knife Radiosurgery Tinea Capitis Preoperative Embolization 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Keen W. Three successful cases of cerebral surgery. J Med Sci 1888; 96:329–357, 452–465.CrossRefGoogle Scholar
  2. 2.
    Al-Mefty O. Meningiomas. New York: Raven Press, 1991.Google Scholar
  3. 3.
    Cushing H, Eisenhardt L. Meningiomas: Their Classification, Regional Behavior, Life History, and Surgical End Results. Springfield, IL: Charles C. Thomas, 1938.Google Scholar
  4. 4.
    Kallio M, Sankila R, Hakulinen T, Jaaskelainen J. Factors affecting operative and excess long-term mortality in 935 patients with intracranial meningioma. Neurosurgery 1992; 31:2–12.CrossRefPubMedGoogle Scholar
  5. 5.
    Kleihues P, Louis DN, Scheithauer BW, et al. The WHO classification of tumors of the nervous system. J Neuropathol Exp Neurol 2002; 61:215–225;discussion 226–219.PubMedGoogle Scholar
  6. 6.
    CBTRUS (2005). Statistical Report: Primary Brain Tumors in the United States, 1998–2002. Central Brain Tumor Registry of the United States. Hinsdale, IL, USA.Google Scholar
  7. 7.
    Nakasu S, Hirano A, Shimura T, Llena JF. Incidental meningiomas in autopsy study. Surg Neurol 1987; 27:319–322.CrossRefPubMedGoogle Scholar
  8. 8.
    Phillips LE, Koepsell TD, van Belle G, al. History of head trauma and risk of intracranial meningioma: population-based case-control study. Neurology 2002; 58:1849–1852.PubMedGoogle Scholar
  9. 9.
    Preston-Martin S, Pogoda JM, Schlehofer B, et al. An international case-control study of adult glioma and meningioma: the role of head trauma. Int J Epidemiol 1998; 27:579–586.CrossRefPubMedGoogle Scholar
  10. 10.
    Krieg P, Scherer G. Cloning of SV40 genomes from human brain tumors. Virology 1984; 138:336–340.CrossRefPubMedGoogle Scholar
  11. 11.
    Custer BS, Koepsell TD, Mueller BA. The association between breast carcinoma and meningioma in women. Cancer 2002; 94:1626–1635.CrossRefPubMedGoogle Scholar
  12. 12.
    Modan B, Baidatz D, Mart H, et al. Radiation-induced head and neck tumours. Lancet 1974; 1:277–279.CrossRefPubMedGoogle Scholar
  13. 13.
    Joachim T, Ram Z, Rappaport ZH, et al. Comparative analysis of the NF2, TP53, PTEN, KRAS, NRAS and HRAS genes in sporadic and radiation-induced human meningiomas. Int J Cancer 2001; 94:218–221.CrossRefPubMedGoogle Scholar
  14. 14.
    Lieu AS, Howng SL. Intracranial meningiomas and epilepsy: incidence, prognosis and influencing factors. Epilepsy Res 2000; 38:45–52.CrossRefPubMedGoogle Scholar
  15. 15.
    DiBiase SJ, Kwok Y, Yovino S, et al. Factors predicting local tumor control after gamma knife stereotactic radiosurgery for benign intracranial meningiomas. Int J Radiat Oncol Biol Phys 2004; 60:1515–1519.PubMedGoogle Scholar
  16. 16.
    Simpson D. The recurrence of intracranial meningiomas after surgical treatment. J Neurol Neurosurg Psychiatry 1957; 20:22–39.CrossRefPubMedGoogle Scholar
  17. 17.
    Borovich B, Doron Y. Recurrence of intracranial meningiomas: the role played by regional multicentricity. J Neurosurg 1986; 64:58–63.CrossRefPubMedGoogle Scholar
  18. 18.
    Borovich B, Doron Y, Braun J, et al. Recurrence of intracranial meningiomas: the role played by regional multicentricity. Part 2: clinical and radiological aspects. J Neurosurg 1986; 65:168–171.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Lawrence S. Chin
    • 1
  • Pulak Ray
    • 2
  • John Caridi
    • 3
  1. 1.Department of NeurosurgeryBoston University School of MedicineBostonUSA
  2. 2.Department of NeurosurgeryTemple UniversityPhiladelphiaUSA
  3. 3.Department of NeurosurgeryUniversity of MarylandBaltimoreUSA

Personalised recommendations