Japanese Journal of Neurosurgery
Online ISSN : 2187-3100
Print ISSN : 0917-950X
ISSN-L : 0917-950X
SPECIAL ISSUES Diagnosis and Treatment of Benign Brain Tumors
Treatment Strategy of Meningiomas based on the Pathological Diagnosis
Hidehiro Oka, Arie Perry, Bernd W. Scheithauer
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JOURNAL OPEN ACCESS

2013 Volume 22 Issue 2 Pages 90-95

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Abstract
  Meningioma is a meningothelial (arachnoidal) cell neoplasm, typically attached to the inner surface of the dura mater. Most meningiomas are benign and correspond to WHO grade I. Certain histological subtypes or meningiomas with specific combinations of morphologic parameters are associated with less favourable clinical outcomes and correspond to WHO grade II, including chordoid, clear cell, and atypical meningiomas, and grade III, including papillary, rhabdoid, and anaplastic meningiomas. The treatment strategy for meningiomas is total removal. While benign meningiomas have recurrence rates of about 7-25%, WHO grade II meningiomas recur in 29-52% of cases and grade III meningiomas at rates of 50-94%. Thus, radiotherapy for grade II and III meningiomas after tumor removal may be needed.
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© 2013 The Japanese Congress of Neurological Surgeons

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https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
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