Incidental Meningiomas: Management in the Neuroimaging Era

被引:17
作者
Spasic, Marko [1 ]
Pelargos, Panayiotis E. [1 ]
Barnette, Natalie [1 ]
Bhatt, Nikhilesh S. [1 ]
Lee, Seung James [1 ]
Ung, Nolan [1 ]
Gopen, Quinton [2 ]
Yang, Isaac [1 ]
机构
[1] Univ Calif Los Angeles, Dept Neurol Surg, Box 956901, Los Angeles, CA 90095 USA
[2] Univ Calif Los Angeles, Dept Otolaryngol Head & Neck Surg, 10833 Le Conte Ave,CHS 62-132, Los Angeles, CA 90095 USA
关键词
Meningiomas; Neuroimaging; MRI; Computed tomography; PRIMARY BRAIN-TUMORS; NATURAL-HISTORY; STEREOTACTIC RADIOSURGERY; INTRACRANIAL MENINGIOMAS; ASYMPTOMATIC MENINGIOMAS; ATYPICAL MENINGIOMAS; COMPUTED-TOMOGRAPHY; CLINICAL-FEATURES; ELDERLY-PATIENTS; GROWTH-PATTERN;
D O I
10.1016/j.nec.2015.11.012
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The number of patient imaging studies has increased because of precautious physicians ordering scans when a vague symptom is presented; subsequently, the number of incidental meningiomas detected has increased as well. These brain tumors do not present with related symptoms and are usually small. MRI and computed tomographic scans most frequently capture incidental meningiomas. Incidental meningiomas are managed with observation, radiation, and surgical resection. Ultimately, a conservative approach is recommended, such as observing an incidental meningioma and then only radiating if the tumor displays growth, whereas a surgical approach is to be used only when proven necessary.
引用
收藏
页码:229 / +
页数:11
相关论文
共 96 条
[1]   LONG-TERM RECURRENCE RATES OF ATYPICAL MENINGIOMAS AFTER GROSS TOTAL RESECTION WITH OR WITHOUT POSTOPERATIVE ADJUVANT RADIATION [J].
Aghi, Manish K. ;
Carter, Bob S. ;
Cosgrove, Garth R. ;
Ojemann, Robert G. ;
Amin-Hanjani, Sepideh ;
Martuza, Robert L. ;
Curry, William T., Jr. ;
Barker, Fred G., II .
NEUROSURGERY, 2009, 64 (01) :56-60
[2]   Tc-99m MIBI uptake and its relation to the proliferative potential of brain tumors [J].
Ak, L ;
Gülbas, Z ;
Altinel, F ;
Vardareli, E .
CLINICAL NUCLEAR MEDICINE, 2003, 28 (01) :29-33
[3]   INTRACRANIAL MENINGIOMAS IN THE AGED - SURGICAL OUTCOME IN THE ERA OF COMPUTED-TOMOGRAPHY [J].
AWAD, IA ;
KALFAS, I ;
HAHN, JF ;
LITTLE, JR .
NEUROSURGERY, 1989, 24 (04) :557-560
[4]   SPET IMAGING OF INTRACRANIAL TUMORS WITH TC-99(M)-SESTAMIBI [J].
BAGNI, B ;
PINNA, L ;
TAMAROZZI, R ;
CATTARUZZI, E ;
MARZOLA, MC ;
BAGNI, I ;
CERUTI, S ;
VALENTINI, A ;
ZANASI, A ;
MAVILLA, L ;
GUERRA, PU ;
MERLI, AG .
NUCLEAR MEDICINE COMMUNICATIONS, 1995, 16 (04) :258-264
[5]   Tentorial meningiomas: Clinical results in 81 patients treated microsurgically [J].
Bassiouni, H ;
Hunold, A ;
Asgari, S ;
Stolke, D .
NEUROSURGERY, 2004, 55 (01) :108-116
[6]  
Bertagna F, 2013, CLIN NUCL MED, V38, pE435, DOI 10.1097/RLU.0b013e31827a22f7
[7]   USE OF TL-201 SPECT TO QUANTITATE MALIGNANCY GRADE OF GLIOMAS [J].
BLACK, KL ;
HAWKINS, RA ;
KIM, KT ;
BECKER, DP ;
LERNER, C ;
MARCIANO, D .
JOURNAL OF NEUROSURGERY, 1989, 71 (03) :342-346
[8]   Stereotactic radiosurgery for benign meningiomas [J].
Bloch, Orin ;
Kaur, Gurvinder ;
Jian, Brian J. ;
Parsa, Andrew T. ;
Barani, Igor J. .
JOURNAL OF NEURO-ONCOLOGY, 2012, 107 (01) :13-20
[9]   TYPICAL, ATYPICAL, AND MISLEADING FEATURES IN MENINGIOMA [J].
BUETOW, MP ;
BUETOW, PC ;
SMIRNIOTOPOULOS, JG .
RADIOGRAPHICS, 1991, 11 (06) :1087-1106
[10]  
Chamberlain MC, 2011, EXPERT REV NEUROTHER, V11, P1425, DOI [10.1586/ern.11.38, 10.1586/ern.11.104, 10.1586/ERN.11.38]