Entrar/Registro  
HOME SPANISH
 
Revista de Ciencias Médicas de Pinar del Río
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Revista de Ciencias Médicas de Pinar del Río >Year 2014, Issue 2


Nguema AC, Rodríguez RJF, Rodríguez VOL, Arenas RI, Boffill CAM
Recurrent postsurgical intracranial meningiomas
Rev Ciencias Médicas 2014; 18 (2)

Language: Español
References: 20
Page: 231-243
PDF: 166.92 Kb.


Full text




ABSTRACT

Introduction: histological stage and extent of initial surgical resection has been considered decisive prognostic factors in meningiomas.
Objective: to determine the behavior of recurrent intracranial meningiomas operated at Abel Santamaría Cuadrado Hospital during the period 2010-2013.
Method: a quasi-experimental, descriptive and applied longitudinal study was carried out. The study group consisted of 46 patients operated at the Neurosurgery Service, while the sample comprised 8 relapsing patients who met the inclusion criteria. Specific data is collected from the individuals´ medical records. A database was compiled to facilitate information processing, with the help of the professional software SPSS 15.0. To carry out the analysis we used comparison test ofproportions for independent samples.
Results: the degree of recurrence is higher in the skull base (50%) and in the parasagittal region (33.3%). More than 50% of the operated cases belong to stage I, while those who relapsed were in stages II and III (62.5%). The shortest time for recurrence was 14 and 6 months in patients with high-grade malignancy and subtotal removal. The site of recurrence was more related to the temporal area oft he skull base and the greater wing of the sphenoid.
Conclusions: the recurrence of intracranial meningiomas was associated with the histological stage, tumor resection, the surgical technique used and the approach, regardless of the extent of surgical resection.


Key words: Meningioma, Histology, General surgery.


REFERENCIAS

  1. González Orlandi Y, Elizondo Barrier L, Junco Martín R, Rojas Manresa J, Duboy Limonta V, et al. Meningioma maligno. Rev Cubana Cir. 2011 Mar; 50(1): 108-114.

  2. Sughrue ME, Kane Ari J, Shangari G, Rutkowski MJ, McDermott MW, et al. The relevance of Simpson Grade I and II resection in modern neurosurgical treatment of World Health Organization Grade I meningiomas. Journal of Neurosurgery. 2010; 113(5): 1029-1035.

  3. Kawai K, Nakatomi H., Saito N. Significance of Simpson grading system in modern meningioma surgery: integration of the grade with MIB-1 labeling index as a key to predict the recurrence of WHO Grade I meningiomas. Journal of Neurosurgery. 2012; 117(1): 121-8.

  4. Munsell FM, Mahajan A, DeMonte F, Woo SY. A comparison of World Health Organization tumor grades at recurrence in patients with non-skull base and skull base meningiomas. Journal of Neurosurgery. 2010; 112(5): 925-33.

  5. Mirimanoff RO, Dosoretz DE, Linggood RM, Ojemann RG, Martuza RL. Meningioma: analysis of recurrence and progression following neurosurgical resection. Journal of Clinical Neuroscience. 1985; 62(1):18-24.

  6. Alvernia JE, Dang ND, Sindou MP. Convexity meningiomas: study of recurrence factors with special emphasis on the cleavage plane in a series of 100 consecutive patients. Journal of Neurosurgery. 2011; 115(3): 491-8.

  7. Heros RC . Simpson grade and treatment. Journal of Neurosurgery. 2010; 113(5): 1026-1027.

  8. Hou L, Harsh GR. Management of recurrent gliomas and meningiomas. 2012; 347-71.

  9. Ohba S, Kobayashi M, Horiguchi T, Onozuka S, Yoshida K et al. Long-term surgical outcome and biological prognostic factors in patients with skull base meningiomas. Journal of Clinical Neuroscience. 2011; 114(5).

  10. Sughrue M.E, Rutkowski MJ, Shangari GB., Parsa AT, Berger MS, McDermott MW. Results with judicious modern neurosurgical management of parasagittal and falcine meningiomas. Journal of Neurosurgery. 2011; 114( 3): 731-737.

  11. Attia M, Umansk F, Paldor I, Dotan S, Shoshan Y, Spektor S. Giant anterior clinoidal meningiomas: surgical technique and outcomes. Journal of Neurosurgery. 2012; 117(4): 654-665.

  12. Liu JK. Microsurgical resection of giant intraventricular meningioma. Neurosurgical Focus: Special Supplements. 2013;34(1 Suppl): 1-1.

  13. Hasegawa T, Kida Y, Yoshimoto M, Lizuka H, Ishii D, Yoshida K . Gamma Knife surgery for convexity, parasagittal, and falcine meningiomas.journal of neurosurgery. 2011; 114(5): 1392-1398.

  14. Curey S, Derrey S, Hannequin P, Hannequin D, Fréger P, Muraine M. Et al. Validation of the superior interhemispheric approach for tuberculum sellae meningioma. Journal of neurosurgery. 2012; 117(6): 1013-21.

  15. Sanai N, McDermott MW. A modified far-lateral approach for large or giant meningiomas of the posterior fossa.journal of neurosurgery. 2010; 112(5) 907-12.

  16. Chokyu I, Got T, Ishibashi K, Nagata T, Ohata K. Bilateral subfrontal approach for tuberculum sellae meningiomas in long-term postoperative visual outcome. Journal of neurosurgery. 2011; 115(4): 802-10.

  17. Wong JM, Jaykar R, Panchmatia JR, Chir B, Ziewacz JE, Bader AM.et al. Patterns in neurosurgical adverse events: intracranial neoplasm surgery. Journal of neurosurgery. 2012; 33(5): E16.

  18. Lah TT, Nanni I, Trinkaus M, Metellus P, Dussert C,et al. Toward understanding recurrent meningioma: the potential role of lysosomal cysteine proteases and their inhibitors. Journal of Neurosurgery. 2010; 112(5): 940-50.

  19. Couldwell WT, Cole CD, Al-Mefty O. Patterns of skull base meningioma progression after failed radiosurgery. Collections. 2011; 15(4): 30-35.

  20. McGovern SL, Aldape KD, Munsell MF, Mahajan A, DeMonte F, Woo SY et al. A comparison of World Health Organization tumor grades at recurrence in patients with non-skull base and skull base meningiomas. Journal of Neurosurgery. 2010; 112(5): 925-33.






>Journals >Revista de Ciencias Médicas de Pinar del Río >Year 2014, Issue 2
 

· Journal Index 
· Links 






       
Copyright 2019