Intracranial Grade II Meningioma Oligometastatic to the Cervical Spine

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2021 Feb 25

PMID 33628677

Authors

Jyotsna M Natarajan

Donald E Born

Griffith Harsh

Lawrence M Shuer

Scott G Soltys

Affiliations

Soon will be listed here.

Abstract

For intracranial meningiomas that metastasize extracranially, an oligometastatic state exists that is intermediate between incurable, widely metastatic disease and non-metastatic curable disease. Similar to oligometastatic cancer, aggressive local treatment of meningioma oligometastases is warranted, as it may be curable. We present a patient with multiply recurrent intracranial meningiomas over 19 years, with a transformation from grade I to grade II histology, with oligometastatic disease to the C5 vertebral body. Three years following definitive spinal stereotactic radiosurgery, she remains without evidence of other metastatic diseases. Our case highlights the oncologic concept that metastatic meningioma need not be widely disseminated and provides the clinical rationale for aggressive local treatment of an oligometastatic meningioma.

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