Novel Therapeutic Approaches in Neoplastic Meningitis

Central nervous system (CNS) metastasis from systemic cancers can involve the brain parenchyma, leptomeninges, or the dura. Neoplastic meningitis (NM), also known by different terms, including leptomeningeal carcinomatosis and carcinomatous meningitis, occurs due to solid tumors and hematologic mali...

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Main Authors: Atulya Aman Khosla, Shreya Saxena, Ahmad Ozair, Vyshak Alva Venur, David M. Peereboom, Manmeet S. Ahluwalia
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/15/1/119
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author Atulya Aman Khosla
Shreya Saxena
Ahmad Ozair
Vyshak Alva Venur
David M. Peereboom
Manmeet S. Ahluwalia
author_facet Atulya Aman Khosla
Shreya Saxena
Ahmad Ozair
Vyshak Alva Venur
David M. Peereboom
Manmeet S. Ahluwalia
author_sort Atulya Aman Khosla
collection DOAJ
description Central nervous system (CNS) metastasis from systemic cancers can involve the brain parenchyma, leptomeninges, or the dura. Neoplastic meningitis (NM), also known by different terms, including leptomeningeal carcinomatosis and carcinomatous meningitis, occurs due to solid tumors and hematologic malignancies and is associated with a poor prognosis. The current management paradigm entails a multimodal approach focused on palliation with surgery, radiation, and chemotherapy, which may be administered systemically or directly into the cerebrospinal fluid (CSF). This review focuses on novel therapeutic approaches, including targeted and immunotherapeutic agents under investigation, that have shown promise in NM arising from solid tumors.
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spelling doaj.art-0b432f051d244617a237502a4aa34dc72023-11-16T15:01:53ZengMDPI AGCancers2072-66942022-12-0115111910.3390/cancers15010119Novel Therapeutic Approaches in Neoplastic MeningitisAtulya Aman Khosla0Shreya Saxena1Ahmad Ozair2Vyshak Alva Venur3David M. Peereboom4Manmeet S. Ahluwalia5Miami Cancer Institute, Baptist Health South Florida, Miami, FL 33176, USAMiami Cancer Institute, Baptist Health South Florida, Miami, FL 33176, USAMiami Cancer Institute, Baptist Health South Florida, Miami, FL 33176, USAFred Hutchinson Cancer Center, University of Washington, Seattle, WA 98109, USACleveland Clinic Lerner College of Medicine, Cleveland Clinic Main Campus, Cleveland, OH 44195, USAMiami Cancer Institute, Baptist Health South Florida, Miami, FL 33176, USACentral nervous system (CNS) metastasis from systemic cancers can involve the brain parenchyma, leptomeninges, or the dura. Neoplastic meningitis (NM), also known by different terms, including leptomeningeal carcinomatosis and carcinomatous meningitis, occurs due to solid tumors and hematologic malignancies and is associated with a poor prognosis. The current management paradigm entails a multimodal approach focused on palliation with surgery, radiation, and chemotherapy, which may be administered systemically or directly into the cerebrospinal fluid (CSF). This review focuses on novel therapeutic approaches, including targeted and immunotherapeutic agents under investigation, that have shown promise in NM arising from solid tumors.https://www.mdpi.com/2072-6694/15/1/119neoplasticmeningitisleptomeningealchemotherapyradiotherapyintrathecal
spellingShingle Atulya Aman Khosla
Shreya Saxena
Ahmad Ozair
Vyshak Alva Venur
David M. Peereboom
Manmeet S. Ahluwalia
Novel Therapeutic Approaches in Neoplastic Meningitis
Cancers
neoplastic
meningitis
leptomeningeal
chemotherapy
radiotherapy
intrathecal
title Novel Therapeutic Approaches in Neoplastic Meningitis
title_full Novel Therapeutic Approaches in Neoplastic Meningitis
title_fullStr Novel Therapeutic Approaches in Neoplastic Meningitis
title_full_unstemmed Novel Therapeutic Approaches in Neoplastic Meningitis
title_short Novel Therapeutic Approaches in Neoplastic Meningitis
title_sort novel therapeutic approaches in neoplastic meningitis
topic neoplastic
meningitis
leptomeningeal
chemotherapy
radiotherapy
intrathecal
url https://www.mdpi.com/2072-6694/15/1/119
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AT davidmpeereboom noveltherapeuticapproachesinneoplasticmeningitis
AT manmeetsahluwalia noveltherapeuticapproachesinneoplasticmeningitis