Meningioma: A Review of Clinicopathological and Molecular Aspects

Meningiomas are the most the common primary brain tumors in adults, representing approximately a third of all intracranial neoplasms. They classically are found to be more common in females, with the exception of higher grades that have a predilection for males, and patients of older age. Meningioma...

Full description

Bibliographic Details
Main Authors: Kristin Huntoon, Angus Martin Shaw Toland, Sonika Dahiya
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-10-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2020.579599/full
_version_ 1818242189110542336
author Kristin Huntoon
Angus Martin Shaw Toland
Sonika Dahiya
author_facet Kristin Huntoon
Angus Martin Shaw Toland
Sonika Dahiya
author_sort Kristin Huntoon
collection DOAJ
description Meningiomas are the most the common primary brain tumors in adults, representing approximately a third of all intracranial neoplasms. They classically are found to be more common in females, with the exception of higher grades that have a predilection for males, and patients of older age. Meningiomas can also be seen as a spectrum of inherited syndromes such as neurofibromatosis 2 as well as ionizing radiation. In general, the 5-year survival for a WHO grade I meningioma exceeds 80%; however, survival is greatly reduced in anaplastic meningiomas. The standard of care for meningiomas in a surgically-accessible location is gross total resection. Radiation therapy is generally saved for atypical, anaplastic, recurrent, and surgically inaccessible benign meningiomas with a total dose of ~60 Gy. However, the method of radiation, regimen and timing is still evolving and is an area of active research with ongoing clinical trials. While there are currently no good adjuvant chemotherapeutic agents available, recent advances in the genomic and epigenomic landscape of meningiomas are being explored for potential targeted therapy.
first_indexed 2024-12-12T13:41:16Z
format Article
id doaj.art-634e809a466f4d898fdc068769c52021
institution Directory Open Access Journal
issn 2234-943X
language English
last_indexed 2024-12-12T13:41:16Z
publishDate 2020-10-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj.art-634e809a466f4d898fdc068769c520212022-12-22T00:22:48ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2020-10-011010.3389/fonc.2020.579599579599Meningioma: A Review of Clinicopathological and Molecular AspectsKristin Huntoon0Angus Martin Shaw Toland1Sonika Dahiya2Department of Neurological Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, United StatesDepartment of Pathology, Stanford University, Stanford, CA, United StatesDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, United StatesMeningiomas are the most the common primary brain tumors in adults, representing approximately a third of all intracranial neoplasms. They classically are found to be more common in females, with the exception of higher grades that have a predilection for males, and patients of older age. Meningiomas can also be seen as a spectrum of inherited syndromes such as neurofibromatosis 2 as well as ionizing radiation. In general, the 5-year survival for a WHO grade I meningioma exceeds 80%; however, survival is greatly reduced in anaplastic meningiomas. The standard of care for meningiomas in a surgically-accessible location is gross total resection. Radiation therapy is generally saved for atypical, anaplastic, recurrent, and surgically inaccessible benign meningiomas with a total dose of ~60 Gy. However, the method of radiation, regimen and timing is still evolving and is an area of active research with ongoing clinical trials. While there are currently no good adjuvant chemotherapeutic agents available, recent advances in the genomic and epigenomic landscape of meningiomas are being explored for potential targeted therapy.https://www.frontiersin.org/articles/10.3389/fonc.2020.579599/fullmeningiomatargeted treatmentmolecular diagnosisimmunotherapyneurosurgeryclinical trials
spellingShingle Kristin Huntoon
Angus Martin Shaw Toland
Sonika Dahiya
Meningioma: A Review of Clinicopathological and Molecular Aspects
Frontiers in Oncology
meningioma
targeted treatment
molecular diagnosis
immunotherapy
neurosurgery
clinical trials
title Meningioma: A Review of Clinicopathological and Molecular Aspects
title_full Meningioma: A Review of Clinicopathological and Molecular Aspects
title_fullStr Meningioma: A Review of Clinicopathological and Molecular Aspects
title_full_unstemmed Meningioma: A Review of Clinicopathological and Molecular Aspects
title_short Meningioma: A Review of Clinicopathological and Molecular Aspects
title_sort meningioma a review of clinicopathological and molecular aspects
topic meningioma
targeted treatment
molecular diagnosis
immunotherapy
neurosurgery
clinical trials
url https://www.frontiersin.org/articles/10.3389/fonc.2020.579599/full
work_keys_str_mv AT kristinhuntoon meningiomaareviewofclinicopathologicalandmolecularaspects
AT angusmartinshawtoland meningiomaareviewofclinicopathologicalandmolecularaspects
AT sonikadahiya meningiomaareviewofclinicopathologicalandmolecularaspects