KMID : 0942820070060010015
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Journal of Korean Brain Tumor Society 2007 Volume.6 No. 1 p.15 ~ p.18
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Clinical Experiences of Atypical Meningioma
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Han Seong-Rok
Lee Gi-Taek Choi Chan-Young Son Moon-Jun Lee Dong-Joon Whang Choong-Jin
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Abstract
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Objective£ºAtypical meningiomas(AMs) are difficult tumors to manage. The authors evaluate local control and survival after primary surgery for patients with AMs.
Methods£ºOf the 108 meningioma patients surgically treated between 2000 and 2005, pathologically proven 10 AMs were reviewed. Mean follow-up periods were 35.9(range, 7-68) months.
Results£ºFour(40%) had local recurrences during the follow-up, of which 1(14%) of 7 gross total removal and 3(100%) of 3 subtotal removal. The mean time to recurrence was 33.8 months. The overall 3-year local control rates were 70%. All patients were survived during follow-up period. Seven(70%) patients were treated Novalis radiosurgery. 3 patients had residual tumors and 4 patients had recurrent tumor.
Conclusion£ºThe aim of treatment for AMs is to resect totally as possible. Radiosurgery for remnant or recurrent AMs could be considered as adjuvant therapy, although further study is mandatory.
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KEYWORD
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Atypical meningioma, Gross total removal, Subtotal removal, Local control, Novalis radiosur
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