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KMID : 0942820070060010015
Journal of Korean Brain Tumor Society
2007 Volume.6 No. 1 p.15 ~ p.18
Clinical Experiences of Atypical Meningioma
Han Seong-Rok

Lee Gi-Taek
Choi Chan-Young
Son Moon-Jun
Lee Dong-Joon
Whang Choong-Jin
Abstract
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.
KEYWORD
Atypical meningioma, Gross total removal, Subtotal removal, Local control, Novalis radiosur
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