Abstract
Up to 40% of meningiomas correspond to non-benign subtypes associated with two-fold increased relative risk of local failure and four-fold relative excess risk of death. Among them atypical grade II meningiomas comprise over 90% of cases and exhibit heterogeneous clinical outcomes. Several recent studies have performed detailed clinical and molecular-genetic characterization of these neoplasms in order to clarify their pathogenesis and elucidate potential predictive, prognostic and therapeutic markers that may help guide clinical management. Results of these investigations have implicated gain of genetic material on chromosome 1q with increased recurrence and/or progression of tumor and have identified associations of bone involvement with both progression and death in atypical meningioma. Important future challenges in meningioma research include the investigation of large-scale and focal genomic alterations in multi-institutional collaborations and the assessment of whether more thorough bone assessment and bone-directed treatment can improve the heterogeneous outcomes in the unpredictable atypical subtype of the disease.
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Arslantas A, Artan S, Oner U, Durmaz R, Muslumanoglu H, Atasoy MA, Basaran N, Tel E (2002) Comparative genomic hybridization analysis of genomic alterations in benign, atypical and anaplastic meningiomas. Acta Neurol Belg 102(2):53–62
Ayerbe J, Lobato RD, de la Cruz J, Alday R, Rivas JJ, Gomez PA, Cabrera A (1999) Risk factors predicting recurrence in patients operated on for intracranial meningioma. A multivariate analysis. Acta Neurochir (Wien) 141(9):921–932
Bello MJ, de Campos JM, Vaquero J, Kusak ME, Sarasa JL, Rey JA (2000) High-resolution analysis of chromosome arm 1p alterations in meningioma. Cancer Genet Cytogenet 120(1):30–36
Buckley PG, Jarbo C, Menzel U, Mathiesen T, Scott C, Gregory SG, Langford CF, Dumanski JP (2005) Comprehensive DNA copy number profiling of meningioma using a chromosome 1 tiling path microarray identifies novel candidate tumor suppressor loci. Cancer Res 65(7):2653–2661
Condra KS, Buatti JM, Mendenhall WM, Friedman WA, Marcus RB Jr, Rhoton AL (1997) Benign meningiomas: primary treatment selection affects survival. Int J Radiat Oncol Biol Phys 39(2):427–436
Cushing H (1922) The cranial hyperostoses produced by meningeal endotheliomas. Arch Neurol Psychiatry 8:139–154
De Jesus O, Toledo MM (2001) Surgical management of meningioma en plaque of the sphenoid ridge. Surg Neurol 55(5):265–269
Dziuk TW, Woo S, Butler EB, Thornby J, Grossman R, Dennis WS, Lu H, Carpenter LS, Chiu JK (1998) Malignant meningioma: an indication for initial aggressive surgery and adjuvant radiotherapy. J Neurooncol 37(2):177–188
Gabeau-Lacet D, Gupta S, Scangas GA, Betensky RA, Barker FG 2nd, Loeffler JS, Louis DN, Mohapatra G (2009a) Genomic profiling of atypical meningiomas associates gain of 1q with poor clinical outcome. J Neuropathol Exp Neurol 68(10):1155–1165
Gabeau-Lacet D, Aghi M, Betensky RA, Barker FG, Loeffler JS, Louis DN (2009b) Bone involvement predicts poor outcome in atypical meningioma. J Neurosurg 111(3):464–471
Goyal LK, Suh JH, Mohan DS, Prayson RA, Lee J, Barnett GH (2000) Local control and overall survival in atypical meningioma: a retrospective study. Int J Radiat Oncol Biol Phys 46(1):57–61
Heick A, Mosdal C, Jorgensen K, Klinken L (1993) Localized cranial hyperostosis of meningiomas: a result of neoplastic enzymatic activity? Acta Neurol Scand 87(3):243–247
Jaaskelainen J (1986) Seemingly complete removal of histologically benign intracranial meningioma: late recurrence rate and factors predicting recurrence in 657 patients. A multivariate analysis. Surg Neurol 26(5):461–469
Kajimoto Y, Kuroiwa T, Miyatake S, Ichioka T, Miyashita M, Tanaka H, Tsuji M (2007) Use of 5-aminolevulinic acid in fluorescence-guided resection of meningioma with high risk of recurrence. Case report. J Neurosurg 106(6):1070–1074
Kallio M, Sankila R, Hakulinen T, Jaaskelainen J (1992) Factors affecting operative and excess long-term mortality in 935 patients with intracranial meningioma. Neurosurgery 31(1):2–12
Kim KS, Rogers LF, Lee C (1983) The dural lucent line: characteristic sign of hyperostosing meningioma en plaque. AJR Am J Roentgenol 141(6):1217–1221
Lohmann CM, Brat DJ (2000) A conceptual shift in the grading of meningiomas. Adv Anat Pathol 7(3):153–157
Louis D, Ohgaki H, Wiestler O, Cavenee WK (2007) World Health Organization histological classification of tumours of the central nervous system. International Agency for Research on Cancer, Lyon
Maruno M, Yoshimine T, Muhammad AK, Ninomiya H, Hayakawa T (1998) Chromosomal losses and gains in meningiomas: comparative genomic hybridization (CGH) study of the whole genome. Neurol Res 20(7):612–616
Miller DC (1994) Predicting recurrence of intracranial meningiomas. A multivariate clinicopathologic model-interim report of the New York University Medical Center Meningioma Project. Neurosurg Clin N Am 5(2):193–200
Morofuji Y, Matsuo T, Hayashi Y, Suyama K, Nagata I (2008) Usefulness of intraoperative photodynamic diagnosis using 5-aminolevulinic acid for meningiomas with cranial invasion: technical case report. Neurosurgery 62(3 Suppl 1):102–103; discussion 103–104
Murakami M, Hashimoto N, Takahashi Y, Hosokawa Y, Inazawa J, Mineura K (2003) A consistent region of deletion on 1p36 in meningiomas: identification and relation to malignant progression. Cancer Genet Cytogenet 140(2):99–106
Ozaki S, Nishizaki T, Ito H, Sasaki K (1999) Comparative genomic hybridization analysis of genetic alterations associated with malignant progression of meningioma. J Neurooncol 41(2):167–174
Palma L, Celli P, Franco C, Cervoni L, Cantore G (1997) Long-term prognosis for atypical and malignant meningiomas: a study of 71 surgical cases. J Neurosurg 86(5):793–800
Perry A (2004) Unmasking the secrets of meningioma: a slow but rewarding journey. Surg Neurol 61(2):171–173
Perry A, Scheithauer BW, Stafford SL, Lohse CM, Wollan PC (1999) “Malignancy” in meningiomas: a clinicopathologic study of 116 patients, with grading implications. Cancer 85(9):2046–2056
Pieper DR, Al-Mefty O, Hanada Y, Buechner D (1999) Hyperostosis associated with meningioma of the cranial base: secondary changes or tumor invasion. Neurosurgery 44(4):742–746; discussion 746–747
Pinkel D, Segraves R, Sudar D, Clark S, Poole I, Kowbel D, Collins C, Kuo WL, Chen C, Zhai Y, Dairkee SH, Ljung BM, Gray JW, Albertson DG (1998) High resolution analysis of DNA copy number variation using comparative genomic hybridization to microarrays. Nat Genet 20(2):207–211
Ruttledge MHSJ, Rangaratnam S, Phelan CM, Twist E, Merel P, Delattre O, Thomas G, Nodenskjold M, Collins VP et al (1994) Evidence for the complete inactivation of the NF2 gene in the majority of sporadic meningiomas. Nat Genet 6(2):180–184
Simon M, von Deimling A, Larson JJ, Wellenreuther R, Kaskel P, Waha A, Warnick RE, Tew JM Jr, Menon AG (1995) Allelic losses on chromosomes 14, 10, and 1 in atypical and malignant meningiomas: a genetic model of meningioma progression. Cancer Res 55(20):4696–4701
Simpson D (1957) The recurrence of intracranial meningiomas after surgical treatment. J Neurol Neurosurg Psychiatry 20(1):22–39
Spiller W (1929) Cranial hyperostosis associated with underlying meningeal fibroblastoma. Arch Neurol Psychiatry 21:637–640
Stafford SL, Perry A, Suman VJ, Meyer FB, Scheithauer BW, Lohse CM, Shaw EG (1998) Primarily resected meningiomas: outcome and prognostic factors in 581 mayo clinic patients, 1978 through 1988. Mayo Clin Proc 73(10):936–942
Stummer W, Pichlmeier U, Meinel T, Wiestler OD, Zanella F, Reulen HJ (2006) Fluorescence-guided surgery with 5-aminolevulinic acid for resection of malignant glioma: a randomised controlled multicentre phase III trial. Lancet Oncol 7(5):392–401
Sulman EP, White PS, Brodeur GM (2004) Genomic annotation of the meningioma tumor suppressor locus on chromosome 1p34. Oncogene 23(4):1014–1020
Weber RG, Bostrom J, Wolter M, Baudis M, Collins VP, Reifenberger G, Lichter P (1997) Analysis of genomic alterations in benign, atypical, and anaplastic meningiomas: toward a genetic model of meningioma progression. Proc Natl Acad Sci USA 94(26):14719–14724
Willis J, Smith C, Ironside JW, Erridge S, Whittle IR, Everington D (2005) The accuracy of meningioma grading: a 10-year retrospective audit. Neuropathol Appl Neurobiol 31(2):141–149
Yang SY, Park CK, Park SH, Kim DG, Chung YS, Jung HW (2008) Atypical and anaplastic meningiomas: prognostic implication of clinicopathological features. J Neurol Neurosurg Psychiatry 79(5):574–580
Zang KD (2001) Meningioma: a cytogenetic model of a complex benign human tumor, including data on 394 karyotyped cases. Cytogenet Cell Genet 93(3–4):207–220
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Gabeau, D., Lui, Y.W. (2012). Genetic and Clinical Features Associated with Recurrence in Atypical Meningioma. In: Hayat, M. (eds) Tumors of the Central Nervous System, Volume 7. Tumors of the Central Nervous System, vol 7. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-2894-3_20
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DOI: https://doi.org/10.1007/978-94-007-2894-3_20
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