A systematic review of extraneural meningioma metastasis: timing, evolution and outlook

Purpose Extraneural meningioma metastasis is a rare occurrence and may pose a clinical challenge due to its unclear prognosis. In this systematic review, we analyze patient demographics, clinical characteristics, management strategies, and outcomes. Methods PubMed, EMBASE, Scopus, Cochrane, and Web...

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Veröffentlicht in:Journal of neuro-oncology 2024-06, Vol.168 (2), p.187-196
Hauptverfasser: Watanabe, Gina, Young, Kurtis, Rauber, Erin, Khan, Mohammad Faizan, Suzuki, Reannon, Riestenberg, Robert, Umana, Giuseppe E., Palmisciano, Paolo
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container_end_page 196
container_issue 2
container_start_page 187
container_title Journal of neuro-oncology
container_volume 168
creator Watanabe, Gina
Young, Kurtis
Rauber, Erin
Khan, Mohammad Faizan
Suzuki, Reannon
Riestenberg, Robert
Umana, Giuseppe E.
Palmisciano, Paolo
description Purpose Extraneural meningioma metastasis is a rare occurrence and may pose a clinical challenge due to its unclear prognosis. In this systematic review, we analyze patient demographics, clinical characteristics, management strategies, and outcomes. Methods PubMed, EMBASE, Scopus, Cochrane, and Web of Science databases were searched from inception to February 23, 2024 for cases of metastatic meningioma according to PRISMA guidelines. Descriptive statistics, Mann–Whitney U test, Fisher's exact tests, Kaplan–Meier curves, and log-rank tests were used for selected analyses. Results A total of 288 patients (52% male) were included with an average age of 49 years at meningioma diagnosis. Tumors were distributed across WHO grade 1 (38%), 2 (36%), and 3 (26%). Most patients experienced intracranial recurrence (79%) and mean time to first metastasis was approximately 8 years. No change in WHO grade between primary and metastasis was observed for most cases (65%). Treatment of the initial metastasis was most often with surgery (43%), chemotherapy (20%), or no treatment (14%). Half of the patients were alive (50%) with an average follow-up of 3 years following metastasis. Overall median survival was 36 months for the entire cohort. This differed significantly between WHO grade 1 versus 2/3 meningioma primaries (168 vs. 15 months, p 
doi_str_mv 10.1007/s11060-024-04659-6
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In this systematic review, we analyze patient demographics, clinical characteristics, management strategies, and outcomes. Methods PubMed, EMBASE, Scopus, Cochrane, and Web of Science databases were searched from inception to February 23, 2024 for cases of metastatic meningioma according to PRISMA guidelines. Descriptive statistics, Mann–Whitney U test, Fisher's exact tests, Kaplan–Meier curves, and log-rank tests were used for selected analyses. Results A total of 288 patients (52% male) were included with an average age of 49 years at meningioma diagnosis. Tumors were distributed across WHO grade 1 (38%), 2 (36%), and 3 (26%). Most patients experienced intracranial recurrence (79%) and mean time to first metastasis was approximately 8 years. No change in WHO grade between primary and metastasis was observed for most cases (65%). Treatment of the initial metastasis was most often with surgery (43%), chemotherapy (20%), or no treatment (14%). Half of the patients were alive (50%) with an average follow-up of 3 years following metastasis. Overall median survival was 36 months for the entire cohort. This differed significantly between WHO grade 1 versus 2/3 meningioma primaries (168 vs. 15 months, p &lt; 0.005). Conclusion Metastatic meningioma appears to be associated with more positive prognosis than other brain tumor types with extra-neural metastasis or metastasis in general. This is particularly true for cases arising from a WHO grade 1 meningioma.</description><identifier>ISSN: 0167-594X</identifier><identifier>ISSN: 1573-7373</identifier><identifier>EISSN: 1573-7373</identifier><identifier>DOI: 10.1007/s11060-024-04659-6</identifier><identifier>PMID: 38530549</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Brain cancer ; Brain tumors ; Chemotherapy ; Humans ; Male ; Medical prognosis ; Medicine ; Medicine &amp; Public Health ; Meningeal Neoplasms - pathology ; Meningeal Neoplasms - secondary ; Meningeal Neoplasms - therapy ; Meningioma ; Meningioma - pathology ; Meningioma - therapy ; Metastases ; Metastasis ; Middle Aged ; Neurology ; Oncology ; Patients ; Prognosis ; Review ; Systematic review</subject><ispartof>Journal of neuro-oncology, 2024-06, Vol.168 (2), p.187-196</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024. 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In this systematic review, we analyze patient demographics, clinical characteristics, management strategies, and outcomes. Methods PubMed, EMBASE, Scopus, Cochrane, and Web of Science databases were searched from inception to February 23, 2024 for cases of metastatic meningioma according to PRISMA guidelines. Descriptive statistics, Mann–Whitney U test, Fisher's exact tests, Kaplan–Meier curves, and log-rank tests were used for selected analyses. Results A total of 288 patients (52% male) were included with an average age of 49 years at meningioma diagnosis. Tumors were distributed across WHO grade 1 (38%), 2 (36%), and 3 (26%). Most patients experienced intracranial recurrence (79%) and mean time to first metastasis was approximately 8 years. No change in WHO grade between primary and metastasis was observed for most cases (65%). Treatment of the initial metastasis was most often with surgery (43%), chemotherapy (20%), or no treatment (14%). Half of the patients were alive (50%) with an average follow-up of 3 years following metastasis. Overall median survival was 36 months for the entire cohort. This differed significantly between WHO grade 1 versus 2/3 meningioma primaries (168 vs. 15 months, p &lt; 0.005). Conclusion Metastatic meningioma appears to be associated with more positive prognosis than other brain tumor types with extra-neural metastasis or metastasis in general. 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subjects Brain cancer
Brain tumors
Chemotherapy
Humans
Male
Medical prognosis
Medicine
Medicine & Public Health
Meningeal Neoplasms - pathology
Meningeal Neoplasms - secondary
Meningeal Neoplasms - therapy
Meningioma
Meningioma - pathology
Meningioma - therapy
Metastases
Metastasis
Middle Aged
Neurology
Oncology
Patients
Prognosis
Review
Systematic review
title A systematic review of extraneural meningioma metastasis: timing, evolution and outlook
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