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Comparison of Active Surveillance to Stereotactic Radiosurgery for the Management of Patients with an Incidental Frontobasal Meningioma-A Sub-Analysis of the IMPASSE Study
AI. Islim, G. Mantziaris, S. Pikis, CJ. Chen, A. Bunevicius, S. Peker, Y. Samanci, AM. Nabeel, WA. Reda, SR. Tawadros, AMN. El-Shehaby, K. Abdelkarim, RM. Emad, V. Delabar, D. Mathieu, CC. Lee, HC. Yang, R. Liscak, J. May, RM. Alvarez, NM....
Jazyk angličtina Země Švýcarsko
Typ dokumentu časopisecké články
Free Medical Journals od 2009
PubMed Central od 2009
Europe PubMed Central od 2009
ProQuest Central od 2009-01-01
Open Access Digital Library od 2009-01-01
Open Access Digital Library od 2009-01-01
ROAD: Directory of Open Access Scholarly Resources od 2009
Odkazy
PubMed
35267608
DOI
10.3390/cancers14051300
Knihovny.cz E-zdroje
- Publikační typ
- časopisecké články MeSH
Meningioma is a common incidental finding, and clinical course varies based on anatomical location. The aim of this sub-analysis of the IMPASSE study was to compare the outcomes of patients with an incidental frontobasal meningioma who underwent active surveillance to those who underwent upfront stereotactic radiosurgery (SRS). Data were retrospectively collected from 14 centres. The active surveillance (n = 28) and SRS (n = 84) cohorts were compared unmatched and matched for age, sex, and duration of follow-up (n = 25 each). The study endpoints included tumor progression, new symptom development, and need for further intervention. Tumor progression occurred in 52.0% and 0% of the matched active surveillance and SRS cohorts, respectively (p < 0.001). Five patients (6.0%) treated with SRS developed treatment related symptoms compared to none in the active monitoring cohort (p = 0.329). No patients in the matched cohorts developed symptoms attributable to treatment. Three patients managed with active surveillance (10.7%, unmatched; 12.0%, matched) underwent an intervention for tumor growth with no persistent side effects after treatment. No patients subject to SRS underwent further treatment. Active monitoring and SRS confer a similarly low risk of symptom development. Upfront treatment with SRS improves imaging-defined tumor control. Active surveillance and SRS are acceptable treatment options for incidental frontobasal meningioma.
Centre de Recherche du CHUS Université de Sherbrooke Sherbrooke QC J1H 5N4 Canada
Department of Neurological Surgery University of Virginia Charlottesville VA 22903 USA
Department of Neurosurgery Ain Shams University Cairo 11566 Egypt
Department of Neurosurgery and Radiation Oncology New York University New York NY 10016 USA
Department of Neurosurgery Benha University Benha 13512 Egypt
Department of Neurosurgery Koc University School of Medicine Istanbul 34010 Turkey
Department of Neurosurgery National Yang Ming University Beitou District Taipei City 11221 Taiwan
Department of Neurosurgery New York University New York NY 10016 USA
Department of Neurosurgery The Walton Centre NHS Foundation Trust Liverpool L9 7LJ UK
Department of Neurosurgery University of Miami Miller School of Medicine Miami FL 33136 USA
Department of Neurosurgery University of Pittsburgh Pittsburgh PA 15260 USA
Department of Radiation Oncology National Cancer Institute Cairo University Cairo 12613 Egypt
Department of Radiosurgery Rúber International Hospital 28034 Madrid Spain
Gamma Knife Center Cairo Nasser Institute Cairo 11796 Egypt
Institute of Systems Molecular and Integrative Biology University of Liverpool Liverpool L69 7BE UK
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