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Recurrence of meningiomas after operation
Authors:S M Marks  H L Whitwell  R H Lye
Affiliation:1. Department of Neurological Surgery, University of California San Francisco, San Francisco, CA, United States;2. Department of Neurosurgery, Prince of Wales Hospital, Randwick, NSW, Australia;3. Miami Neuroscience Institute, Baptist Health of South Florida, Miami, FL, United States;4. Division of Neuroscience, Herbert Wertheim College of Medicine, Florida International University, Miami, FL, United States
Abstract:The authors reviewed 53 consecutive patients who underwent surgical removal of a meningioma within a 10-year period. The removal was graded macroscopically as either a total removal (types I-III) or a subtotal removal (type IV). The patients were observed for an average period of 5.3 years, during which time there was a 9.5% recurrence after type I removals and an 18.4% recurrence after type II. There was regrowth in 20% of the subtotal group. There was no correlation with age or sex, but histology was important. Syncytial tumors tended to recur, and mitosis and area of focal necrosis were associated with a tendency towards recurrence. The significant features associated with recurrence are discussed.
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