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Acta Neurochirurgica
Published in: Acta Neurochirurgica 3/2021

01-03-2021 | Meningioma | Review Article - Brain Tumors

Metastases to meningioma—review and meta-analysis

Authors: Naama Turner, Andrew H. Kaye, Iddo Paldor

Published in: Acta Neurochirurgica | Issue 3/2021

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Abstract

Purpose

Meningiomas are a common tumor within the cranial cavity. They may be a target for metastatic spread of cancer elsewhere in the body. We analyzed all the data in the literature about tumor-to-meningioma metastasis (TTMM).

Methods

We performed a meta-analysis using the PRISMA checklist to locate all cases of TTMM in the PubMed and Medline databases. We collected patient and cancer parameters, meningioma parameters, and clinical factors.

Results

We located 124 articles, describing 152 cases of patients with TTMM. The mean (± SD) age of all patients was 62.21 ± 10.8 years, with even distribution above and below the mean. Of the cases, 65.9% were reported in women. The most common cancer origins of TTMM were breast and lung carcinoma, followed by kidney, prostate, and GI tract carcinoma. Cancer status is not a good marker of TTMM when managing a meningioma. In 36.69% of cases, TTMM was the presentation of an unknown cancer. In nearly 60% of the known cases, cancer was considered in remission for at least 1 year. Meningioma parameters are unhelpful when considering a TTMM. The distribution of meningioma location is similar to other series of meningioma reported in the literature. Meningioma grade is similar to meningiomas without TTMM. In 57.89%, the patient presented with a focal deficit. Presenting factors were seizures, elevated ICP, and others. Over 95% of cases were symptomatic at presentation.

Conclusion

TTMM should be suspected in cases of meningioma in a patient with background cancer, regardless of meningioma parameters or cancer status.
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Metadata
Title
Metastases to meningioma—review and meta-analysis
Authors
Naama Turner
Andrew H. Kaye
Iddo Paldor
Publication date
01-03-2021
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 3/2021
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-020-04661-7

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