> From: http://www.juno.com/~margaretch > Date: Wed, 29 Dec 2004 11:41:47 -0500 > > MY BRIAN NOT ON dRUGS...UNFORTUNATLEY: Well, it's good that your Brian is not on drugs. :-) I assume that your health insurance covers this procedure. > A meningioma is a type of meningeal tumor. Meningeal tumors arise from > the thin layers of tissue that cover the brain and spinal cord, rather > from the actual brain tissue. Most meningiomas are benign, slow-growing > tumors. They often grow inward exerting pressure on the brain and spinal > cord. In other cases, they grow outward and cause the skull to thicken. > Meningiomas may contain cysts, mineral deposits, or clusters of blood > vessels. The most common sites include the coverings located near the top > of the brain, the outer curve of the brain, and the skull base. > > Meningiomas account for about 15%-20% of all primary brain tumors. They > are most likely to be diagnosed in adults older than 60 years. Incidence > seems to increase with age, and they occur about twice as frequently in > women as in men. They rarely occur in children. > > Tumor Classification Meningiomas are often classified by tumor grade: > Benign: Contain cells well-differentiated cell types (resembling > normal cells) that tend to grow slowly. About 80% of meningiomas are > benign. > Atypical: Contain proliferating cells that are faster growing and > more likely to grow back after treatment. Because these cells may grow > back after a seemingly complete resection, atypical tumors should be > followed closely. Represent about 10-20% of meningiomas. > Malignant (or anaplastic): Contain poorly differentiated cell forms > that often grow back rapidly. These are rare, but can be very aggressive > and difficult to treat. Represent 1-2% of meningiomas. > Meningiomas may also be classified by type of cell. For example: > > * Syncytial meningioma refers to meningiomas that consist of cells > that are unusually plump in type. > * Fibroblastic meningioma refers to meningiomas that consist of cells > that are long and thin in shape. > * Transitional meningiomas refers to meningiomas that consist of > cells that are of both cell types. > Meningiomas may also be classified by location of tumor. For example: > * Parasagittal meningioma refers to a meningioma that is located near > the sagittal sinus, a major blood vessel near the top of cerebral > hemisphere. > Symptoms > Meningiomas are usually slow growing, but may grow to a large size before > symptoms appear. Symptoms vary depending on the tumor?s location, and > often begin with headache or arm/leg weakness due to pressure on the > brain from the growing tumor. Seizures, personality change, and visual > problems are other possible symptoms. Pain, weakness, and/or loss of > feeling in the arms or legs are common symptoms of spinal cord > meningioma. > Diagnosis > A neurological exam, MRI, and CT scan are among the diagnostic tests used > to help determine tumor location, size, and probable type. The exact > diagnosis requires a surgical biopsy or excision to remove a sample of > the tumor tissue for examination. > Treatment > Surgery is the primary treatment for meningiomas. The goals of surgery > are to obtain tumor tissue for exact diagnosis and to remove as much of > the tumor as safely possible. Some meningiomas, although benign, can be > difficult to treat because they are located in areas that are difficult > to reach or functionally sensitive. Radiation is often used for > inoperable tumors or tumors that are not completely removed by surgery, > as well as for malignant tumors and recurrent tumors. Conventional > external beam radiation (?standard radiation?) may be used alone or in > conjunction with ?local radiation? (such as stereotactic radiosurgery and > intensity modulated radiation therapy). > Medications may also be prescribed to treat symptoms of the tumor. Your > physician can discuss the likelihood of your particular tumor > reoccurring. >