Advances in multidisciplinary therapy for meningiomas.
Journal
Neuro-oncology
ISSN: 1523-5866
Titre abrégé: Neuro Oncol
Pays: England
ID NLM: 100887420
Informations de publication
Date de publication:
14 01 2019
14 01 2019
Historique:
entrez:
17
1
2019
pubmed:
17
1
2019
medline:
11
8
2020
Statut:
ppublish
Résumé
Surgery has long been established as the first-line treatment for the majority of symptomatic and enlarging meningiomas, and evidence for its success is derived from retrospective case series. Despite surgical resection, a subset of meningiomas display aggressive behavior with early recurrences that are difficult to treat. The decision to radically resect meningiomas and involved structures is balanced against the risk for neurological injury in patients. Radiation therapy has largely been used as a complementary and safe therapeutic strategy in meningiomas with evidence primarily stemming from retrospective, single-institution reports. Two of the first cooperative group studies (RTOG 0539 and EORTC 22042) evaluating the outcomes of adjuvant radiation therapy in higher-risk meningiomas have shown promising preliminary results. Historically, systemic therapy has resulted in disappointing results in meningiomas. However, several clinical trials are under way evaluating the efficacy of chemotherapies, such as trabectedin, and novel molecular agents targeting Smoothened, AKT1, and focal adhesion kinase in patients with recurrent meningiomas.
Identifiants
pubmed: 30649489
pii: 5289364
doi: 10.1093/neuonc/noy136
pmc: PMC6347080
doi:
Substances chimiques
Antineoplastic Agents
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
i18-i31Subventions
Organisme : NINDS NIH HHS
ID : R01 NS093079
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001422
Pays : United States
Investigateurs
Kenneth Aldape
(K)
Karolyn Au
(K)
Jill Barnhartz-Sloan
(J)
Wenya Linda Bi
(WL)
Priscilla K Brastianos
(PK)
Nicholas Butowski
(N)
Carlos Carlotti
(C)
Michael D Cusimano
(MD)
Francesco DiMeco
(F)
Katharine Drummond
(K)
Ian F Dunn
(IF)
Evanthia Galanis
(E)
Caterina Giannini
(C)
Roland Goldbrunner
(R)
Brent Griffith
(B)
Rintaro Hashizume
(R)
C Oliver Hanemann
(CO)
Christel Herold-Mende
(C)
Craig Horbinski
(C)
Raymond Y Huang
(RY)
David James
(D)
Michael D Jenkinson
(MD)
Christine Jungk
(C)
Timothy J Kaufman
(TJ)
Boris Krischek
(B)
Daniel Lachance
(D)
Christian Lafougère
(C)
Ian Lee
(I)
Jeff C Liu
(JC)
Yasin Mamatjan
(Y)
Alireza Mansouri
(A)
Christian Mawrin
(C)
Michael McDermott
(M)
David Munoz
(D)
Farshad Nassiri
(F)
Houtan Noushmehr
(H)
Ho-Keung Ng
(HK)
Arie Perry
(A)
Farhad Pirouzmand
(F)
Laila M Poisson
(LM)
Bianca Pollo
(B)
David Raleigh
(D)
Felix Sahm
(F)
Andrea Saladino
(A)
Thomas Santarius
(T)
Christian Schichor
(C)
David Schultz
(D)
Nils O Schmidt
(NO)
Warren Selman
(W)
Andrew Sloan
(A)
Julian Spears
(J)
James Snyder
(J)
Suganth Suppiah
(S)
Ghazaleh Tabatabai
(G)
Marcos Tatagiba
(M)
Daniela Tirapelli
(D)
Joerg C Tonn
(JC)
Derek Tsang
(D)
Michael A Vogelbaum
(MA)
Andreas von Deimling
(AV)
Patrick Y Wen
(PY)
Tobias Walbert
(T)
Manfred Westphal
(M)
Adriana M Workewych
(AM)
Gelareh Zadeh
(G)
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