Recurrence of surgically treated parasagittal meningiomas: a meta-analysis of risk factors.
Meta-analysis
Parasagittal meningioma
Recurrence
Risk factors
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
29
02
2020
accepted:
07
04
2020
pubmed:
26
4
2020
medline:
5
2
2021
entrez:
26
4
2020
Statut:
ppublish
Résumé
As the predictive role of many risk factors for parasagittal meningioma (PM) recurrence remains unclear, the objective of the meta-analysis was to make a comprehensive assessment of the predictive value of selected risk factors in these lesions. Studies including data on selected risk factors, such as histology, tumor and sinus resection, sinus invasion, tumor localization, and immediate postoperative radiotherapy for PMs recurrence, were searched in the NCBI/NLM PubMed/MEDLINE, EBM Reviews/Cochrane Central, ProQuest, and Scopus databases, and analyzed using random effects modeling. Thirteen observational studies involving 1243 patients met the criteria for inclusion in the meta-analysis. WHO grading of meningiomas was identified as the most powerful risk factor for recurrence. WHO grade II meningiomas (OR 11.61; 95% CI 4.43-30.43; P < .01; I Among the selected risk factors, high-grade WHO lesions, advanced sinus invasion, and partial tumor resection were associated with a higher risk of PM recurrence, with WHO grading system being the most powerful risk factor.
Sections du résumé
BACKGROUND
As the predictive role of many risk factors for parasagittal meningioma (PM) recurrence remains unclear, the objective of the meta-analysis was to make a comprehensive assessment of the predictive value of selected risk factors in these lesions.
METHODS
Studies including data on selected risk factors, such as histology, tumor and sinus resection, sinus invasion, tumor localization, and immediate postoperative radiotherapy for PMs recurrence, were searched in the NCBI/NLM PubMed/MEDLINE, EBM Reviews/Cochrane Central, ProQuest, and Scopus databases, and analyzed using random effects modeling.
RESULTS
Thirteen observational studies involving 1243 patients met the criteria for inclusion in the meta-analysis. WHO grading of meningiomas was identified as the most powerful risk factor for recurrence. WHO grade II meningiomas (OR 11.61; 95% CI 4.43-30.43; P < .01; I
CONCLUSION
Among the selected risk factors, high-grade WHO lesions, advanced sinus invasion, and partial tumor resection were associated with a higher risk of PM recurrence, with WHO grading system being the most powerful risk factor.
Identifiants
pubmed: 32333274
doi: 10.1007/s00701-020-04336-3
pii: 10.1007/s00701-020-04336-3
doi:
Types de publication
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2165-2176Références
Biroli A, Chiocchetta M, Gerosa M, Talacchi A (2012) Surgical treatment of parasagittal and falcine meningiomas of the posterior third. Acta Neurochir 154:1987–1995
doi: 10.1007/s00701-012-1454-6
Black PM (1993) Meningiomas. Neurosurgery 32:643–657
doi: 10.1097/00006123-199304000-00023
Black PM, Morokoff AP, Zauberman J (2008) Surgery for extra-axial tumors of the cerebral convexity and midline. Neurosurgery 62(6 Suppl 3):1115–1123
pubmed: 18695533
Bonnal J, Brotchi J (1978) Surgery of the superior sagittal sinus in parasagittal meningiomas. J Neurosurg 48:935–945
doi: 10.3171/jns.1978.48.6.0935
Borovich B, Doron Y (1986) Recurrence of intracranial meningiomas: the role played by regional multicentricity. J Neurosurg 64:58–63
doi: 10.3171/jns.1986.64.1.0058
Borovich B, Doron Y, Braun J, Guilburd JN, Zaaroor M, Goldsher D, Lemberger A, Gruszkiewicz J, Feinsod M (1986) Recurrence of intracranial meningiomas: the role played by regional multicentricity. 2: clinical and radiological aspects. J Neurosurg 65:168–171
doi: 10.3171/jns.1986.65.2.0168
Caroli E, Orlando ER, Mastronardi L, Ferrante L (2006) Meningiomas infiltrating the superior sagittal sinus: surgical considerations of 328 cases. Neurosurg Rev 29:236–241
doi: 10.1007/s10143-006-0020-1
Chan RC, Thompson GB (1984) Morbidity, mortality, and quality of life following surgery for intracranial meningiomas. A retrospective study in 257 cases. J Neurosurg 60:52–60
doi: 10.3171/jns.1984.60.1.0052
Colli BO, Carlotti CG, Assirati JA, Santos MBM, Neder L, Santos AC (2006) Parasagittal meningiomas: follow-up review. Surg Neurol 66(Suppl 3):S20–S28
doi: 10.1016/j.surneu.2006.08.023
Cushing H, Heisenhardt L (1938) Meningiomas: their classification, regional behavior, life history, and surgical end results. Charles C Thomas, Springfield
DiMeco F, Li KW, Casali C, Ciceri E, Giombini S, Filippini G, Broggi G, Solero CL (2004) Meningiomas invading the superior sagittal sinus: surgical experience in 108 cases. Neurosurgery 55:1263–1274
doi: 10.1227/01.NEU.0000143373.74160.F2
Giombini S, Solero CL, Lasio G, Morello G (1984) Immediate and late outcome of operations for parasagittal and falx meningiomas. Report of 342 cases. Surg Neurol 21:427–435
doi: 10.1016/0090-3019(84)90446-4
Han MS, Kim YJ, Moon KS, Lee KH, Yang JI, Kang WD, Lim SH, Jang WY, Jung TY, Kim IY, Jung S (2016) Lessons from surgical outcome for intracranial meningioma involving major venous sinus. Medicine (Baltimore) 95(35):e4705
doi: 10.1097/MD.0000000000004705
Hancq S, Baleriaux D, Brotchi J (2003) Surgical treatment of parasagittal meningiomas. Semin Neurosurg 14:203–210
doi: 10.1055/s-2004-828923
Harbord RM, Egger M, Sterne JA (2006) A modified test for small-study effects in meta-analyses of controlled trials with binary endpoints. Stat Med 25:3443–3457
doi: 10.1002/sim.2380
Higgins JPT, Green S (2011) Cochrane handbook for systematic reviews of interventions, vol 4. Wiley, Hoboken
Kleihues P, Burger PC, Scheithauer BW (1993) The new WHO classification of brain tumours. Brain Pathol 3:255–268
doi: 10.1111/j.1750-3639.1993.tb00752.x
Kleihues P, Cavenee WK (eds) (2000) World Health Organization classification of tumours: pathology and genetics of tumours of the nervous system. IARC Press, Lyon
Kleihues P, Louis DN, Scheithauer BW et al (2002) The WHO classification of tumors of the nervous system. J Neuropathol Exp Neurol 61:215–229
doi: 10.1093/jnen/61.3.215
Louis DN, Ohgaki H, Wiestler OD, Cavenee WK (eds) (2007) WHO classification of tumours of the central nervous system. IARC, Lyon
Louis DN, Perry A, Reifenberger G et al (2016) The 2016 World Health Organization classification of tumors of the central nervous system: a summary. Acta Neuropathol 131:803–820
doi: 10.1007/s00401-016-1545-1
Mathiesen T, Pettersson-Segerlind J, Kihlström L, Ulfarsson E (2014) Meningiomas engaging major venous sinuses. World Neurosurg 81:116–124
doi: 10.1016/j.wneu.2013.01.095
Mesa JAE, Morillejo EA, Carreño TP, Allut AH, Donate JMN, Roman PM, Jimenez AC, Garcia FP, Gonzalez JM (2018) Risk of recurrence in operated parasagittal meningiomas: a logistic binary regression model. World Neurosurg 110:e112–e118
doi: 10.1016/j.wneu.2017.10.087
Mirian C, Duun-Henriksen AK, Juratli T, Sahm F, Spiegl-Kreinecker S, Peyre M, Biczok A, Tonn JC, Goutagny S, Bertero L, Maier AD, Møller Pedersen M, Law I, Broholm H, Cahill DP, Brastianos P, Poulsgaard L, Fugleholm K, Ziebell M, Munch T, Mathiesen T (2020) Poor prognosis associated with TERT gene alterations in meningioma is independent of the WHO classification: an individual patient data meta-analysis. J Neurol Neurosurg Psychiatry 91:378–387
doi: 10.1136/jnnp-2019-322257
Mirimanoff RO, Dosoretz DE, Linggood RM, Ojemann RG, Martuza RL (1985) Meningioma: analysis of recurrence and progression following neurosurgical resection. J Neurosurg 62:18–24
doi: 10.3171/jns.1985.62.1.0018
Moher D, Liberati A, Tetzlaff J, Altman DG, Group P (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoSMed 6:e1000097
Nowak A, Dziedzic T, Czernicki T, Kunert P, Marchel A (2014) Surgical treatment of parasagittal and falcine meningiomas invading the superior sagittal sinus. Neurol Neurochir Pol 48:174–180
doi: 10.1016/j.pjnns.2014.05.003
Nowak A, Marchel A (2007) Surgical treatment of parasagittal and falx meningiomas. Neurol Neurochir Pol 41:306–314
pubmed: 17874338
Pettersson-Segerlind J, Orrego A, Lönn S, Mathiesen T (2011) Long-term 25-year follow-up of surgically treated parasagittal meningiomas. World Neurosurg 76:564–571
doi: 10.1016/j.wneu.2011.05.015
Raza SM, Gallia GL, Brem H, Weingart JD, Long DM, Olivi A (2010) Perioperative and long-term outcomes from the management of parasagittal meningiomas invading the superior sagittal sinus. Neurosurgery 67:885–893
doi: 10.1227/NEU.0b013e3181ef2a18
Ricci A, Di Vitantonio H, De Paulis D, Del Maestro M, Gallieni M, Dechcordi SR, Marzi S, Galzio RJ (2017) Parasagittal meningiomas: our surgical experience and the reconstruction technique of the superior sagittal sinus. Surg Neurol Int 8:1
pubmed: 28217380
pmcid: 5288983
Sahm F, Schrimpf D, Stichel D, Jones DTW, Hielscher T, Schefzyk S et al (2017) DNA methylation-based classification and grading system for meningioma: a multicentre, retrospective analysis. Lancet Oncol 18:682–694
doi: 10.1016/S1470-2045(17)30155-9
Samii M (1997) Radical resection of meningiomas and arteriovenous fistulas involving critical dural sinus segments: experience with intraoperative sinus pressure monitoring and elective sinus reconstruction in 10 patients. Neurosurgery 41:1018 (comment)
doi: 10.1097/00006123-199710000-00003
Schunemann H, Brozek J, Guyatt G, Oxman A, eds GRADE handbook. Updated October 2013. Available at: https://gdt.gradepro.org/app/handbook/handbook.html . Accessed [June 13, 2019]
Simpson D (1957) The recurrence of intracranial meningiomas after surgical treatment. J Neurol Neurosurg Psychiatry 20:22–39
doi: 10.1136/jnnp.20.1.22
Sindou MP, Alvernia JE (2006) Results of attempted radical tumor removal and venous repair in 100 consecutive meningiomas involving the major dural sinuses. J Neurosurg 105:514–525
doi: 10.3171/jns.2006.105.4.514
Sindou M, Auque J (2000) The intracranial venous system as a neurosurgeon’s perspective. Adv Tech Stand Neurosurg 26:131–216
doi: 10.1007/978-3-7091-6323-8_5
Slavik H, Balik V, Vrbkova J, Rehulkova A, Vaverka M, Hrabalek L, Ehrmann J, Vidlarova M, Gurska S, Hajduch M, Srovnal J (2020) Identification of meningioma patients at high risk of tumor recurrence using microRNA profiling. Neurosurgery. https://doi.org/10.1093/neuros/nyaa009
Sterne JAC, Higgins JPT, Reeves BC, on behalf of the development group for ACROBAT-NRSI A Cochrane Risk Of Bias Assessment Tool: for Non-Randomized Studies of Interventions (ACROBAT-NRSI), Version 1.0.0, 24 September 2014. Available at: http://www.riskofbias.info . Accessed [June 13, 2019]
Sughrue ME, Rutkowski MJ, Shangari G, Parsa AT, Berger MS, McDermott MW (2011) Results with judicious modern neurosurgical management of parasagittal and falcine meningiomas. Clinical article. J Neurosurg 114:731–737
doi: 10.3171/2010.9.JNS10646
Tomasello F, Conti A, Cardali S, Angileri FF (2013) Venous preservation-guided resection: a changing paradigm in parasagittal meningioma surgery. J Neurosurg 119:74–81
doi: 10.3171/2012.11.JNS112011
Wells GA, Shea B, O’Connell D et al The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Available at: http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp . Accessed [June 13, 2019]
Zülch KJ (ed) (1979) Histologic typing of tumours of the central nervous system. World Health Organization, Geneva