Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
122 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What is the long term prognosis for Atypical Meningioma?

Ok, What is the long term prognosis for Atypical Meningioma? I have had 2 craniotomies for atypical meningioma in both 1999 and a further recurrence in 2004! Following the recurrence in 2004, I had Stereotactic Radiosurgery in 2006. I didn t remain tumour free and had a further recurrence of 2 new tumours in 2011! Subsequent SRS followed....which leads me to now? I ll bet you can t give me an honest answer!!!
Wed, 21 Nov 2018
Report Abuse
Question is related to
Diseases and Conditions ,  
Medical Procedures
Neurologist 's  Response

I'm not sure what to exactly make of your statement "bet you can't give me an honest answer!!!" but the BEST and most truthful information I would share from available data on the subject is that few studies on this topic that have looked at in terms of LONG TERM recurrence rates. However, suffice it to say that it is in fact quite high (48% after 10 years).

Atypical meningiomas (AM) do recur after resection..unfortunately, that is their nature, and the use of radiation therapy and surgery does not ELIMINATE the HIGH RISKS of recurrence.

In fact, the data shows that increased numbers of stereotactic surgeries with high recurrence rates tends to shorten survivability of patients.

It is not clear whether this implies FEWER surgeries should be performed as recurrence occurs and patients get older or if it is the simple ongoing recurrence of the tumors that leads to shortened survivability and that surgery itself is not the factor driving this statistic.

You've not mentioned the symptoms you get when there is a recurrence since not ALL meningiomas need to be resected just because they are present.

Surgeons may be willing to go on and remove them but in the face of the last statistic I mentioned, my approach for any patient with AM who has already had at least one STEREOTACTIC resection with or without radiation therapy is to consider repeat surgery ONLY IF the recurrent tumor(s) are causing impossible symptoms to occur that cannot be treated or controlled by any other means.

Hope I have answered your query. Let me know if I can assist you further.

Dr. Dariush Saghafi,
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on

Related questions you may be interested in

doctor1 MD

I was diagnosed with 2 Meningiomas in early Nov. located near the frontal lobe. One was a grade I lesion, the other a grade II meningioma that was...

Recent questions on  Meningioma

doctor1 MD

I ve just had an MRI that said: Nonspecific T2/flair hyperintense foci within subcorical white matter of the left frontal lobe . Findings could be...

doctor1 MD

I received cyber knife radiation for 5 days for a meningioma in the brain. In the area where I lost my hair, I also have indentations varying from...

doctor1 MD

Ok, What is the long term prognosis for Atypical Meningioma? I have had 2 craniotomies for atypical meningioma in both 1999 and a further...

doctor1 MD

Hi, One 10/20/2019 I was released from the ER, they diagnosed me with confusion, general weakness , Meningioma and parathesia, Well my first...

doctor1 MD

Thanks to you about a month ago I went into the Dr and was sent to ER and was diagnosed with Meningioma frontal lobe tumors and arthritis in my...

doctor1 MD

Hi, my grandma is 72 years old. Recently doctors has diagnosed her with meningioma after she had a small accident at her house.She fell and her...

doctor1 MD

Hi, Can anyone give me an detail overview of how stem cells powder and bio can syrup works. Thanks