Biology and Therapy of Neoplastic Meningitis

Author:

Mammoser Aaron G.,Groves Morris D.

Publisher

Springer Science and Business Media LLC

Subject

Oncology

Reference47 articles.

1. Groves MD: Leptomeningeal metastases: still a challenge. In ASCO Educational Book. Edited by Govindan R. Alexandria, VA: American College of Clinical Oncology; 2008:80–87.

2. Chamberlain MC: Risk of neoplastic meningitis following surgical resection of cerebellar metastases. J Neurooncol 2008, 89:105–107.

3. • Suki D, Abouassi H, Patel AJ, et al.: Comparative risk of leptomeningeal disease after resection or stereotactic radiosurgery for solid tumor metastasis to the posterior fossa. J Neurosurg 2008, 108:248–257. This study addresses the belief that surgical excision of metastatic brain tumors located in the posterior fossa is responsible for an increased incidence of leptomeningeal seeding. The authors found that en bloc resection of brain tumors did not carry an increased risk of NM compared with stereotactic radiosurgery. They did find an increased risk of NM with piecemeal resection compared with both en bloc resection and stereotactic radiosurgery, which held true even after a subgroup analysis accounting for tumor size and other characteristics. This paper importantly points out the need for en bloc resection to be performed whenever feasible.

4. • Suki D, Hatiboglu MA, Patel AJ, et al.: Comparative risk of leptomeningeal dissemination of cancer after surgery or stereotactic radiosurgery for a single supratentorial solid tumor metastasis. Neurosurgery 2009, 64:664–674; discussion 674–676. This retrospective study addressed the belief that surgical excision of supratentorial metastatic brain tumors is associated with an increased incidence of NM. The authors found no statistically significant difference between the incidence of NM after en bloc resection versus treatment with stereotactic radiosurgery. There was a statistically significant increase in the incidence of NM after piecemeal resection of metastases compared with either en bloc resection or stereotactic radiosurgery. The results remained statistically significant even after subgroup analysis accounting for tumor size and other characteristics. This paper importantly points out the need for en bloc resection when possible.

5. • Lin C, Turner S, Gurney H, Peduto A: Increased detections of leptomeningeal presentations in men with hormone refractory prostate cancer: an effect of improved systemic therapy? J Med Imaging Radiat Oncol 2008, 52:376–381. This case series illustrates the increasing incidence of NM in malignancies that were previously infrequently associated with leptomeningeal disease. The authors note that before 2004 they had not seen a case of NM in hormone refractory prostate cancer; however, between 2004 and 2006, they identified four patients in their practice. This increase is attributed to the improved survival in hormone refractory prostate cancer owing to newer treatment regimens. This raises the issues of the changing natural history of disease as newer therapies become available and the need for maintaining an awareness to the potential for NM with any underlying malignancy.

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