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ISSN 1561-3194 (Electronic)

2014, Number 2

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Rev Ciencias Médicas 2014; 18 (2)

Recurrent postsurgical intracranial meningiomas

Nguema AC, Rodríguez RJF, Rodríguez VOL, Arenas RI, Boffill CAM

Language: Spanish
References: 20
Page: 231-243
PDF size: 166.92 Kb.


ABSTRACT

Introduction: histological stage and extent of initial surgical resection has been considered decisive prognostic factors in meningiomas.
Objective: to determine the behavior of recurrent intracranial meningiomas operated at Abel Santamaría Cuadrado Hospital during the period 2010-2013.
Method: a quasi-experimental, descriptive and applied longitudinal study was carried out. The study group consisted of 46 patients operated at the Neurosurgery Service, while the sample comprised 8 relapsing patients who met the inclusion criteria. Specific data is collected from the individuals´ medical records. A database was compiled to facilitate information processing, with the help of the professional software SPSS 15.0. To carry out the analysis we used comparison test ofproportions for independent samples.
Results: the degree of recurrence is higher in the skull base (50%) and in the parasagittal region (33.3%). More than 50% of the operated cases belong to stage I, while those who relapsed were in stages II and III (62.5%). The shortest time for recurrence was 14 and 6 months in patients with high-grade malignancy and subtotal removal. The site of recurrence was more related to the temporal area oft he skull base and the greater wing of the sphenoid.
Conclusions: the recurrence of intracranial meningiomas was associated with the histological stage, tumor resection, the surgical technique used and the approach, regardless of the extent of surgical resection.


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