Update on meningioma: Clinical-radiological and radio-pathological correlation

A. Navarro-Ballester , M. Aleixandre-Barrachina , S.F. Marco-Doménech
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Abstract

Meningiomas are tumors that originate in the arachnoid villi and are the most common non-glial neoplasm in the central nervous system. The clinical manifestations associated with meningioma depend, fundamentally, on its location. The location in the cerebral convexity is the most frequent, especially in the frontal lobes, manifesting with headache, motor disturbances, seizures and even neurocognitive disorders. There are 15 histologic subtypes of meningioma and three histologic grades. Within these, grades two and three have a worse prognosis and a higher rate of recurrence, as well as a radiological behavior that is generally more aggressive. Although there are some imaging features that can suggest a specific subtype, the definitive diagnosis will always require histological/molecular confirmation.

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脑膜瘤的最新进展:临床放射学和放射病理学的相关性。
脑膜瘤是起源于蛛网膜绒毛的肿瘤,是中枢神经系统中最常见的非神经胶质肿瘤。脑膜瘤的临床表现从根本上取决于其位置。大脑凸面的位置最常见,尤其是在额叶,表现为头痛、运动障碍、癫痫发作甚至神经认知障碍。脑膜瘤有15种组织学亚型和3种组织学分级。其中,二级和三级的预后较差,复发率较高,放射行为通常更具攻击性。尽管有一些影像学特征可以提示特定的亚型,但最终诊断总是需要组织学/分子学确认。
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