Stereotactic radiosurgery versus active surveillance for incidental, convexity meningiomas: a matched cohort analysis from the IMPASSE study.
Stylianos PikisGeorgios MantziarisAbdurrahman I IslimSelcuk PekerYavuz SamanciAhmed M NabeelWael A RedaKhaled AbdelkarimAmr M N El-ShehabySameh R TawadrosReem M EmadViolaine DelabarDavid MathieuCheng-Chia LeeHuai-Che YangRoman LicsakJaromir HanuskaRoberto Martinez AlvarezDev N PatelDouglas KondziolkaKenneth BernsteinNuria Martinez MorenoManjul TripathiHerwin SpeckterCamilo AlbertGreg N BowdenRonald J BenvenisteDade L LunsfordMichael D JenkinsonJason SheehanPublished in: Journal of neuro-oncology (2022)
This is one of the first reports to suggest that SRS is a low risk and effective treatment strategy for asymptomatic incidentally discovered convexity meningiomas. In this study, tumor control was achieved in significantly more patients after radiosurgery compared to those managed with active surveillance. SRS may be offered at diagnosis of an asymptomatic convexity meningioma and should be recommended when meningioma growth is noted on follow-up.