How would you manage a recurrent meningioma of the cervical spine after resection alone?
What would your dose and volumes be if there is residual or recurrent tumor not amenable to re-resection? When would you favor SRT over conventional fractionation, and why? Would difference in grade (1 vs 2) change your recommendations?
2 Answers
Mednet Member
Radiation Oncology · Turville Bay MRI & Radiation Oncology Center
Answered on
I had a case like this 2 years ago. Treating with 5 fractions felt so "en vogue" and I therefore phoned some CNS-focused friends who may be considered spine SBRT leaders, and they all recommended standard fractionation, supporting my inclination.
My case was a subtotally resected Gr 1 tumor with blan...
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Mednet MemberInvited Expert
Neurology · MD Anderson Cancer Center
Answered on
Just to add, could consider Avastin, or eve/oct, or Lutathera if no additional neurosurgical or radiation options. Though of course, meningiomas are not very chemosensitive, these are reasonable regimens.
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