How would you treat grade 3 cauda equina meningioma status post biopsy only with a history of prior prostate/whole pelvis radiation?

This question is anything but routine. WHO grade 3 spinal meningiomas are exceedingly rare. I’ve been treating meningioma patients my entire career, now beyond 3 decades, and have never seen one. If this patient’s prostate cancer radiation therapy (RT) were many years ago and if his meningioma were ...

I agree with the answers provided by Dr. @Dr. First Last and Dr. @Dr. First Last. A WHO grade 3 spinal meningioma with a history of prior radiation to the area (prostate/whole pelvis radiation) is exceedingly rare and requires an individualized treatment plan to find a balance between reasonable tum...