U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Atypical Meningioma

MedGen UID:
96558
•Concept ID:
C0431122
•
Neoplastic Process
Synonym: Atypical meningioma
SNOMED CT: Atypical meningioma (128914005)

Definition

A WHO grade II meningioma characterized by the presence of brain invasion and an increased mitotic activity, or at least three of the following morphologic features: small cells, high cellularity, prominent nucleoli, lack of architectural pattern, and necrosis. [from NCI]

Professional guidelines

PubMed

Management of Atypical and Anaplastic Meningiomas.
Higgins D, Shah AH, Komotar RJ, Ivan ME
Neurosurg Clin N Am 2023 Jul;34(3):437-446. Epub 2023 Apr 18 doi: 10.1016/j.nec.2023.02.011. PMID: 37210132
The role of radiotherapy in the management of high-grade meningiomas.
Hwang KL, Hwang WL, Bussière MR, Shih HA
Chin Clin Oncol 2017 Jul;6(Suppl 1):S5. doi: 10.21037/cco.2017.06.09. PMID: 28758409
Management of Atypical and Anaplastic Meningiomas.
Buttrick S, Shah AH, Komotar RJ, Ivan ME
Neurosurg Clin N Am 2016 Apr;27(2):239-47. Epub 2016 Feb 20 doi: 10.1016/j.nec.2015.11.003. PMID: 27012388

Recent clinical studies

Etiology

Advances in the systemic therapy for recurrent meningiomas and the challenges ahead.
Li Y, Drappatz J
Expert Rev Neurother 2023 Jul-Dec;23(11):995-1004. Epub 2023 Sep 11 doi: 10.1080/14737175.2023.2254498. PMID: 37695700
Differentiating atypical meningioma from anaplastic meningioma using diffusion weighted imaging.
Han T, Zhang J, Liu X, Zhang B, Deng L, Lin X, Jing M, Zhou J
Clin Imaging 2022 Feb;82:237-243. Epub 2021 Dec 11 doi: 10.1016/j.clinimag.2021.12.004. PMID: 34915318
Pathology of meningiomas.
Solomon DA, Pekmezci M
Handb Clin Neurol 2020;169:87-99. doi: 10.1016/B978-0-12-804280-9.00005-6. PMID: 32553300
The role of radiotherapy in the management of high-grade meningiomas.
Hwang KL, Hwang WL, Bussière MR, Shih HA
Chin Clin Oncol 2017 Jul;6(Suppl 1):S5. doi: 10.21037/cco.2017.06.09. PMID: 28758409
Recent advances in the management of atypical meningiomas.
Messerer M, Richoz B, Cossu G, Dhermain F, Hottinger AF, Parker F, Levivier M, Daniel RT
Neurochirurgie 2016 Aug;62(4):213-22. Epub 2016 Jun 28 doi: 10.1016/j.neuchi.2016.02.003. PMID: 27370103

Diagnosis

Atypical meningioma: Histopathological, genetic, and epigenetic features to predict recurrence risk.
Marastoni E, Barresi V
Histol Histopathol 2024 Mar;39(3):293-302. Epub 2023 Oct 20 doi: 10.14670/HH-18-670. PMID: 37921468
Differentiating atypical meningioma from anaplastic meningioma using diffusion weighted imaging.
Han T, Zhang J, Liu X, Zhang B, Deng L, Lin X, Jing M, Zhou J
Clin Imaging 2022 Feb;82:237-243. Epub 2021 Dec 11 doi: 10.1016/j.clinimag.2021.12.004. PMID: 34915318
Atypical meningiomas.
Chen R, Aghi MK
Handb Clin Neurol 2020;170:233-244. doi: 10.1016/B978-0-12-822198-3.00043-4. PMID: 32586495
Recent advances in the management of atypical meningiomas.
Messerer M, Richoz B, Cossu G, Dhermain F, Hottinger AF, Parker F, Levivier M, Daniel RT
Neurochirurgie 2016 Aug;62(4):213-22. Epub 2016 Jun 28 doi: 10.1016/j.neuchi.2016.02.003. PMID: 27370103
The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary.
Louis DN, Perry A, Reifenberger G, von Deimling A, Figarella-Branger D, Cavenee WK, Ohgaki H, Wiestler OD, Kleihues P, Ellison DW
Acta Neuropathol 2016 Jun;131(6):803-20. Epub 2016 May 9 doi: 10.1007/s00401-016-1545-1. PMID: 27157931

Therapy

Radiation therapy for atypical and anaplastic meningiomas: an overview of current results and controversial issues.
Vagnoni L, Aburas S, Giraffa M, Russo I, Chiarella V, Paolini S, Tini P, Minniti G
Neurosurg Rev 2022 Oct;45(5):3019-3033. Epub 2022 Jun 4 doi: 10.1007/s10143-022-01806-3. PMID: 35665867Free PMC Article
Mitotic Index and Progression-Free Survival in Atypical Meningiomas.
Domingo RA, Tripathi S, Vivas-Buitrago T, Lu VM, Chaichana KL, Quiñones-Hinojosa A
World Neurosurg 2020 Oct;142:191-196. Epub 2020 Jun 29 doi: 10.1016/j.wneu.2020.06.189. PMID: 32615290
Pharmacotherapeutic options for atypical meningiomas.
Ahsan SA, Chendeb K, Profyris C, Teo C, Sughrue ME
Expert Opin Pharmacother 2019 Oct;20(15):1831-1836. Epub 2019 Jul 19 doi: 10.1080/14656566.2019.1643840. PMID: 31322413
Bevacizumab in refractory higher-grade and atypical meningioma: the current state of affairs.
Dasanu CA, Alvarez-Argote J, Limonadi FM, Codreanu I
Expert Opin Biol Ther 2019 Feb;19(2):99-104. Epub 2018 Dec 17 doi: 10.1080/14712598.2019.1559292. PMID: 30556741
Salvage therapy outcomes for atypical meningioma.
Chen WC, Hara J, Magill ST, Wu A, Aghi MK, Theodosopoulos PV, Perry A, McDermott MW, Sneed PK, Raleigh DR, Braunstein SE
J Neurooncol 2018 Jun;138(2):425-433. Epub 2018 Feb 26 doi: 10.1007/s11060-018-2813-9. PMID: 29480505

Prognosis

Atypical meningioma: Histopathological, genetic, and epigenetic features to predict recurrence risk.
Marastoni E, Barresi V
Histol Histopathol 2024 Mar;39(3):293-302. Epub 2023 Oct 20 doi: 10.14670/HH-18-670. PMID: 37921468
A machine learning-based integrated clinical model for predicting prognosis in atypical meningioma patients.
Song D, Zhang M, Duan C, Wei M, Xu D, An Y, Zhang L, Wang F, Feng M, Qian Z, Gao Q, Guo F
Acta Neurochir (Wien) 2023 Dec;165(12):4191-4201. Epub 2023 Oct 11 doi: 10.1007/s00701-023-05831-z. PMID: 37819396
Management of Atypical and Anaplastic Meningiomas.
Higgins D, Shah AH, Komotar RJ, Ivan ME
Neurosurg Clin N Am 2023 Jul;34(3):437-446. Epub 2023 Apr 18 doi: 10.1016/j.nec.2023.02.011. PMID: 37210132
Recent advances in the management of atypical meningiomas.
Messerer M, Richoz B, Cossu G, Dhermain F, Hottinger AF, Parker F, Levivier M, Daniel RT
Neurochirurgie 2016 Aug;62(4):213-22. Epub 2016 Jun 28 doi: 10.1016/j.neuchi.2016.02.003. PMID: 27370103
Management of Atypical and Anaplastic Meningiomas.
Buttrick S, Shah AH, Komotar RJ, Ivan ME
Neurosurg Clin N Am 2016 Apr;27(2):239-47. Epub 2016 Feb 20 doi: 10.1016/j.nec.2015.11.003. PMID: 27012388

Clinical prediction guides

Atypical meningioma: Histopathological, genetic, and epigenetic features to predict recurrence risk.
Marastoni E, Barresi V
Histol Histopathol 2024 Mar;39(3):293-302. Epub 2023 Oct 20 doi: 10.14670/HH-18-670. PMID: 37921468
A machine learning-based integrated clinical model for predicting prognosis in atypical meningioma patients.
Song D, Zhang M, Duan C, Wei M, Xu D, An Y, Zhang L, Wang F, Feng M, Qian Z, Gao Q, Guo F
Acta Neurochir (Wien) 2023 Dec;165(12):4191-4201. Epub 2023 Oct 11 doi: 10.1007/s00701-023-05831-z. PMID: 37819396
Discrimination between microcystic meningioma and atypical meningioma using whole-lesion apparent diffusion coefficient histogram analysis.
Liu X, Huang X, Han T, Li S, Xue C, Deng J, Zhou Q, Sun Q, Zhou J
Clin Radiol 2022 Nov;77(11):864-869. Epub 2022 Aug 25 doi: 10.1016/j.crad.2022.07.004. PMID: 36030110
Radiation therapy for atypical and anaplastic meningiomas: an overview of current results and controversial issues.
Vagnoni L, Aburas S, Giraffa M, Russo I, Chiarella V, Paolini S, Tini P, Minniti G
Neurosurg Rev 2022 Oct;45(5):3019-3033. Epub 2022 Jun 4 doi: 10.1007/s10143-022-01806-3. PMID: 35665867Free PMC Article
Mitotic Index and Progression-Free Survival in Atypical Meningiomas.
Domingo RA, Tripathi S, Vivas-Buitrago T, Lu VM, Chaichana KL, Quiñones-Hinojosa A
World Neurosurg 2020 Oct;142:191-196. Epub 2020 Jun 29 doi: 10.1016/j.wneu.2020.06.189. PMID: 32615290

Recent systematic reviews

Should adjuvant radiotherapy be used in atypical meningioma (WHO grade 2) following gross total resection? A systematic review and Meta-analysis.
Wujanto C, Chan TY, Soon YY, Vellayappan B
Acta Oncol 2022 Sep;61(9):1075-1083. Epub 2022 Sep 2 doi: 10.1080/0284186X.2022.2116994. PMID: 36052871
Adjuvant radiotherapy versus observation following gross total resection for atypical meningioma: a systematic review and meta-analysis.
Chun SW, Kim KM, Kim MS, Kang H, Dho YS, Seo Y, Kim JW, Kim YH, Park CK
Radiat Oncol 2021 Feb 17;16(1):34. doi: 10.1186/s13014-021-01759-9. PMID: 33596974Free PMC Article
Association of Race with Survival in Intracranial World Health Organization Grade II and III Meningioma in the United States: Systematic Literature Review.
Elder T, Ejikeme T, Felton P, Raghavan A, Wright J, Wright CH, Zhou X, Duncan K, Sajatovic M, Hodges T
World Neurosurg 2020 Jun;138:e361-e369. Epub 2020 Mar 3 doi: 10.1016/j.wneu.2020.02.120. PMID: 32142947
A Systematic Review of Ion Radiotherapy in Maintaining Local Control Regarding Atypical and Anaplastic Meningiomas.
Coggins WS, Pham NK, Nguyen AV, Branch DW, Guillet JY, Korst G, Lall RR
World Neurosurg 2019 Dec;132:282-291. Epub 2019 Aug 30 doi: 10.1016/j.wneu.2019.08.149. PMID: 31476452
Adjuvant radiotherapy for atypical and malignant meningiomas: a systematic review.
Kaur G, Sayegh ET, Larson A, Bloch O, Madden M, Sun MZ, Barani IJ, James CD, Parsa AT
Neuro Oncol 2014 May;16(5):628-36. Epub 2014 Apr 2 doi: 10.1093/neuonc/nou025. PMID: 24696499Free PMC Article

Supplemental Content

Table of contents

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Related information

    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...