Table 4. Relapse patterns and treatment at progression in intracranial anaplastic meningioma.
No | Sex | Age (yr) | Primary or secondary | Location | Extent of resection | Adjuvant therapy | PFS (mo) | Relapse patterns | Treatment at recurrence | Chemotherapy agent | Effect of chemotherapy | Survival status | OS (mo) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | F | 46 | Secondary | Sphenoidal ridge | STR | - | 6 | ICD | Observation | - | - | Death | 29 |
2 | F | 56 | Secondary | Spheno-orbital | STR | - | 1 | ICD | Op | - | - | Death | 36 |
3 | M | 52 | Primary | Parasagittal | GTR | RTx | 27 | Local, ICD, ECD (lung) | CTx, Op | Hydroxyurea | PD | Death | 78 |
4 | M | 46 | Secondary | Sphenoid ridge | STR | - | 4 | Local | Op | - | - | Death | 17 |
5 | F | 66 | Secondary | Frontal | GTR | - | 6 | Local, ICD | Op, SRS | - | - | Death | 18 |
6 | M | 66 | Primary | Parietal | GTR | - | 15 | Local, ICD | Op | - | - | Death | 28 |
7 | F | 48 | Primary | Temporal | STR | - | 15 | ICD | Op | - | - | Death | 51 |
8 | F | 67 | Primary | Tuberculum sellae | STR | - | 12 | Local, ECD (lung) | Op | - | - | Death | 19 |
10 | F | 55 | Secondary | Sphenoid ridge | GTR | - | 4 | LMS | Op, RTx | - | - | Death | 12 |
12 | F | 49 | Primary | 4th ventricle | GTR | RTx | 18 | LMS | RTx | - | - | Death | 81 |
13 | M | 60 | Secondary | Frontal | GTR | RTx | 14 | ICD | Op #2, SRS | - | - | Death | 62 |
15 | M | 51 | Secondary | Temporal | GTR | 4 | ICD | Op, SRS, CTx | ICE #2 | PD | Death | 14 | |
Adriamycin #2 | PD | ||||||||||||
Irinotecan #1 | PD | ||||||||||||
16 | M | 56 | Primary | Convexity | GTR | RTx | 35 | Local, ICD | Op #2, CTx, SRS | TMZ #6 | PD | Alive | 100 |
18 | M | 32 | Primary | Sphenoid ridge | GTR | RTx | 66 | Local, ECD (lung) | SRS, lung | - | - | Alive | 90 |
21 | M | 68 | Primary | Parasagittal | STR | - | 4 | Local, ICD | Denial to treat | - | - | Death | 8 |
22 | M | 59 | Secondary | Parasagittal | STR | - | 5 | ICD (skull base) | SRS #3 | - | - | Death | 57 |
23 | F | 72 | Primary | Sphenoid ridge | GTR | RTx | 13 | Local, ICD | SRS #2 | - | - | Alive | 72 |
25 | F | 77 | Primary | Scalp, convexity | STR | RTx | 32 | ICD, ECD (lung) | Denial to treat | - | - | Death | 50 |
27 | M | 57 | Primary | Intraventricular | STR | RTx | 6 | Local | Observation | - | - | Death | 12 |
29 | M | 69 | Primary | Convexity | GTR | RTx | 30 | Local | SRS | - | - | Death | 38 |
30 | F | 75 | Secondary | Falx | GTR | RTx | 52 | Local, ICD | Denial to treat | - | - | Alive | 63 |
31 | F | 63 | Primary | Frontal | GTR | RTx | 6.7 | Local, ECD (spine) | Op (brain, spine), SRS | - | - | Death | 16 |
32 | M | 53 | Secondary | Convexity | GTR | RTx | 28 | ICD | Op, RTx | - | - | Alive | 61 |
33 | F | 50 | Secondary | Convexity | GTR | - | 6 | Local, LMS | Denial to treat | - | - | Death | 8 |
34 | F | 77 | Secondary | Convexity | GTR | - | 2 | ICD, ECD (multiple bone) | OP, SRS, RTx | - | - | Death | 8 |
35 | M | 46 | Primary | Intraventricular | GTR | RTx | 6 | ICD, ECD (rib) | OP, RTx, CTx | ICE #3 | PD | Death | 32 |
36 | F | 56 | Primary | Parasagittal | GTR | - | 10 | Local, ICD | OP, RTx, CTx | ICE #2 | PD | Death | 30 |
Avastine #3 | PD | ||||||||||||
Sunitinib #2 | PD | ||||||||||||
37 | M | 52 | Secondary | Sphenoid ridge | GTR | CTx (TMZ #4) | 4 | Local, LMS | OP, SRS, CTx, WBRT | ICE #6 | SD (6 mo) → PD | Death | 15 |
38 | M | 60 | Primary | Convexity | GTR | RTx | 9 | Local | OP, CTx | ICE #6 | SD (5 mo) | Death | 30 |
Avastine #6 | PD | ||||||||||||
39 | F | 57 | Secondary | Parietal | STR | CKRS | 8 | ICD | OP, CTx | ICE #4 | SD (4 mo) → PD | Death | 33 |
42 | M | 59 | Secondary | Convexity | GTR | RTx | 17 | ICD | OP | - | - | Alive | 32 |
43 | M | 57 | Secondary | Convexity, scalp | STR | CTx (ICE #6) | 13 | ICD | SRS #2, CTx | ICE #6 | PR → PD | Alive | 30 |
Avastine #3 | PD | ||||||||||||
44 | F | 71 | Secondary | Convexity | GTR | No | 9 | Local | Salvage RTx | - | - | Alive | 26 |
45 | M | 47 | Secondary | Convexity | GTR | No | 4 | 4 ICD, ECD (scalp) | CTx | ICE #4 | SD (7 mo) → PD | Alive | 25 |
PFS, prgression-free survival; OS, overall survival; M, male; F, female; GTR, gross total resection; STR, subtotal resection; ICD, intracranial dissemination; LMS, leptomeningeal seeding; ECD, extracranial dissemination; CKRS, CyberKnife radiosurgery; WBRT, whole brain radio therapy; ICE, ifosfamide, carboplatin, etoposide; TMZ, temozolomide; Op, operation; RTx, radiation therapy; SRS, stereotactic radiosurgery; CTx, chemotherapy; PD, progressive disease; SD, stable disease