Case Report

Stereotactic Radiosurgery (SRS) Induced Higher-Grade Transformation of a Benign Meningioma into Atypical Meningioma

Table 1

Outcome of benign meningioma patients who underwent stereotactic radiosurgery (SRS).

Study/publication yearNo. of grade I meningioma patients treated with SRS as primary for presumed grade I or adjuvant after surgeryNo. of patients who had radiological progression after SRSNumber of operated patients after SRS and progressionReported histologic vs. presumed grade I meningioma before SRSHistopathological confirmation after surgeryGrade progression to WHO grade II or IIITime to progression post-SRS. Mean or Median in months (Range)

Park et al. [26], 201820028 (14%)8MixedYesNo62 (range 49-104)
M. R. Patibandla et al. [2], 201812013 (10.8%)2MixedNRNot reported(52-84)
J. W. Kim et al. [14], 2017895 (5.6%)3MixedYesNo(75-164)
Pollock et al. [7], 20173167 (2.2%)7HistologicYesYes (7)(33.6–165.6)
Kim et al. [24], 201686556 (6.47%)8PresumedYesYes (6/8)(36-228)
Lee et al. [3], 20161139 (7.9%)4 (3.5%)PresumedYesYes (4) (24–120)
CK Jang et al. [1], 201562828 (4%)9Mixed (128 has)1 reportedYes (1)(1-79)
J. P. Sheehan et al. [5], 201567559 (8.8%)24Mixed (292 has)YesNo(6–252)
R. M. Starke et al. [17], 20157512 (16%)5Mixed (45 has)YesNo78 (6–252)
C.J. Przybylowski et al. [18], 201434 (>WHO1 patients excluded)5 (14.7%)NRHistologicNRNR48.9 (1.6–61.4)
Seong-Hyun Park et al. [34], 2015394 (10%)0Mixed (11 has)57 (16–87)
R. Starke et al. [36], 20142542-88Mixed (114 has)YesNo71.1 (6–252)
S. H. Park et al. [21], 2014742 (3%)1Mixed (14 has)NRNRAt 14.6 and 17.1 after SRS, respectively
Pollock et al. [4], 201346024 (5.7%)NRMixedNRNR(43-74)
B. E. Pollock et al. [6], 20131156 (5%)4Mixed (46 has)YesNo74 (42–145)
D. J. Salvetti et al. [23], 2013421 (2.4%)0Mixed (19 has)59 (12–144)
F.A. Zeiler et al. [37], 2012302 (7.7%)0Mixed (12 has)36.1 (3-80)
B. E. Pollock et al. [38], 20122513 (1.2%)02PresumedAt 28, 145, and 150 months, respectively
Santacroce et al. [19], 20123768281 (7.5%)27MixedYesYes (8/27)Median, 48.7
Mean, 56
R. M. Starke et al. [27], 201115219 (13%)7Mixed (77 has)NRNR84 (24–192)
M. A. Dos Santos et al. [35], 2011889 (10.2%)0Mixed (41 has)86.8 (17.1–179.4)
K.-W. Jo et al. [10], 20116900Presumed63.1 (24–110)
Zada et al. [39], 20101367 (5.1%)3Mixed (72 has)YesNo90 (60-122)
Skeie et al. [13], 2010937 (7.5%)7Mixed (53 has)NRNR (1–240 mo)
H. Kuroda et al. [40], 2009111HistologicYesYes(23-33)
P. Kunert et al. [11], 2009111PresumedYesYes3 months after SRS
J.C. Ganz et al. [32], 20089700Presumed54 (25–86)
Y. Iwai et al. [15], 200810818 (16.7%)NRMixed (62 has)NRYes (7)81.8 (20–144)
L. Davidson et al. [22], 2007361 (2.8%)1HistologicNRNR81 (30–141)
A. Kollová et al. [33], 20073689 (2.5%)5Mixed (109 has)NRNR60 (24-126)
W.T. Couldwell et al. [41], 2007131313Mixed (10 has)YesYes (1)(6-14)
Kubo O et al. [8], 2005111HistologicYesYes
S.J. Dibiase et al. [31], 200412110 (8.3%)1Mixed (<52 has)NRNR54 (3.96–126).
B.E. Pollock [42], 20032676 (2.2%)5Mixed (107 has)YesYes (2)43 (2–138)
Fuentes et al. [43], 2002111HistologicYesYes(12-84)

: all patients treated by other than surgery after initial SRS were excluded. 2: ten patients operated for other reasons after SRS other than progression; all had WHO grade 1.NR : Not Reported.