Abstract

This article presents results of using proton therapy after operation of patient with brain meningioma. After operation brain meningiomas is known to not rarely recur due to certain localization and growth of tumor into main cerebral vessels, nerves and other main brain structures. This creates certain difficulties in operative access and surgical intervention, i.e. tumor resection. Proton therapy sharply reduces complications and improves the quality of life of patients.

Highlights

  • Surgical removal is believed by Erzurum et al (1970) to be a classic treatment for meningiomas. Perevodchikova (2007) noted that if the tumor was completely removed, and obtained histology confirmed its benignity, so the possibility of recurrence will be very low

  • As Mattos Primenta (1981) noted, proton therapy is an effective treatment for brain meningiomas

  • We investigated 10 patients with brain meningiomas and their recurrences who had been hospitalized and treated in the Republican Scientific Center of Neurosurgery (RSCN). 5 (50%) of them were primarily admitted and operated patients, whereas 3 (30%) patients were re­operated for recurrent brain meningiomas. 2 (20%) patients with recurrent meningiomas had not repeated surgery

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Summary

Introduction

Surgical removal is believed by Erzurum et al (1970) to be a classic treatment for meningiomas. Perevodchikova (2007) noted that if the tumor was completely removed, and obtained histology confirmed its benignity, so the possibility of recurrence will be very low. The purpose of our study was to improve clinical outcomes of surgical treatment of patients with brain meningiomas with subsequent use of proton therapy to prevent their recurrence. After conducting X­ray therapy, patients with meningiomas and their recurrences noted significant improvement in quality of life, such symptoms as headache, nausea, vomiting, and diplopia were regressed, and control CT and MRI studies revealed a positive trend.

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