En plaque meningioma of the temporal bone: A systematic review on the imaging and management of a rare tumor
Objective: To review the published cases of meningioma en plaque of the temporal bone (TB-MEP), to gather evidence on the clinical assessment and management of this rare entity. Methods: Following PRISMA statement recommendations, 383 abstracts were screened independently by two authors. Inclusion c...
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Elsevier
2024-01-01
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| Series: | Cancer Treatment and Research Communications |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468294224000662 |
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| author | Arianna Burato Giuseppe Maruccio Livio Presutti Ignacio Javier Fernandez Gabriele Molteni Giulia Molinari |
| author_facet | Arianna Burato Giuseppe Maruccio Livio Presutti Ignacio Javier Fernandez Gabriele Molteni Giulia Molinari |
| author_sort | Arianna Burato |
| collection | DOAJ |
| description | Objective: To review the published cases of meningioma en plaque of the temporal bone (TB-MEP), to gather evidence on the clinical assessment and management of this rare entity. Methods: Following PRISMA statement recommendations, 383 abstracts were screened independently by two authors. Inclusion criteria were articles of human patients affected by TB-MEP; English or Italian language; availability of the abstract articles unrelated to TB-MEP, guidelines and systematic reviews were excluded. Only full-text articles reporting the diagnostic work-up and the management of the TB-MEP were considered for analysis. Results: A total of 12 articles were included, for a total of 25 patients with a mean age of 52 years (range: 31–71). The average time elapsed between the onset of symptoms and the actual diagnosis of TB-MEP was 36.5 months (range: 2–120). In most cases, the pathology presented with hearing loss (80 %), often accompanied by effusive otitis media (52 %), aural fullness (32 %), and tinnitus (32 %). The main Computed Tomography (CT) findings were hyperostosis (76 %), hairy appearance of bony margins (16 %), involvement of the mastoid and middle ear (48 %). Magnetic Resonance Imaging (MRI) revealed dural enhancement (28 %), temporal hyperostosis (20 %), a clearly enhancing extra-axial mass (28 %), compression of the surrounding vasculo-nervous structures (8 %) and the possible involvement of the temporal lobe (8 %). Forty percent of patients underwent various medical and surgical treatment before reaching the diagnosis. Forty-four percent of patients were sent to definitive surgical treatment, 44 % to follow-up while 8 % received radiotherapy. Conclusions: Meningioma en plaque (MEP) is a rare tumour, particularly when it originates within the temporal bone. Appropriate imaging in patients complaining of audiological sign and symptoms is mandatory to avoid diagnostic delays, avoid inappropriate surgical procedures, and adopt the appropriate treatment. |
| format | Article |
| id | doaj-art-b131b219cb2c4f779c408a48287b8445 |
| institution | Kabale University |
| issn | 2468-2942 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Cancer Treatment and Research Communications |
| spelling | doaj-art-b131b219cb2c4f779c408a48287b84452025-02-09T05:00:45ZengElsevierCancer Treatment and Research Communications2468-29422024-01-0142100854En plaque meningioma of the temporal bone: A systematic review on the imaging and management of a rare tumorArianna Burato0Giuseppe Maruccio1Livio Presutti2Ignacio Javier Fernandez3Gabriele Molteni4Giulia Molinari5Department of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy; Alma Mater Studiorum - Università di Bologna, ItalyDepartment of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy; Alma Mater Studiorum - Università di Bologna, ItalyDepartment of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy; Alma Mater Studiorum - Università di Bologna, ItalyDepartment of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy; Alma Mater Studiorum - Università di Bologna, ItalyDepartment of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy; Alma Mater Studiorum - Università di Bologna, ItalyDepartment of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy; Alma Mater Studiorum - Università di Bologna, Italy; Corresponding author at: Department of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Massarenti, 9, 40137, Bologna, Italy.Objective: To review the published cases of meningioma en plaque of the temporal bone (TB-MEP), to gather evidence on the clinical assessment and management of this rare entity. Methods: Following PRISMA statement recommendations, 383 abstracts were screened independently by two authors. Inclusion criteria were articles of human patients affected by TB-MEP; English or Italian language; availability of the abstract articles unrelated to TB-MEP, guidelines and systematic reviews were excluded. Only full-text articles reporting the diagnostic work-up and the management of the TB-MEP were considered for analysis. Results: A total of 12 articles were included, for a total of 25 patients with a mean age of 52 years (range: 31–71). The average time elapsed between the onset of symptoms and the actual diagnosis of TB-MEP was 36.5 months (range: 2–120). In most cases, the pathology presented with hearing loss (80 %), often accompanied by effusive otitis media (52 %), aural fullness (32 %), and tinnitus (32 %). The main Computed Tomography (CT) findings were hyperostosis (76 %), hairy appearance of bony margins (16 %), involvement of the mastoid and middle ear (48 %). Magnetic Resonance Imaging (MRI) revealed dural enhancement (28 %), temporal hyperostosis (20 %), a clearly enhancing extra-axial mass (28 %), compression of the surrounding vasculo-nervous structures (8 %) and the possible involvement of the temporal lobe (8 %). Forty percent of patients underwent various medical and surgical treatment before reaching the diagnosis. Forty-four percent of patients were sent to definitive surgical treatment, 44 % to follow-up while 8 % received radiotherapy. Conclusions: Meningioma en plaque (MEP) is a rare tumour, particularly when it originates within the temporal bone. Appropriate imaging in patients complaining of audiological sign and symptoms is mandatory to avoid diagnostic delays, avoid inappropriate surgical procedures, and adopt the appropriate treatment.http://www.sciencedirect.com/science/article/pii/S2468294224000662MeningiomaEn plaqueMeningioma en plaqueTemporal boneLateral skull base |
| spellingShingle | Arianna Burato Giuseppe Maruccio Livio Presutti Ignacio Javier Fernandez Gabriele Molteni Giulia Molinari En plaque meningioma of the temporal bone: A systematic review on the imaging and management of a rare tumor Cancer Treatment and Research Communications Meningioma En plaque Meningioma en plaque Temporal bone Lateral skull base |
| title | En plaque meningioma of the temporal bone: A systematic review on the imaging and management of a rare tumor |
| title_full | En plaque meningioma of the temporal bone: A systematic review on the imaging and management of a rare tumor |
| title_fullStr | En plaque meningioma of the temporal bone: A systematic review on the imaging and management of a rare tumor |
| title_full_unstemmed | En plaque meningioma of the temporal bone: A systematic review on the imaging and management of a rare tumor |
| title_short | En plaque meningioma of the temporal bone: A systematic review on the imaging and management of a rare tumor |
| title_sort | en plaque meningioma of the temporal bone a systematic review on the imaging and management of a rare tumor |
| topic | Meningioma En plaque Meningioma en plaque Temporal bone Lateral skull base |
| url | http://www.sciencedirect.com/science/article/pii/S2468294224000662 |
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