Meningioma
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| ID | DIS-MENINGIOMA |
|---|---|
| Tipo | Doença |
| Alegais | WHO grade I/II/III meningiomameningioma anaplásicoMeningioma atípicomeningioma intracranianomeningioma espinhalМенінгіома |
| Estado | reviewed 2026-05-04 | pending_clinical_signoff |
| Doenças | Nenhuma declaração |
| Fontes | SRC-EANO-MENINGIOMA-2024 SRC-NCCN-CNS-2025 |
Informational support. All recommendations must be verified by a qualified oncologist. Engineering checks are not clinical validation or treatment approval.
| icd_o_3_morphology | 9530/0 |
|---|---|
| icd_o_3_topography | ["C70"] |
| icd_10 | D32 |
| who_classification | WHO Classification of Tumours of the CNS 5th ed (2021): Meningioma (grades 1–3) |
Notas
Most meningiomas are WHO grade I (benign) and cured by gross total resection. Grade II (atypical) and grade III (anaplastic) have high recurrence rates and limited systemic options. NF2 loss is the most common molecular event; NF2-associated meningiomas often harbor co-occurring SMARCB1/SMARCA4 alterations in aggressive subtypes. Targeted therapy: AKT1-mutant meningioma → AKT inhibitors (capivasertib, ipatasertib) in phase II trials. SMO-mutant meningioma → vismodegib (case series). Selumetinib for NF2-associated plexiform neurofibroma has shown activity (FDA-approved in NF1 pediatric context) but NF2-meningioma selumetinib data is limited. Hormonal agents (progesterone receptor antagonists) not proven effective in trials. Bevacizumab used off-label for recurrent/progressive grade II-III based on small trials.
Usado por
Relevância terapêutica
BMA-NF2-GERMLINE-VESTIBULAR-SCHWANNOMA- As variantes patogênicas da linha germinal NF2 impulsionam a neurofibromatose tipo 2 (NF2 / NF2-relacionados com...BMA-NF2-MENINGIOMA- A perda de NF2 é o motor molecular mais comum no meningioma (~50% do grau I; maior propo...
Algoritmos
ALGO-MENINGIOMA-1L- ALGO-MENINGIOMA-1L
Indicação
IND-MENINGIOMA-1L-RESECTION-RT- IND-MENINGIOMA-1L-RESECTION-RTIND-NF2-CARRIER-SURVEILLANCE- IND-NF2-CARRIER-SURVEILLANCE
Procedimentos
SUR-MENINGIOMA-RESECTION- Ressecção máxima segura do meningioma
Questionários
QUEST-MENINGIOMA-1L-STUB- Meningioma — primeira linha
Sinal de alerta
RF-NF2-SCHWANNOMATOSIS-CARRIER- Confirmada variante patogênica da linha germinal / patogênica provável na NF2 (neurofibromina 2 / mer...RF-WERNER-CONFIRMED-CARRIER- Variantes patogênicas / patogênicas provável-biallélicas confirmadas em WRN (RECQL2; Wern...