Radiation-induced meningiomas following childhood cranial radiotherapy—report of four cases

Abstract Background Radiation-induced meningiomas represent a late side effect of cranial radiation therapy. The most widely used diagnostic criteria, despite the lack of a standard description, is a meningioma that develops in a previously irradiated area following a predetermined time interval. Ca...

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Main Authors: Larisa Andrada Ay, Erkin Ozgiray, Nevhis Akintürk, Emine Serra Kamer, Yeşim Ertan
Format: Article
Language:English
Published: SpringerOpen 2025-02-01
Series:Egyptian Journal of Neurosurgery
Subjects:
Online Access:https://doi.org/10.1186/s41984-025-00373-1
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author Larisa Andrada Ay
Erkin Ozgiray
Nevhis Akintürk
Emine Serra Kamer
Yeşim Ertan
author_facet Larisa Andrada Ay
Erkin Ozgiray
Nevhis Akintürk
Emine Serra Kamer
Yeşim Ertan
author_sort Larisa Andrada Ay
collection DOAJ
description Abstract Background Radiation-induced meningiomas represent a late side effect of cranial radiation therapy. The most widely used diagnostic criteria, despite the lack of a standard description, is a meningioma that develops in a previously irradiated area following a predetermined time interval. Case presentation We present four cases of late-onset cranial atypical meningiomas following childhood cranial radiotherapy. Four patients (two females and two males) between 4 and 13 years of age at the time of cranial irradiation developed secondary intracranial meningioma after a latency period of 8–34 years. Surgical resection of the tumors was performed, and histopathological examination revealed a diagnosis of atypical meningioma in all four patients. Conclusion Radiation-induced tumors continue to be a significant side effect of radiotherapy and radiosurgery, and they are frequently identified as recurrent, numerous, and more aggressive. Prolonged follow-up should definitely not be ignored in patients with antecedents of radiotherapy for a primary cerebral tumor or cranial irradiation for an early age malignancy.
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institution Kabale University
issn 2520-8225
language English
publishDate 2025-02-01
publisher SpringerOpen
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series Egyptian Journal of Neurosurgery
spelling doaj-art-1a3f81b0c5434f9aa5cdfd4e36ad3b1a2025-02-09T12:25:17ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252025-02-014011810.1186/s41984-025-00373-1Radiation-induced meningiomas following childhood cranial radiotherapy—report of four casesLarisa Andrada Ay0Erkin Ozgiray1Nevhis Akintürk2Emine Serra Kamer3Yeşim Ertan4Department of Neurosurgery, Söke Fehime Faik Kocagöz State HospitalDepartment of Neurosurgery, Faculty of Medicine, Ege UniversityDepartment of Neurosurgery, Faculty of Medicine, Ege UniversityDepartment of Radiation Oncology, Faculty of Medicine, Ege UniversityDepartment of Pathology, Faculty of Medicine, Ege UniversityAbstract Background Radiation-induced meningiomas represent a late side effect of cranial radiation therapy. The most widely used diagnostic criteria, despite the lack of a standard description, is a meningioma that develops in a previously irradiated area following a predetermined time interval. Case presentation We present four cases of late-onset cranial atypical meningiomas following childhood cranial radiotherapy. Four patients (two females and two males) between 4 and 13 years of age at the time of cranial irradiation developed secondary intracranial meningioma after a latency period of 8–34 years. Surgical resection of the tumors was performed, and histopathological examination revealed a diagnosis of atypical meningioma in all four patients. Conclusion Radiation-induced tumors continue to be a significant side effect of radiotherapy and radiosurgery, and they are frequently identified as recurrent, numerous, and more aggressive. Prolonged follow-up should definitely not be ignored in patients with antecedents of radiotherapy for a primary cerebral tumor or cranial irradiation for an early age malignancy.https://doi.org/10.1186/s41984-025-00373-1Radiation-induced meningiomaCranial radiotherapyChildhood leukemiaRadiationCase report
spellingShingle Larisa Andrada Ay
Erkin Ozgiray
Nevhis Akintürk
Emine Serra Kamer
Yeşim Ertan
Radiation-induced meningiomas following childhood cranial radiotherapy—report of four cases
Egyptian Journal of Neurosurgery
Radiation-induced meningioma
Cranial radiotherapy
Childhood leukemia
Radiation
Case report
title Radiation-induced meningiomas following childhood cranial radiotherapy—report of four cases
title_full Radiation-induced meningiomas following childhood cranial radiotherapy—report of four cases
title_fullStr Radiation-induced meningiomas following childhood cranial radiotherapy—report of four cases
title_full_unstemmed Radiation-induced meningiomas following childhood cranial radiotherapy—report of four cases
title_short Radiation-induced meningiomas following childhood cranial radiotherapy—report of four cases
title_sort radiation induced meningiomas following childhood cranial radiotherapy report of four cases
topic Radiation-induced meningioma
Cranial radiotherapy
Childhood leukemia
Radiation
Case report
url https://doi.org/10.1186/s41984-025-00373-1
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AT nevhisakinturk radiationinducedmeningiomasfollowingchildhoodcranialradiotherapyreportoffourcases
AT emineserrakamer radiationinducedmeningiomasfollowingchildhoodcranialradiotherapyreportoffourcases
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