Treatment of a Woman with Inoperable Meningioma Using Mifepristone for 26 Years
Meningioma treatment includes observation of its growth or surgery with or without associated radiotherapy. However, drug treatment can be used for tumors deemed inoperable because of their size and location. Due to the presence of progesterone receptors, the use of antiprogestin mifepristone is rec...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/5162918 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849693298660212736 |
|---|---|
| author | Maria das Dores Medina-Lopes Luiz Augusto Casulari |
| author_facet | Maria das Dores Medina-Lopes Luiz Augusto Casulari |
| author_sort | Maria das Dores Medina-Lopes |
| collection | DOAJ |
| description | Meningioma treatment includes observation of its growth or surgery with or without associated radiotherapy. However, drug treatment can be used for tumors deemed inoperable because of their size and location. Due to the presence of progesterone receptors, the use of antiprogestin mifepristone is recommended. This study describes a case of inoperable meningioma treated with mifepristone for 26 years without interruption. The patient is a 45-year-old woman diagnosed with plaque meningioma, extending from the bottom of her right orbit, through the length of the small wing of the sphenoid, part of the large wing of the sphenoid, especially near the superior orbital fissure, and at the ceiling of the orbit. As this meningioma was considered inoperable, treatment with 200 mg oral mifepristone was administered uninterruptedly for 26 years. This treatment initially halted the growth of the meningioma and subsequently resulted in a small reduction of its volume; however, the meningioma has persisted until the last evaluation. After five years of mifepristone use, hydroxyurea was added for nine months but was discontinued due to anemia and leucopenia. In conclusion, mifepristone was useful for the survival of the patient for those 26 years. The drug interfered with the natural history of the meningioma, which generally evolves to death in such long follow-up durations without associated surgery or radiation therapy. |
| format | Article |
| id | doaj-art-37f2bbb1b02c4f839858aa497faec644 |
| institution | DOAJ |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-37f2bbb1b02c4f839858aa497faec6442025-08-20T03:20:29ZengWileyCase Reports in Neurological Medicine2090-66682090-66762020-01-01202010.1155/2020/51629185162918Treatment of a Woman with Inoperable Meningioma Using Mifepristone for 26 YearsMaria das Dores Medina-Lopes0Luiz Augusto Casulari1The Secretariat of Health of the Federal District and the Ministry of Health, Brasília, DF, BrazilThe University Hospital of Brasília and Clinic of Endocrinology and Neurology (CLINEN), Brasília, DF, BrazilMeningioma treatment includes observation of its growth or surgery with or without associated radiotherapy. However, drug treatment can be used for tumors deemed inoperable because of their size and location. Due to the presence of progesterone receptors, the use of antiprogestin mifepristone is recommended. This study describes a case of inoperable meningioma treated with mifepristone for 26 years without interruption. The patient is a 45-year-old woman diagnosed with plaque meningioma, extending from the bottom of her right orbit, through the length of the small wing of the sphenoid, part of the large wing of the sphenoid, especially near the superior orbital fissure, and at the ceiling of the orbit. As this meningioma was considered inoperable, treatment with 200 mg oral mifepristone was administered uninterruptedly for 26 years. This treatment initially halted the growth of the meningioma and subsequently resulted in a small reduction of its volume; however, the meningioma has persisted until the last evaluation. After five years of mifepristone use, hydroxyurea was added for nine months but was discontinued due to anemia and leucopenia. In conclusion, mifepristone was useful for the survival of the patient for those 26 years. The drug interfered with the natural history of the meningioma, which generally evolves to death in such long follow-up durations without associated surgery or radiation therapy.http://dx.doi.org/10.1155/2020/5162918 |
| spellingShingle | Maria das Dores Medina-Lopes Luiz Augusto Casulari Treatment of a Woman with Inoperable Meningioma Using Mifepristone for 26 Years Case Reports in Neurological Medicine |
| title | Treatment of a Woman with Inoperable Meningioma Using Mifepristone for 26 Years |
| title_full | Treatment of a Woman with Inoperable Meningioma Using Mifepristone for 26 Years |
| title_fullStr | Treatment of a Woman with Inoperable Meningioma Using Mifepristone for 26 Years |
| title_full_unstemmed | Treatment of a Woman with Inoperable Meningioma Using Mifepristone for 26 Years |
| title_short | Treatment of a Woman with Inoperable Meningioma Using Mifepristone for 26 Years |
| title_sort | treatment of a woman with inoperable meningioma using mifepristone for 26 years |
| url | http://dx.doi.org/10.1155/2020/5162918 |
| work_keys_str_mv | AT mariadasdoresmedinalopes treatmentofawomanwithinoperablemeningiomausingmifepristonefor26years AT luizaugustocasulari treatmentofawomanwithinoperablemeningiomausingmifepristonefor26years |