Meningiomas: grading

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Meningiomas: grading. Low grade, Meningothelial, Fibrous (fibroblastic), Transitional (mixed), Psammomatous. Fully referenced neurology checklist.

WHO grade I: 65-80% of cases

  • Low grade
  • Meningothelial
  • Fibrous (fibroblastic)
  • Transitional (mixed)
  • Psammomatous
  • Angiomatous
  • Microcystic
  • Secretory
  • Lymphoplasmacyte-rich
  • Metaplastic

WHO grade II: 20-35% of cases

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WHO grade III: <3% of cases

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Differential diagnosis

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References

  1. Rogers L, Barani I, Chamberlain M, et al. Meningiomas: knowledge base, treatment outcomes, and uncertainties. A RANO review. J Neurosurg 2015; 122:4-23. 
  2. Claus EB, Calvocoressi L, Bondy ML, Schildkraut JM, Wiemels JL, Wrensch M. Dental x-rays and risk of meningioma. Cancer 2012; 118:4530-4537.
  3. Raguž M, Mudrovčić Y, Dlaka D, et al. Primary dural lymphoma mimicking meningioma: a clinical and surgical case report. J Surg Case Rep 2018; 2018:rjy189. 
  4. Li J, Lei C, Richard SA, Liu Y. Giant solitary primary intracranial lymphoma masquerading as meningioma: a case and review of literature. Pan Afr Med J 2017; 28:196.

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