Cystic Meningiomas: Correlation between Radiologic and Histopathologic Features

Brain Tumor Res Treat. 2018 Apr;6(1):13-21. doi: 10.14791/btrt.2018.6.e3. Epub 2018 Apr 2.

Abstract

Background: Tumors with cysts often correlate with gliomas, metastatic tumors, or hemangioblastomas, which require differentiation.

Methods: Thirty-eight cases of cyst associated-meningioma based on preoperative radiologic studies and histologic confirmations were reviewed from November 1998 to July 2017.

Results: A total of 395 cases of meningioma were observed in the 20 years, and surgical treatment of intracranial meningioma was performed in 120 cases. Thirty-eight (9.6%) cases of cyst associated meningiomas were analyzed. Nauta type I was the most common type of cyst (39.5%) and the most frequent histopathological subtype was meningothelial type (36.8%).

Conclusion: Statistically there were no significant associations between meningioma histopathological type and associated cysts; however, the rate of World Health Organization grade II was higher in cyst associated meningiomas than in unrelated meningiomas. This correlation was weak, in accordance with the meningioma grade.

Keywords: Cyst; Histopathology; Intracranial meningioma; Neuropathology; Radiology.