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There are several types of meningioma treatment, which range from chemotherapy and radiation therapy to traditional surgery and minimally invasive procedures. The optimal approach depends on a number of factors, such as the grade and location of the tumor. Some people need only one form of meningioma treatment, while others require a combination of several therapies.

Meningioma surgery

Most patients with meningioma undergo surgery to remove the tumor and a small amount of surrounding healthy tissue. Depending on where a tumor is located, a surgeon may be able to remove it either through the nasal cavity, avoiding the need for a standard surgical incision, or by using advanced, minimally invasive surgical techniques. An awake craniotomy, in which a patient responds to a surgeon’s prompts during the operation, may also be performed if a tumor is located near vital tissues that control speech and motor function.

Chemotherapy and radiation therapy for meningioma treatment

Chemotherapy and radiation therapy are also common treatments for meningioma. Chemotherapy uses powerful medications to destroy abnormal cells. Radiation therapy uses high-energy beams to target cancerous tumors. One example is stereotactic radiosurgery, a highly precise type of radiation therapy that is often used for meningioma treatment.

Watchful waiting

For some people, it may not be necessary to start treatment right away. Slow-growing meningiomas that are not causing any symptoms may be carefully monitored – but not immediately addressed – through a process called watchful waiting. Patients who choose this option will typically meet with their treatment team on a regular basis for neurological evaluations and imaging scans. If a tumor starts to spread, the treatment team and patient can then decide on the best plan for addressing it.

At Moffitt Cancer Center, we welcome patients at every stage of the treatment process. Whether you’ve just been diagnosed with meningioma or have completed several rounds of treatment, you can consult with the multispecialty team in our Neuro-Oncology Program with or without a physician’s referral. To request an appointment, call 1-888-663-3488 or submit a new patient registration form online.