{"id":"627902de-e5ad-4a32-a4dc-2cfbef6d8335","slug":"extent-of-resection-and-survival-outcomes-in-the-world-health-organization-grade-ii-meningiomas","title":"Extent of resection and survival outcomes in the World Health Organization Grade II meningiomas","authors":["Gustavo R. Isolan","Rafael Roesler"],"abstract":"Background: The approach to resection of meningiomas, particularly World Health Organization Grade II meningiomas, is a significant concern for neurosurgeons. Recent studies indicate that gross total resection (GTR) is associated with improved progression-free survival, especially in patients under 75 years of age with skull base tumors. Summary: This letter discusses the findings of Soni et al., which highlight the importance of GTR in managing skull base meningiomas. It emphasizes the heterogeneity of these tumors, the challenges in conducting epidemiological studies, and the biases that may affect study outcomes. The authors advocate for a multidisciplinary approach in the management of skull base meningiomas to optimize surgical outcomes. Conclusion: The management of skull base meningiomas requires careful consideration of tumor characteristics and patient factors. A specialized surgical team with expertise in skull base surgery is essential for achieving successful outcomes and minimizing complications. The complexities involved in these cases necessitate a cautious interpretation of existing research findings. Keywords: meningiomas, gross total resection, skull base, surgical management, progression-free survival, tumor heterogeneity, epidemiological studies","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/placeholders/specialty/neuro-oncology.png","publishDate":"2022-04-08T00:00:00.000Z","doi":"10.25259/SNI_40_2022","categories":["Neuro-oncology","Letter to the Editor"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/627902de-e5ad-4a32-a4dc-2cfbef6d8335/pdf"}