Treatment of a Woman with Inoperable Meningioma Using Mifepristone for 26 Years
Joint Authors
Motta, Lucilia Casulari Domingues
Medina-Lopes, Maria das Dores
Source
Case Reports in Neurological Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-02-11
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Medina-Lopes, Maria das Dores& Motta, Lucilia Casulari Domingues. 2020. Treatment of a Woman with Inoperable Meningioma Using Mifepristone for 26 Years. Case Reports in Neurological Medicine،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1148902
Modern Language Association (MLA)
Medina-Lopes, Maria das Dores& Motta, Lucilia Casulari Domingues. Treatment of a Woman with Inoperable Meningioma Using Mifepristone for 26 Years. Case Reports in Neurological Medicine No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1148902
American Medical Association (AMA)
Medina-Lopes, Maria das Dores& Motta, Lucilia Casulari Domingues. Treatment of a Woman with Inoperable Meningioma Using Mifepristone for 26 Years. Case Reports in Neurological Medicine. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1148902
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148902