i have had a meningoma for 5-6 years that has been monitored by my neuro-oprhamologist. On May 7, 2024, i had another scan and was told by my neuro-opthamologist that the meningoma had enlarged. He immediately referred me to an oncology neuro-surgeon he highly trusts for an evaluation. Presumably, the two will develop a treatment plan. I would think among the first things the neurosurgeon will want to do is get a biopsy