Anyone had Proton Beam Therapy for Meningioma?

Posted by deblee @deblee, May 10, 2020

Has anyone received Proton Therapy for their meningioma? If so, was it successful in reducing the size without surgery? Thank you.

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Profile picture for Maryann @mkoch

@kdog1957: I'm going to segue off your comment of "there are now equal chances of something else getting me..." I have two remaining meningiomas, 6 and 8 millimeters. My neurologist said, "You need to get those radiated." He sent me to a radiation oncologist. The radiation oncologist agreed. However, the neurosurgeon who did my craniotomy 2 years ago said since the meningiomas are not causing symptoms, and they are slow growing (typically 1/8th an inch a year) he suggested active surveillance (a.k.a. watch-and-wait). I think my neurosurgeon is thinking that at my age, 73, something else is gonna get me before those meningiomas grow to a point that they are causing symptoms. And I'm happy to report my MRI 3 weeks ago show no growth in a year for both remaining meningiomas.

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@mkoch, glad to know you’re asymptomatic and the meningiomas are stable. There are many people who have tumors of that size and never know it.

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Profile picture for jasonl1012 @jasonl1012

@jen0404
I have almost the exact same story as you just one year later. I am nervous about the radiation and wondering the same things. I am 52 and have read radiation can cause cancer and don’t want to do that to a “benign” tumor and then get a cancerous one. I have read that proton is supposed to be less risk. I don’t know

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@jasonl1012

I feel the same way, how fast will this grow and is it best to wait and do later when we see changes. My oncology tema is suggesting both types of radiation proton and photon. There seem to be pros and cons with the choices.

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Profile picture for kdog1957 @kdog1957

Hi,
I finished 30 IRMT treatments 2 months ago. I had minimal side effects: itchy forehead area, slight hair loss, and an appreciation for afternoon naps. The hair hasn’t started growing back yet, but the other effects have resolved. There is a chance of cancer developing after radiation treatment, but it is rare. I’m 68 so I figured that there are now equal chances of something else getting me besides cancer. Some of the possible long term effects are cognitive decline and brain necrosis. But they are also rare. At a certain age they may not be distinguishable from normal aging.

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@kdog1957: I'm going to segue off your comment of "there are now equal chances of something else getting me..." I have two remaining meningiomas, 6 and 8 millimeters. My neurologist said, "You need to get those radiated." He sent me to a radiation oncologist. The radiation oncologist agreed. However, the neurosurgeon who did my craniotomy 2 years ago said since the meningiomas are not causing symptoms, and they are slow growing (typically 1/8th an inch a year) he suggested active surveillance (a.k.a. watch-and-wait). I think my neurosurgeon is thinking that at my age, 73, something else is gonna get me before those meningiomas grow to a point that they are causing symptoms. And I'm happy to report my MRI 3 weeks ago show no growth in a year for both remaining meningiomas.

REPLY
Profile picture for jasonl1012 @jasonl1012

@jen0404
I have almost the exact same story as you just one year later. I am nervous about the radiation and wondering the same things. I am 52 and have read radiation can cause cancer and don’t want to do that to a “benign” tumor and then get a cancerous one. I have read that proton is supposed to be less risk. I don’t know

Jump to this post

Hi,
I finished 30 IRMT treatments 2 months ago. I had minimal side effects: itchy forehead area, slight hair loss, and an appreciation for afternoon naps. The hair hasn’t started growing back yet, but the other effects have resolved. There is a chance of cancer developing after radiation treatment, but it is rare. I’m 68 so I figured that there are now equal chances of something else getting me besides cancer. Some of the possible long term effects are cognitive decline and brain necrosis. But they are also rare. At a certain age they may not be distinguishable from normal aging.

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Profile picture for jen0404 @jen0404

Hi,
I am learning more about my treatment options. I am also 54 and had meningioma tumor removed in 2023 and now being told I should do radiation treatment, combination of proton and photon radiation therapy. The remaining tumor is around my pituitary gland and optic nerve. I am curious about long term side effects and treatment. It seems that with tradtional radiation therapy there is more of a chance of long term side effects.
Thank you for sharing.

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@jen0404
I have almost the exact same story as you just one year later. I am nervous about the radiation and wondering the same things. I am 52 and have read radiation can cause cancer and don’t want to do that to a “benign” tumor and then get a cancerous one. I have read that proton is supposed to be less risk. I don’t know

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Profile picture for Pat22 @colom22

Hi,
Thank you for sharing your experience at the time. I'm 54 years old and had a subtotal resection of my meningioma tumor last year. I have been recommended proton beam radiation for the part that could not be removed and is resting on lateral rectus muscle and the optic nerve. I'm confident that radiation will help but have some fear of the side effects. Did you mean to say non-invasive? Did you have damage of other structures in your brain? I have been informed about 40% chance of compromise of my pituitary gland. Were you able to work during your treatment? Thank you so much for your insight, and like you, I work hard to remain strong and active!

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Hi,
I am learning more about my treatment options. I am also 54 and had meningioma tumor removed in 2023 and now being told I should do radiation treatment, combination of proton and photon radiation therapy. The remaining tumor is around my pituitary gland and optic nerve. I am curious about long term side effects and treatment. It seems that with tradtional radiation therapy there is more of a chance of long term side effects.
Thank you for sharing.

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Profile picture for deblee @deblee

Thank you, Colleen. I am not sure since I have not spoken to my NS yet about this. I wanted to do more research before my next appointment. We do not have a Proton Therapy treatment center where I live so would have to travel to another state.

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I had stereotactic radiation 21 years ago for my meningioma. It took time for the tumor to disappear, but over time it did. It still shows on the MRIs for about 5 years, but it was shrinking the entire time. Now it is gone, but I have developed a second one which I am dealing with. This new one was just discovered a few weeks ago, so I haven’t seen a neurosurgeon yet. But non-surgical options can be a better choice. My original doctor didn’t think I’d make it through surgery, so the radiation was my only alternative.

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Profile picture for robineliza @robineliza

Hi I was just told that I have this tumor. What type of therapy is that?

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Welcome @robineliza. Here is more information about meningiomas and proton beam therapy from Mayo Clinic.
- Meningioma https://www.mayoclinic.org/diseases-conditions/meningioma/symptoms-causes/syc-20355643
- Proton Beam Therapy Program https://www.mayoclinic.org/departments-centers/proton-beam-therapy-program/home/orc-20185488

Treatment for a meningioma depends on many factors, including:
- The size of the meningioma and where it is.
- The rate of growth of the tumor.
- Your age and overall health.
- Your goals for treatment.

Have you discussed treatment options with your care team?

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Hi I was just told that I have this tumor. What type of therapy is that?

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Profile picture for woody1234 @woody1234

I start treatment next month for four weeks hope all goes well. Woody davis

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Welcome, @woody1234. Where will you be getting treatment? Do you have any questions as you prepare to upcoming treatment?

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