Watching a Meningioma Brain Tumor

Posted by robinem @robinem, Feb 8, 2018

I've just been diagnosed with a 2cm meningioma tumor on the right front of my head. I am 59 years old and the surgeon has told me I will need to "do something" with my tumor someday since I am younger. What is the benefit of waiting?

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@mono21

Good morning,
I have meningioma. They found it back in June. It was 15mm. In September it was at 18.4. In February it’s at 2.1 cm. Dr will do nothing just monitor it in September I’ll have another ct to see if it’s grown. I have terrible headaches and my vision is getting bad. Now just sit and wait

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this can be scary. try not?

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Good morning,
I have meningioma. They found it back in June. It was 15mm. In September it was at 18.4. In February it’s at 2.1 cm. Dr will do nothing just monitor it in September I’ll have another ct to see if it’s grown. I have terrible headaches and my vision is getting bad. Now just sit and wait

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here is MY story:
For 15+ years I have had a small meningioma, 1.5 cm., in the parietal lobe that has done nothing! it was diagnosed at University of California Davis.
INTHE LAST MONTH (March 2025) my head grew one that went from zero to nearly 4cm.
that is scheduled to be removed surgically this month BECAUSE of the size, location, rate of growth.
Previously I had a stage 3 astrocytoma, the size of a golf ball with radiation afterwards, from which I recovered 40 yrs ago. that surgery took over 12 hours! This is reported to only take 3 hrs.

I suggest that a person not worry. with 21century technology, most anything is safe and doable! Good luck to all!

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I had Gamma Knife on a 4+ cm tumor near my optic nerve a year ago and a half ago and am doing fine.

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@cscmaryann

My drs told me they won't do gamma knife if the growth is too big.

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Yes, I've been told 3 centimeters is kind of the cut off point for not being offered gamma or cyber knife.

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@ninha06

Hi @colleenyoung, unfortunately, I have. Last October I was incidentally diagnosed with a 2.5cm meningioma behind my right eye, thank God it is not pressing my optic nerve, it shows a bit of calcification, so I hope it grows very slowly if at all. I'm asymptomatic and on surveillance till April, but I am freaking out, I am suffering with anxiety and depression. I am soooo afraid of the surgery that I am thinking about GammaKnife instead. I'm in Canada so here is more complicated to choose your physicians and treatments since the healthcare system is public. Could someone tell me more about the pros & cons of Gamma Knife? Thanks.

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Depends on the size of the meningioma. If too large, drs told me they won't use gamma knife. Ask about that.

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@cscmaryann

I have never heard of a gamma tile. I will look that one up.

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My drs told me they won't do gamma knife if the growth is too big.

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@ninha06

Hi @colleenyoung, unfortunately, I have. Last October I was incidentally diagnosed with a 2.5cm meningioma behind my right eye, thank God it is not pressing my optic nerve, it shows a bit of calcification, so I hope it grows very slowly if at all. I'm asymptomatic and on surveillance till April, but I am freaking out, I am suffering with anxiety and depression. I am soooo afraid of the surgery that I am thinking about GammaKnife instead. I'm in Canada so here is more complicated to choose your physicians and treatments since the healthcare system is public. Could someone tell me more about the pros & cons of Gamma Knife? Thanks.

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I have the exact same thing. Behind my right eye stage 1. I watched it for four years and it has begun to grow. I have no symptoms. If it grows I will. Gamma knife is too strong my docs told me 3 top neurosurgeons but targeted radiation like cyberknife or linear accelerator is safe for that area. I had five treatments and my last today. Mild headaches and fatigue. I will have a follow up MRI in 3 months. Gamma packs a very strong punch near the optic nerve. Do some research.

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@colleenyoung

Robin, you asked "I am 59 years old and the surgeon has told me I will need to “do something” with my tumor someday since I am younger. What is the benefit of waiting? That is an excellent question. Like Scott says, every person's situation is different. My understanding is watch and wait is recommended when the risk of growth is lower than the risk and/or side effects of treatment. That is a dreadful over simplification. It is better explained here: https://www.braintumour.ca/5833/ask-the-expert-the-wait-and-see-approach

We have several members living with meningioma who have had treatment and others who are under "active surviellance" (my preferred term to watch and wait). Let me bring a few more members into this discussion @eleanor1931seminara1931 @pegorr @lindajean @barbarabx @nancye3 @cnesselroad.

If I were you, I'd ask the surgeon to explain more specifically about the position and rate of growth that may lead to needing surgery later. And if surgery is inevitable, why not sooner?

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I was a watch and waiter for four years. I am 63 and very active. My last MRI showed some growth and I am still stage 1. 2 surgeons wanted me to wait a year to see if I want surgery and another highly respected one said don’t wait another year. I jumped in and did radiation and finished today. five in five days linear accelerator pin pointed with a mask etc. I wanted to stop the growth. It was SLOW growth but i took the leap. Surgery scared me so I wanted to be proactive. Keep getting MRIs and if it grows take action and do your research. I made the right choice for my comfort level. It’s a game of anxiety for sure. Best of luck.

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@colleenyoung

@ninha06, here's more information about gamma knife available in Toronto, Canada, where they have great specialists in brain surgery at the Krembil Barin Institute, part of the University Health Network (UHN) https://www.uhn.ca/Krembil/Clinics/Gamma_Knife

You might also be interested in reading the comments on these related discussions about Gamma knife
https://connect.mayoclinic.org/group/brain-tumor-support-group/?search=gamma+knife#discussion-listview
You might start here:
- - Stereotactic Radiosurgery Surgery (Gamma or Cyberknife) for Meningioma: https://connect.mayoclinic.org/discussion/gamma-knife-radio-surgery-for-meningioma/

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Thank you so much!

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