Regression of Multiple Meningiomas after Discontinuation of Chronic Hormone Therapy: A Case Report

Introduction Meningiomas are more common in females and frequently express progesterone and estrogen receptors. Recent studies have revealed a high incidence of meningiomas in situations in which estrogen/progesterone levels are increased such as pregnancy, gender reassignment therapy, and fertility...

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Autores principales: Maryam N. Shahin, Stephen G. Bowden, Nasser K. Yaghi, Jacob H. Bagley, Seunggu J. Han, Elena V. Varlamov, Marjorie R. Grafe, Justin S. Cetas
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Publicado: Georg Thieme Verlag KG 2021
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spelling oai:doaj.org-article:f971b25d5c1b48029accc53d40fdb8192021-12-01T23:46:39ZRegression of Multiple Meningiomas after Discontinuation of Chronic Hormone Therapy: A Case Report2193-63582193-636610.1055/s-0041-1735553https://doaj.org/article/f971b25d5c1b48029accc53d40fdb8192021-10-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1735553https://doaj.org/toc/2193-6358https://doaj.org/toc/2193-6366Introduction Meningiomas are more common in females and frequently express progesterone and estrogen receptors. Recent studies have revealed a high incidence of meningiomas in situations in which estrogen/progesterone levels are increased such as pregnancy, gender reassignment therapy, and fertility treatment. While the relationship remains unclear and controversial, these findings suggest exposure to high levels of endogenous or exogenous hormones may increase the risk of developing a meningioma. Patients and Methods A 40-year-old female with a history of endometriosis treated with chronic progesterone therapy presented with a visual deficit and was found to have multiple meningiomas, which regressed after cessation of exogenous progesterone. Conclusion A history of chronic hormone therapy should be included when evaluating patients diagnosed with meningiomas, particularly at a younger age and with multiple meningiomas. Cessation of exogenous progesterone resulting in regression of meningiomas suggests a direct action of progesterone on growth. Future studies are warranted to better elucidate this relationship.Maryam N. ShahinStephen G. BowdenNasser K. YaghiJacob H. BagleySeunggu J. HanElena V. VarlamovMarjorie R. GrafeJustin S. CetasGeorg Thieme Verlag KGarticlemeningiomaestrogenprogesteroneendometriosisSurgeryRD1-811Neurology. Diseases of the nervous systemRC346-429ENJournal of Neurological Surgery Reports, Vol 82, Iss 04, Pp e38-e42 (2021)
institution DOAJ
collection DOAJ
language EN
topic meningioma
estrogen
progesterone
endometriosis
Surgery
RD1-811
Neurology. Diseases of the nervous system
RC346-429
spellingShingle meningioma
estrogen
progesterone
endometriosis
Surgery
RD1-811
Neurology. Diseases of the nervous system
RC346-429
Maryam N. Shahin
Stephen G. Bowden
Nasser K. Yaghi
Jacob H. Bagley
Seunggu J. Han
Elena V. Varlamov
Marjorie R. Grafe
Justin S. Cetas
Regression of Multiple Meningiomas after Discontinuation of Chronic Hormone Therapy: A Case Report
description Introduction Meningiomas are more common in females and frequently express progesterone and estrogen receptors. Recent studies have revealed a high incidence of meningiomas in situations in which estrogen/progesterone levels are increased such as pregnancy, gender reassignment therapy, and fertility treatment. While the relationship remains unclear and controversial, these findings suggest exposure to high levels of endogenous or exogenous hormones may increase the risk of developing a meningioma. Patients and Methods A 40-year-old female with a history of endometriosis treated with chronic progesterone therapy presented with a visual deficit and was found to have multiple meningiomas, which regressed after cessation of exogenous progesterone. Conclusion A history of chronic hormone therapy should be included when evaluating patients diagnosed with meningiomas, particularly at a younger age and with multiple meningiomas. Cessation of exogenous progesterone resulting in regression of meningiomas suggests a direct action of progesterone on growth. Future studies are warranted to better elucidate this relationship.
format article
author Maryam N. Shahin
Stephen G. Bowden
Nasser K. Yaghi
Jacob H. Bagley
Seunggu J. Han
Elena V. Varlamov
Marjorie R. Grafe
Justin S. Cetas
author_facet Maryam N. Shahin
Stephen G. Bowden
Nasser K. Yaghi
Jacob H. Bagley
Seunggu J. Han
Elena V. Varlamov
Marjorie R. Grafe
Justin S. Cetas
author_sort Maryam N. Shahin
title Regression of Multiple Meningiomas after Discontinuation of Chronic Hormone Therapy: A Case Report
title_short Regression of Multiple Meningiomas after Discontinuation of Chronic Hormone Therapy: A Case Report
title_full Regression of Multiple Meningiomas after Discontinuation of Chronic Hormone Therapy: A Case Report
title_fullStr Regression of Multiple Meningiomas after Discontinuation of Chronic Hormone Therapy: A Case Report
title_full_unstemmed Regression of Multiple Meningiomas after Discontinuation of Chronic Hormone Therapy: A Case Report
title_sort regression of multiple meningiomas after discontinuation of chronic hormone therapy: a case report
publisher Georg Thieme Verlag KG
publishDate 2021
url https://doaj.org/article/f971b25d5c1b48029accc53d40fdb819
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