Yttrium-90 radioembolization for treatment of anaplastic meningioma liver metastases.

Publication Type Case Report
Authors Fassia M, Haghdel A, Pelzman F, Magge R, Pannullo S, Liechty B, Schwartz T, Knisely J, Ivanidze J, Currie B
Journal Radiol Case Rep
Volume 21
Issue 2
Pagination 467-472
Date Published 11/11/2025
ISSN 1930-0433
Abstract Meningiomas are the most common primary intracranial neoplasm. The WHO classification, focusing on histomorphologic and molecular features, distinguishes WHO grade -1, -2, and -3 tumors. WHO-3 meningiomas are exceedingly rare, comprising 1%-3% of cases, and have the propensity to metastasize to the lungs, followed by bone and liver. Due to their rare occurence, there are no consensus guidelines on metastatic meningioma management. External beam radiation therapy is often the treatment of choice, therefore transarterial radioembolization is a reasonable option for meningioma metastases to the liver. In this case report, we describe the clinical course and outcomes of a patient with WHO-3 meningioma and extensive hepatic metastases which were initially detected during workup for possible renal transplant, confirmed with DOTATATE PET/CT, and successfully treated with Yttrium-90 radioembolization and ablation.
DOI 10.1016/j.radcr.2025.09.042
PubMed ID 41323179
PubMed Central ID PMC12657274
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