What is the appropriate way to treat meningioma in an 81-year-old female?

Question

Hello doctor,

I have a few questions regarding my aunt's health. She is 81 years old, and the doctors found a meningioma in the back of her head, which they suggest is a brain tumor. They have prescribed some medications for seizures and told us to keep an eye on her, but they have not mentioned anything about surgery or chemotherapy. I have been doing some reading, and I know brain tumors can be serious, so I am confused about why they are not recommending more appropriate treatment. Is it because of her age?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern.

As most meningiomas are non-cancerous. But whether cancerous or non-cancerous, the treatment in most cases is surgical removal of the tumor. The reason why they have not gone for aggressive management is because of her age. I think old age is one factor, as many at this age cannot tolerate these kinds of surgeries, and these surgeries in her age group have high morbidity and mortality. Another possibility is the location of the tumor may be at the back near the brain stem, where surgery is very risky in this age group. I would recommend close monitoring and the best supportive treatment.

I hope this helps.

Thank you.