Intracranial Neoplasms: The Daily PANCE Blueprint

The answer is D. Meningioma

Board Pearl: Meningiomas are the Most common, affect More women, and have a dural tail on MRI! (Don’t forget the Psammoma bodies).

Meningioma is the most common benign brain tumor in adults. These tumors are slow-growing and arise from meningothelial cells of the arachnoid mater. They occur more frequently in women. Presenting symptoms depend on what adjacent structures the tumor is compressing, but may include seizures, headaches, and focal neurological deficits. The diagnosis is typically established by MRI. Management depends on tumor size, location, grade, growth rate, symptoms, and patient factors. Observation is preferred for small (<3 cm), asymptomatic meningiomas, particularly in elderly patients. Surveillance typically involves MRI at 3, 6, and 12 months, then every 6-12 months for 5 years, followed by every 1-3 years. Surgery is the primary treatment for symptomatic, accessible tumors, with the goal of gross total resection including involved dura.