Rare Metastatic Meningioma Treatment

Mr. Savej Alam was diagnosed with meningioma after episodes of headache in 2013. He underwent tumor excision and VP shunt in February, and also received radiotherapy which was completed on August. Five years later, he started having back pain and became weak. Even his doctors were surprised and shocked when they discovered that the metastatic meningioma had metastasised to the rib and vertebrae. Although meningiomas are usually benign, malignant meningiomas with distant metastases do occur. This is extremely rare - about less than 1 per 1,000 cases.

These tumors are not much responsive to conventional chemotherapy and patients usually suffer for years before succumbing to complications. The tumours have strong expression of somatostatin receptors and therefore Peptide Receptor Radionuclide Therapy (PRRT) is given in advanced cases of meningioma. But, this therapy is limited to very few places in India – the Department of Nuclear Medicine & Molecular Imaging, FMRI Gurgaon is one of the earliest centres in India to start this treatment.

Mr. Alam was referred by his primary team and medical oncologist for PRRT. At the centre, he received 177 Lu PRRT and he has near complete resolution of pain and is able to go about his daily routine without any difficulty. He is once again able to exercise and is able to jog which he very fond of. We wish him a long and healthy life.