Meningioma: Risk Factors and Quality of Life

Summary

Principal Investigator: Elizabeth Claus
Abstract: No large-scale study within the United States has examined any aspect of the epidemiology of intracranial meningiomas, a lesion which accounts for up to 25% of all primary intracranial neoplasms. We propose to conduct a population-based case/control study of meningioma within the states of Connecticut, Massachusetts, North Carolina, and Texas as well as the San Francisco Bay area under the mechanism of an integrated R01 (Note that identical applications are submitted for all five sites). Cases will be selected using rapid case ascertainment and will include all male and female individuals diagnosed with a histologically confirmed intra-cranial meningioma between the ages of 20 and 79 years from 7/1/2006 through 6/30/2010 in the above listed regions. Control subjects will be identified via random-digit dial methods and matched to the cases by sex, ethnicity, geographic location, and five-year age category. Study subjects will be administered a telephone questionnaire to collect information on the two primary categories of risk, exposure to ionizing radiation and hormones as well as additional risk factors such as family history of meningioma and other tumors, cell-phone utilization, and head trauma as well as questions on outcome and quality of life. Parraffin-embedded tumor tissue blocks will be obtained for case subjects to allow for 1) a uniform histological review, and 2) immunohistochemical testing for estrogen, progesterone, androgen and MIB-1 receptors. Blood or buccal specimens will be collected from all study subjects for testing of DNA polymorphisms in DNA repair and cell cycle genes. This study represents the first concentrated effort to examine environmental and genetic risk factors for meningioma.
Funding Period: ----------------2006 - ---------------2011-
more information: NIH RePORT

Top Publications

  1. ncbi Exogenous hormone use and meningioma risk: what do we tell our patients?
    Elizabeth B Claus
    Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut, USA
    Cancer 110:471-6. 2007
  2. pmc Specific genes expressed in association with progesterone receptors in meningioma
    Elizabeth B Claus
    Department of Neurosurgery, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Cancer Res 68:314-22. 2008
  3. pmc Reduced allergy and immunoglobulin E among adults with intracranial meningioma compared to controls
    Joseph L Wiemels
    Department of Neurosurgery and Epidemiology and Biostatistics, University of California at San Francisco School of Medicine, San Francisco, CA 94158, USA
    Int J Cancer 129:1932-9. 2011
  4. pmc Cigarette smoking and risk of meningioma: the effect of gender
    Elizabeth B Claus
    Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, CT, USA
    Cancer Epidemiol Biomarkers Prev 21:943-50. 2012
  5. pmc Exogenous hormone use, reproductive factors, and risk of intracranial meningioma in females
    Elizabeth B Claus
    Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut 06520, USA
    J Neurosurg 118:649-56. 2013
  6. pmc Assessment of autoantibodies to meningioma in a population-based study
    Joseph L Wiemels
    Department of Epidemiology and Biostatistics, School of Medicine, Helen Diller Cancer Research Building, University of California, San Francisco, 1450 3rd Street, MC 0520, San Francisco, CA 94158, USA
    Am J Epidemiol 177:75-83. 2013
  7. pmc Endogenous and exogenous hormone exposure and the risk of meningioma in men
    Joellen M Schildkraut
    Department of Community and Family Medicine, Cancer Prevention, Detection and Control Research Program
    J Neurosurg 120:820-6. 2014
  8. pmc Epidemiology and etiology of meningioma
    Joseph Wiemels
    Department of Epidemiology and Biostatistics, University of California San Francisco, Helen Diller Cancer Research Building, MC 0520, San Francisco, CA 94158, USA
    J Neurooncol 99:307-14. 2010
  9. pmc Treatment and survival of patients with nonmalignant intracranial meningioma: results from the Surveillance, Epidemiology, and End Results Program of the National Cancer Institute. Clinical article
    Kevin S Cahill
    Department of Neurosurgery, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts, USA
    J Neurosurg 115:259-67. 2011
  10. pmc Family and personal medical history and risk of meningioma
    Elizabeth B Claus
    Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut 06520 8034, USA
    J Neurosurg 115:1072-7. 2011

Scientific Experts

Detail Information

Publications11

  1. ncbi Exogenous hormone use and meningioma risk: what do we tell our patients?
    Elizabeth B Claus
    Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut, USA
    Cancer 110:471-6. 2007
    ....
  2. pmc Specific genes expressed in association with progesterone receptors in meningioma
    Elizabeth B Claus
    Department of Neurosurgery, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Cancer Res 68:314-22. 2008
    ..These findings suggest that PR status may be a clinical marker for genetic subgroups of meningioma and warrant further examination in a larger data set...
  3. pmc Reduced allergy and immunoglobulin E among adults with intracranial meningioma compared to controls
    Joseph L Wiemels
    Department of Neurosurgery and Epidemiology and Biostatistics, University of California at San Francisco School of Medicine, San Francisco, CA 94158, USA
    Int J Cancer 129:1932-9. 2011
    ..As some common opposing predisposition or developmental processes for allergy and meningioma may exist, further research into immune processes that can affect the incidence and natural history of meningioma is warranted...
  4. pmc Cigarette smoking and risk of meningioma: the effect of gender
    Elizabeth B Claus
    Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, CT, USA
    Cancer Epidemiol Biomarkers Prev 21:943-50. 2012
    ..We examined the effect of gender on the association between cigarette smoking and risk of intracranial meningioma in a large population-based, case-control study...
  5. pmc Exogenous hormone use, reproductive factors, and risk of intracranial meningioma in females
    Elizabeth B Claus
    Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut 06520, USA
    J Neurosurg 118:649-56. 2013
    ..The 2-fold higher incidence of meningioma in women compared with men has long suggested a role for hormonally mediated risk factors, but specific mechanisms remain elusive...
  6. pmc Assessment of autoantibodies to meningioma in a population-based study
    Joseph L Wiemels
    Department of Epidemiology and Biostatistics, School of Medicine, Helen Diller Cancer Research Building, University of California, San Francisco, 1450 3rd Street, MC 0520, San Francisco, CA 94158, USA
    Am J Epidemiol 177:75-83. 2013
    ..1, 11 (P(trend) = 0.006)). These results indicate that men with meningioma commonly react with a serologic antimeningioma response; if supported by further research, this finding suggests a distinctive etiology for meningioma in men...
  7. pmc Endogenous and exogenous hormone exposure and the risk of meningioma in men
    Joellen M Schildkraut
    Department of Community and Family Medicine, Cancer Prevention, Detection and Control Research Program
    J Neurosurg 120:820-6. 2014
    ..Hormonally related risk factors have long been postulated to be associated with meningioma risk, but no examination of these factors has been undertaken in males...
  8. pmc Epidemiology and etiology of meningioma
    Joseph Wiemels
    Department of Epidemiology and Biostatistics, University of California San Francisco, Helen Diller Cancer Research Building, MC 0520, San Francisco, CA 94158, USA
    J Neurooncol 99:307-14. 2010
    ..In this review, we highlight current knowledge about meningioma epidemiology and etiology and suggest future research directions...
  9. pmc Treatment and survival of patients with nonmalignant intracranial meningioma: results from the Surveillance, Epidemiology, and End Results Program of the National Cancer Institute. Clinical article
    Kevin S Cahill
    Department of Neurosurgery, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts, USA
    J Neurosurg 115:259-67. 2011
    ..The authors conducted a study to determine population-based estimates of survival following the diagnosis and treatment of nonmalignant intracranial meningioma in the US in the modern era...
  10. pmc Family and personal medical history and risk of meningioma
    Elizabeth B Claus
    Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut 06520 8034, USA
    J Neurosurg 115:1072-7. 2011
    ..The authors undertook a case-control study to examine the relationship between family and personal medical history and meningioma risk...