Histopathological Spectrum of Meningioma in a Tertiary Care Hospital

Background: Meningiomas are the commonest benign intracranial neoplasm with a diverse histological pattern. The aim of the study was to evaluate clinical and histopathological spectrum of meningiomas and grade them according to the 2016 WHO classification. Methods: The study included all cases of meningioma received between January 2017- August 2018. The clinico-radiological features were noted and histological examination of H& E stained sections was done. Results: 82 cases were included in the study, of these 82.9 % were intracranial in location while 17.1 % were spinal. Female predominance was seen and commonest age range was 41-50 years (n=24). Histologically the most frequent meningioma intracranially was meningothelial and psammomatous meningioma in the spine. Grade I meningiomas accounted for 92.7 % cases, Grade II 6.1 % and Grade III 1.2 %. Conclusion: Meningioma is a slow growing benign neoplasm in majority of patients with a wide variation in histological appearance. They are predominantly low grade and amenable to complete surgical resection.