• Daniele Armocida, Francesca Rizzo, Giuseppa Zancana, Fabio Cofano, Alessandro Pesce, Alessandro Frati, and Diego Garbossa.
• Università degli studi di Torino, Neuroscience Department "Rita Levi Montalcini", Neurosurgery Unit, Turin, Italy; Experimental Neurosurgery Unit, IRCCS "Neuromed", Pozzilli, Italy. Electronic address: danielearmocida@yahoo.it.
• World Neurosurg. 2024 Oct 1; 190: e1116e1123e1116-e1123.

BackgroundThe relationship between meningiomas and gonadal steroid hormones has been the subject of debate, and there is limited understanding of the connection between patient, tumor characteristics, and progesterone receptor (PGR) status.MethodsThis retrospective observational study aims to explore the prognostic correlation between PGR+ and PGR-meningiomas in terms of various clinical, radiological, and surgical predictors. The analysis included 270 patients, divided into 2 groups: group A (PGR-, 194 patients), and group B (PGR+, 76 patients).ResultsThe analysis showed no significant differences in terms of age, sex, clinical debut, postsurgical complications, total resection, and grading between the 2 groups. However, a significant difference was observed in the mean Karnofsky performance status at all stages of follow-up. Peritumoral edema measured in preoperative magnetic resonance imaging significantly influences the value of Karnofsky performance status in both preoperative (ANOVA, P = 0.05) and postoperative evaluation (postoperative ANOVA, P = 0.014) only in group A. In the multivariate analysis, there are no significant factors related to the clinical, biological, and surgical parameters previously examined for each measurement time (P = 0.826).ConclusionsThe study found that PGR + meningioma patients tend to have better postoperative recovery and earlier clinical debut without any association with age prevalence or grading.Copyright © 2024 Elsevier Inc. All rights reserved.

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