{"id":8764,"date":"2024-04-22T11:07:18","date_gmt":"2024-04-22T09:07:18","guid":{"rendered":"http:\/\/www.neurochirurgie-lariboisiere.com\/meningioma-research\/"},"modified":"2025-09-23T21:44:35","modified_gmt":"2025-09-23T19:44:35","slug":"meningioma-research","status":"publish","type":"page","link":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/elementor-17917\/research\/meningioma-research\/","title":{"rendered":"Meningiomas and progestins"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8764\" class=\"elementor elementor-8764 elementor-7977\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2314176 p-t-lg p-b-lg elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2314176\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c16631c\" data-id=\"c16631c\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b2483aa elementor-widget elementor-widget-heading\" data-id=\"b2483aa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Research activities of the Neurosurgery Department  <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d9a7ba5 elementor-widget elementor-widget-text-editor\" data-id=\"d9a7ba5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The department has a particular interest in studying the links between meningiomas and exogenous sex hormones.<\/p><p>Our team was the first to demonstrate a causal link between meningiomas and cyproterone acetate (ANDROCUR*), as well as links with other progestins such as normegestrol acetate (LUTENYL*) and Chlormadinone acetate (LUTERAN*).<\/p><p><a href=\"https:\/\/ansm.sante.fr\/S-informer\/Points-d-information-Points-d-information\/Androcur-acetate-de-cyproterone-et-generiques-risque-de-meningiome-lors-d-une-utilisation-prolongee-Point-d-information\" target=\"_blank\" rel=\"noopener\">&gt;  To clarify the relationship between drug intake, and in particular the dose and duration of treatment, and the development of meningiomas, a study was carried out by the French Assurance Maladie in cooperation with the neurosurgery department at Lariboisi\u00e8re Hospital.<\/a> <br><br>This study was carried out on 250,000 women exposed to cyproterone, comparing those who received high doses (more than 3g over 6 months, i.e. at least 3 boxes, then continued treatment) with those who received low doses (less than 3g over 6 months, i.e. one or two boxes, then stopped treatment). The occurrence of meningioma in these women was therefore monitored for 7 years.<\/p><p>The results indicate that exposure to high-dose cyproterone acetate exposes women to a 7-fold increased risk of meningioma managed in Neurosurgery, compared with the group of low-exposure women who stopped treatment.<\/p><p>There is also a strong relationship between dose and effect, with the risk increasing more than 20-fold above a cumulative dose of 60 g, i.e. around 5 years&#8217; treatment at 50 mg\/d or 10 years&#8217; treatment at 25 mg\/d (when taken 20 days a month).<\/p><h4><strong>Read more :  <\/strong><\/h4><h3 id=\"title\"><a href=\"https:\/\/ansm.sante.fr\/S-informer\/Points-d-information-Points-d-information\/Androcur-acetate-de-cyproterone-et-generiques-risque-de-meningiome-lors-d-une-utilisation-prolongee-Point-d-information\" target=\"_blank\" rel=\"noopener noreferrer\"><img decoding=\"async\" class=\"wp-image-3174 alignleft load-finished\" src=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/ansm_logo.jpg\" sizes=\"(max-width: 219px) 100vw, 219px\" srcset=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/ansm_logo.jpg 1553w, https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/ansm_logo-300x103.jpg 300w, https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/ansm_logo-768x264.jpg 768w, https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/ansm_logo-1024x351.jpg 1024w\" alt=\"\" width=\"219\" height=\"75\"><\/a><a href=\"https:\/\/ansm.sante.fr\/S-informer\/Points-d-information-Points-d-information\/Androcur-acetate-de-cyproterone-et-generiques-risque-de-meningiome-lors-d-une-utilisation-prolongee-Point-d-information\" target=\"_blank\" rel=\"noopener\">Androcur (cyproterone acetate) and generics  <\/a><\/h3><h3>Risk of meningioma with prolonged use &#8211; Information point<\/h3><p> <\/p><h3 id=\"title\"><a href=\"https:\/\/ansm.sante.fr\/S-informer\/Points-d-information-Points-d-information\/Androcur-acetate-de-cyproterone-et-generiques-risque-de-meningiome-lors-d-une-utilisation-prolongee-Point-d-information\" target=\"_blank\" rel=\"noopener noreferrer\"><img decoding=\"async\" class=\"wp-image-3174 alignleft load-finished\" src=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/ansm_logo.jpg\" sizes=\"(max-width: 219px) 100vw, 219px\" srcset=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/ansm_logo.jpg 1553w, https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/ansm_logo-300x103.jpg 300w, https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/ansm_logo-768x264.jpg 768w, https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/ansm_logo-1024x351.jpg 1024w\" alt=\"\" width=\"219\" height=\"75\"><\/a><a href=\"https:\/\/www.ansm.sante.fr\/Dossiers\/Lutenyl-Luteran\/Lutenyl-Luteran-et-risque-de-meningiome\/(offset)\/0\" target=\"_blank\" rel=\"noopener\">Lutenyl*<\/a><a href=\"https:\/\/www.ansm.sante.fr\/Dossiers\/Lutenyl-Luteran\/Lutenyl-Luteran-et-risque-de-meningiome\/(offset)\/0\" target=\"_blank\" rel=\"noopener\"> \/ <\/a><a href=\"https:\/\/www.ansm.sante.fr\/Dossiers\/Lutenyl-Luteran\/Lutenyl-Luteran-et-risque-de-meningiome\/(offset)\/0\" target=\"_blank\" rel=\"noopener\">Luteran* <\/a> <\/h3><h3>Risk of meningioma with prolonged use<\/h3><h3><img decoding=\"async\" class=\"wp-image-4385 alignleft load-finished\" src=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/Association-Victimes-Androcur-Luteran-Lutenyl-290x300.png\" sizes=\"(max-width: 135px) 100vw, 135px\" srcset=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/Association-Victimes-Androcur-Luteran-Lutenyl-290x300.png 290w, https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/Association-Victimes-Androcur-Luteran-Lutenyl.png 480w\" alt=\"\" width=\"135\" height=\"140\"><a href=\"https:\/\/amavea.org\" target=\"_blank\" rel=\"noopener noreferrer\">AMAVEA Association  <\/a><\/h3><p><strong>Association Cyproterone acetate meningiomas  <\/strong><\/p><h3>References:<\/h3><ul><li><a class=\"docsum-title\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35621369\/\" data-ga-category=\"result_click\" data-ga-action=\"4\" data-ga-label=\"35621369\" data-full-article-url=\"from_term=Froelich+S&amp;from_sort=date&amp;from_pos=4\" data-article-id=\"35621369\" target=\"_blank\" rel=\"noopener\">\n  <strong>Risk of intracranial meningioma with three potent progestogens: A population-based case-control study.<\/strong>\n<\/a><span class=\"docsum-authors full-authors\"> Hoisnard L, Laanani M, Passeri T, Duranteau L, Coste J, Zureik M, <b>Froelich S<\/b>, Weill A.<\/span> <span class=\"docsum-journal-citation full-journal-citation\">Eur J Neurol. 2022 May 27.<\/span><\/li><\/ul><ul><li><a class=\"docsum-title\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34906556\/\" data-ga-category=\"result_click\" data-ga-action=\"12\" data-ga-label=\"34906556\" data-full-article-url=\"from_term=Froelich+S&amp;from_sort=date&amp;from_page=2&amp;from_pos=2\" data-article-id=\"34906556\" target=\"_blank\" rel=\"noopener\"><strong>Five-year cause-specific survival after meningioma surgery. A nationwide population-based study.<\/strong> <\/a><span class=\"docsum-authors full-authors\">Champeaux-Depond C, Weller J, Constantinou P, Tuppin P, <b>Froelich S<\/b>.<\/span> <span class=\"docsum-journal-citation full-journal-citation\">Neurosurgery. 2022 Apr;68(3):280-288.<\/span><\/li><\/ul><ul><li><strong><a class=\"docsum-title\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33536184\/\" data-ga-category=\"result_click\" data-ga-action=\"6\" data-ga-label=\"33536184\" data-full-article-url=\"from_term=Froelich+s&amp;from_sort=date&amp;from_pos=6\" data-article-id=\"33536184\" target=\"_blank\" rel=\"noopener\">Use of high dose cyproterone acetate and risk of intracranial meningioma in women: cohort study.<\/a><\/strong><span class=\"docsum-authors short-authors\">  Weill A, et al. Among authors: <b>froelich s.<\/b><\/span> <span class=\"docsum-journal-citation short-journal-citation\">BMJ. 2021.<\/span><\/li><\/ul><ul><li><a class=\"docsum-title\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34166514\/\" data-ga-category=\"result_click\" data-ga-action=\"24\" data-ga-label=\"34166514\" data-full-article-url=\"from_term=Froelich+S&amp;from_sort=date&amp;from_page=3&amp;from_pos=4\" data-article-id=\"34166514\" target=\"_blank\" rel=\"noopener\">\n  <strong>Intracranial Meningiomas Decrease in Volume on Magnetic Resonance Imaging After Discontinuing Progestin. <\/strong>\n<\/a><span class=\"docsum-authors full-authors\">Voormolen EHJ, Champagne PO, Roca E, Giammattei L, Passeri T, di Russo P, Sanchez MM, Bernat AL, Yoldjian I, Fontanel S, Weill A, Mandonnet E, <b>Froelich S.<\/b><\/span> <span class=\"docsum-journal-citation full-journal-citation\">Neurosurgery. 2021 Jul 15;89(2):308-314.<\/span><\/li><\/ul><ul><li><strong>Cyproterone acetate and meningioma: a nationwide population-based study.  <\/strong><span class=\"docsum-authors short-authors\">Champeaux-Depond C, et al. Among authors: <b>froelich s.<\/b><\/span> <span class=\"docsum-journal-citation short-journal-citation\">J Neurooncol. 2021.<\/span><\/li><\/ul><ul><li><a class=\"docsum-title\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34613529\/\" data-ga-category=\"result_click\" data-ga-action=\"18\" data-ga-label=\"34613529\" data-full-article-url=\"from_term=Froelich+S&amp;from_sort=date&amp;from_page=2&amp;from_pos=8\" data-article-id=\"34613529\" target=\"_blank\" rel=\"noopener\">Atypical evolution of meningiomatosis after discontinuation of cyproterone acetate: clinical cases and histomolecular characterization.  <\/a><br><div class=\"docsum-citation full-citation\"><span class=\"docsum-authors full-authors\">Passeri T, Giammattei L, Le Van T, Abbritti R, Perrier A, Wong J, Bourneix C, Polivka M, Adle-Biassette H, Bernat AL, Masliah-Planchon J, Mandonnet E, <b>Froelich S.<\/b><\/span><\/div><\/li><\/ul><ul><li><a href=\"http:\/\/www.endocrine-abstracts.org\/ea\/0016\/ea0016p158.htm\" target=\"_blank\" rel=\"noopener\"><strong>Does cyproterone acetate promote multiple meningiomas?<\/strong><\/a>  Froelich S, Dali-Youcef N, Boyer P, Kehrli P, Maitrot D, Auwerx J, Schlienger JL et al. Endocrine Abstracts (Proceedings of the 10th European Congress of Endocrinology; Berlin, Germany) 2008; 16: 158.<\/li><\/ul><ul><li><strong><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20811919\" target=\"_blank\" rel=\"noopener\">Regression of meningiomas after discontinuation of cyproterone acetate in a transsexual patient.<\/a> <\/strong><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Cebula%20H%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=20811919\" target=\"_blank\" rel=\"noopener\">Cebula H<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Pham%20TQ%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=20811919\" target=\"_blank\" rel=\"noopener\">Pham TQ<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Boyer%20P%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=20811919\" target=\"_blank\" rel=\"noopener\">Boyer P<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Froelich%20S%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=20811919\" target=\"_blank\" rel=\"noopener\">Froelich S<\/a>. <u>Acta Neurochir (Wien).<\/u> 2010 Nov;152(11):1955-6.<\/li><\/ul><ul><li><strong><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26264069\" target=\"_blank\" rel=\"noopener\">Growth stabilization and regression of meningiomas after discontinuation of cyproterone acetate: a case series of 12 patients.<\/a> <\/strong><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Bernat%20AL%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=26264069\" target=\"_blank\" rel=\"noopener\">Bernat AL<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Oyama%20K%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=26264069\" target=\"_blank\" rel=\"noopener\">Oyama K<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Hamdi%20S%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=26264069\" target=\"_blank\" rel=\"noopener\">Hamdi S<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Mandonnet%20E%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=26264069\" target=\"_blank\" rel=\"noopener\">Mandonnet E<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Vexiau%20D%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=26264069\" target=\"_blank\" rel=\"noopener\">Vexiau D<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Pocard%20M%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=26264069\" target=\"_blank\" rel=\"noopener\">Pocard M<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=George%20B%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=26264069\" target=\"_blank\" rel=\"noopener\">George B<\/a>, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Froelich%20S%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=26264069\" target=\"_blank\" rel=\"noopener\">Froelich S<\/a>. <u>Acta Neurochir (Wien).<\/u> 2015 Oct;157(10):1741-6.<\/li><\/ul><p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26264069\" target=\"_blank\" rel=\"noopener\"><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-1219 load-finished\" src=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/meningiome-et-acteate-de-cyproterone-300x216.jpg\" sizes=\"(max-width: 470px) 100vw, 470px\" srcset=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/meningiome-et-acteate-de-cyproterone-300x216.jpg 300w, https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/meningiome-et-acteate-de-cyproterone-768x554.jpg 768w, https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/meningiome-et-acteate-de-cyproterone-1024x738.jpg 1024w\" alt=\"\" width=\"470\" height=\"339\"><\/a><\/p><ul><li class=\"title\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30090195\" target=\"_blank\" rel=\"noopener\">\n  <strong>Regression of Giant Olfactory Groove Meningioma and Complete Visual Acuity Recovery after Discontinuation of Cyproterone Acetate. <\/strong>\n<\/a>Bernat AL, Bonnin S, Labidi M, Aldahak N, Bresson D, Bouazza S, Froelich S. <span class=\"jrnl\" title=\"Journal of ophthalmic &amp; vision research\">J Ophthalmic Vis Res.<\/span> 2018 Jul-Sep;13(3):355-358. doi: 10.4103\/jovr.jovr_21_17.<\/li><\/ul><ul><li class=\"title\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30666456\" target=\"_blank\" rel=\"noopener\"><strong>Combined hormonal influence of cyproterone acetate and nomegestrol acetate on meningioma: a case report.<\/strong> <\/a>Champagne PO, Passeri T, Froelich S. <span class=\"jrnl\" title=\"Acta neurochirurgica\">Acta Neurochir (Wien)<\/span>. 2019 Jan 22.<\/li><\/ul><p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-1218 size-large load-finished\" src=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/acetate-de-cyproterone-et-m%C3%A9ningiome-1024x217.jpg\" sizes=\"(max-width: 1024px) 100vw, 1024px\" srcset=\"https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/acetate-de-cyproterone-et-m\u00e9ningiome-1024x217.jpg 1024w, https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/acetate-de-cyproterone-et-m\u00e9ningiome-300x64.jpg 300w, https:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/acetate-de-cyproterone-et-m\u00e9ningiome-768x163.jpg 768w\" alt=\"\" width=\"1024\" height=\"217\"><\/p><ul><li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30783806\" target=\"_blank\" rel=\"noopener\">\n  <strong>Spontaneous regression of meningiomas after interruption of nomegestrol acetate: a series of three patients. <\/strong>\n<\/a>Passeri T, Champagne PO, Bernat AL, Hanakita S, Salle H, Mandonnet E, Froelich S. <span class=\"jrnl\" title=\"Acta neurochirurgica\">Acta Neurochir (Wien)<\/span>. 2019 Apr;161(4):761-765.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Research activities of the Neurosurgery Department The department has a particular interest in studying the links between meningiomas and exogenous sex hormones. Our team was the first to demonstrate a causal link between meningiomas and cyproterone acetate (ANDROCUR*), as well&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":9080,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-8764","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8764","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/comments?post=8764"}],"version-history":[{"count":3,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8764\/revisions"}],"predecessor-version":[{"id":17482,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8764\/revisions\/17482"}],"up":[{"embeddable":true,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/9080"}],"wp:attachment":[{"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/media?parent=8764"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}