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Association of thyroid disease and intracranial meningiomas: a retrospective analysis with external validation

Title: Association of thyroid disease and intracranial meningiomas: a retrospective analysis with external validation
Authors: Jonathan B. Bell; Max A. Saint-Germain; Carlen A. Yuen; Andrew Wilmington; Laura Dresser; Matthew T. Walker; Christopher R. Trevino; Roberto Salvatori; Debraj Mukherjee; David O. Kamson; Ryan Merrell
Source: Frontiers in Oncology, Vol 15 (2026)
Publisher Information: Frontiers Media S.A.
Publication Year: 2026
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: meningioma; thyroid disorders; hypothyroidism; thyroid hormone replacement; neuro-oncology; thyroid nodular disease; Neoplasms. Tumors. Oncology. Including cancer and carcinogens; RC254-282
Description: BackgroundThe scope of comorbid conditions with meningiomas is understudied. There is limited published evidence to date suggesting higher prevalence of thyroid diseases in patients with meningiomas. This retrospective study was designed to evaluate this association.MethodsThe medical records from 584 patients with intracranial meningiomas were reviewed. The prevalence of thyroid disease was calculated as well as odds ratios to compare patient cohorts. Subsequently, the results were externally validated using SlicerDicer data from a second institution’s electronic medical record.ResultsWithin the Endeavor Intracranial Meningioma cohort, thyroid disease was found in 196/584 (33.6%): hypothyroidism in 154/584 (26.4%), nodular disease in 34/584 (5.8%), thyroid cancer in 9/584 (1.5%), and hyperthyroidism in 8/584 (1.4%) patients. An additional 9/584 (1.5%) patients had a different thyroid disease or diagnosis. Our external validation with patients only from the second institution yielded significant association of meningioma with thyroid hormone medication use (OR = 6.1), hypothyroidism (OR = 7.5), thyroid cancer (OR = 14.6), hyperthyroidism (OR = 5.9), and thyroid nodules (OR = 10.8). Comparing meningioma patients to patients with glioblastoma yielded a similar association between meningioma and general thyroid disorders (OR = 2.1), thyroid hormone usage (OR = 2.1), hypothyroidism (OR = 1.7), thyroid cancer (OR = 3.1), and thyroid nodules (OR = 7.5). These observations were not confounded by female overrepresentation.ConclusionsThis study confirms thyroid disease, particularly hypothyroidism, to be a common comorbid condition in patients with intracranial meningiomas in two independent datasets. Further research is needed to assess the role of thyroid disorders in the outcomes for patients with meningioma.
Document Type: article in journal/newspaper
Language: English
Relation: https://www.frontiersin.org/articles/10.3389/fonc.2025.1635097/full; https://doaj.org/toc/2234-943X; https://doaj.org/article/42a3b70594d144ceb1b29a2e9aa3342d
DOI: 10.3389/fonc.2025.1635097
Availability: https://doi.org/10.3389/fonc.2025.1635097; https://doaj.org/article/42a3b70594d144ceb1b29a2e9aa3342d
Accession Number: edsbas.CF3A85A4
Database: BASE