The anatomic basis of leptomeningeal metastasis Review


Authors: Freret, M. E.; Boire, A.
Review Title: The anatomic basis of leptomeningeal metastasis
Abstract: Leptomeningeal metastasis (LM), or spread of cancer to the cerebrospinal fluid (CSF)-filled space surrounding the central nervous system, is a fatal complication of cancer. Entry into this space poses an anatomical challenge for cancer cells; movement of cells between the blood and CSF is tightly regulated by the blood-CSF barriers. Anatomical understanding of the leptomeninges provides a roadmap of corridors for cancer entry. This Review describes the anatomy of the leptomeninges and routes of cancer spread to the CSF. Granular understanding of LM by route of entry may inform strategies for novel diagnostic and preventive strategies as well as therapies. © 2024 Freret and Boire.
Keywords: central nervous system; meninges; meninx
Journal Title: Journal of Experimental Medicine
Volume: 221
Issue: 4
ISSN: 0022-1007
Publisher: Rockefeller University Press  
Date Published: 2024-04-01
Start Page: e20212121
Language: English
DOI: 10.1084/jem.20212121
PUBMED: 38451255
PROVIDER: scopus
PMCID: PMC10919154
DOI/URL:
Notes: Review -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PubMed and PDF -- MSK corresponding author is Adrienne Boire -- Source: Scopus
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MSK Authors
  1. Adrienne Boire
    106 Boire
  2. Morgan Elizabeth Freret
    21 Freret