This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Urology, Subject name: Surgery
Best treatment for meningioma with low recurrence rate is 
Select and explain. 
A. Tumour excision with cyst of dura mater removal, B. Excision surgery followed by radiotherapy, C. Chemotherapy, D. Preop embolization + Excision surgery
D: Preop embolization + Excision surgery
Answer: D: Preop embolization + Excision surgery 
Explanation: The best treatment for meningioma of low recurrence rate is complete tumour resection including resection of underlying bone and associated dura. The constant principles in meningioma resection are the following: If possible, all involved or hyperostotic bone should be removed. The dura involved by the tumor as well as a dural rim that is free from tumor should be resected (duraplasty is performed). Dural tails that are apparent on MRI are best removed, even though some may not be involved with the tumor. Transaerial embolization has become a standard preoperative procedure in the preoperative management. Radiotherapy is mainly used as adjuvant therapy for incompletely resected, high-grade and/or recurrent tumors.