Department of Pathology, Centre Hospitalier Universitaire, Hôpital Gui de Chauliac, Montpellier cedex, France.
Brain Pathol. 2011 Nov;21(6):633-44. doi: 10.1111/j.1750-3639.2011.00491.x. Epub 2011 Jul 25.
This work aimed to prospectively record all primary central nervous system tumor (PCNST) cases in France, for which histological diagnosis is available. The objectives were to (i) create a national registry and a network to perform epidemiological studies; (ii) implement clinical and basic research protocols; and (iii) harmonize the health care of patients affected by PCNST. For 5 years, 25 756 cases of newly diagnosed and histologically confirmed PCNST have been recorded. Histological diagnoses included glioma (48.9%), all other neuroepithelial tumors (5%), meningioma (28.8%), nerve sheath tumors (8.4%), lymphoma (3.2%) and others (5.7%). Cryopreservation was reported for 6018 PCNST specimens. Tumor resections (R) were performed in 78% cases, while biopsies accounted for 22%. Median age (MA), sex, percentage R and number of cryopreserved tumors were detailed for each histology; for example, out of 6053 glioblastomas (MA 63 years, male 59.4%, R 62%, 1611 were cryopreserved), and out of 37 atypical teratoid/rhabdoid tumors (MA 2 years, male 56.8%, R 94%, 17 were cryopreserved). This database or databank dedicated to PCNST cases contains detailed data on clinical, histological and other characteristics, such as the inclusion of data on cryopreserved specimens that are not available in other European registries. Therefore, this is a valuable resource that can be used for planning future epidemiological and clinical research.
本研究旨在前瞻性地记录法国所有可获得组织学诊断的原发性中枢神经系统肿瘤(PCNST)病例。主要目标为:(i)建立一个国家登记处和网络,以开展流行病学研究;(ii)实施临床和基础研究方案;(iii)协调受 PCNST 影响患者的医疗保健。5 年来,共记录了 25756 例新诊断和组织学确诊的 PCNST 病例。组织学诊断包括胶质瘤(48.9%)、所有其他神经上皮肿瘤(5%)、脑膜瘤(28.8%)、神经鞘瘤(8.4%)、淋巴瘤(3.2%)和其他肿瘤(5.7%)。有 6018 例 PCNST 标本进行了冷冻保存。78%的病例进行了肿瘤切除术(R),22%的病例进行了活检。详细列出了每种组织学的肿瘤切除术(R)比例、中位数年龄(MA)、性别、R 比例和冷冻保存肿瘤的数量;例如,在 6053 例胶质母细胞瘤(MA 为 63 岁,男性占 59.4%,R 为 62%,有 1611 例进行了冷冻保存)和 37 例非典型畸胎瘤/横纹肌样瘤(MA 为 2 岁,男性占 56.8%,R 为 94%,有 17 例进行了冷冻保存)中。这个专门针对 PCNST 病例的数据库或数据库包含了详细的临床、组织学和其他特征数据,例如包括了其他欧洲登记处中没有的冷冻保存标本的数据。因此,这是一个宝贵的资源,可用于规划未来的流行病学和临床研究。