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脑肿瘤的组织病理学分析——来自印度南部一家三级医疗中心的七年研究

Histopathological Analysis of Brain Tumours- A Seven Year Study from a Tertiary Care Centre in South India.

作者信息

Thambi Renu, Kandamuthan Subitha, Sainulabdeen Sheeja, Vilasiniamma Letha, Abraham Tinu Ravi, Balakrishnan P K

机构信息

Assistant Professor, Department of Pathology, Government Medical College Kottayam, Kerala, India.

Additional Professor, Department of Pathology, Government Medical College Kottayam, Kerala, India.

出版信息

J Clin Diagn Res. 2017 Jun;11(6):EC05-EC08. doi: 10.7860/JCDR/2017/25623.9990. Epub 2017 Jun 1.

Abstract

INTRODUCTION

Tumours of central nervous system constitute 1%-2% of tumours in adults. The incidence of brain tumours has been reported to be around 3.9 and 3.0/one lac/year in males and females respectively. A few studies are available from India which show a lower incidence of brain tumours compared to the developed countries. Not much is known about the epidemiology of brain tumours in the population from South India.

AIM

To identify the age groups, gender distribution, topography and different histological types of brain tumours.

MATERIALS AND METHODS

A total of 510 cases of brain tumours were identified over a period of seven years which were included in the present study. We retrieved the slides of these cases and reviewed them. Immunohistochemistry in required cases were done. Age and gender distribution, clinical presentation, site of tumour and histopathologic patterns with grade were noted and the data was analysed with SPSS software version 17.0.

RESULTS

Our analysis showed that most of the brain tumours occur between 40-60 years of age, with a male to female ratio of 0.9:1. Majority of cases involved dura and cerebral lobes except for the occipital lobe, and meningioma and glial tumours were the most common broad histological types. WHO grade IV tumours and metastasis were common in males compared to females.

CONCLUSION

This study revealed the distribution of brain tumours in patients attending our institution. The results obtained were comparable with available worldwide data.

摘要

引言

中枢神经系统肿瘤占成人肿瘤的1%-2%。据报道,脑肿瘤的发病率在男性和女性中分别约为每年3.9例和3.0例/十万人口。印度有几项研究表明,与发达国家相比,脑肿瘤的发病率较低。关于印度南部人群脑肿瘤的流行病学情况知之甚少。

目的

确定脑肿瘤的年龄组、性别分布、部位及不同组织学类型。

材料与方法

在7年时间里共确定了510例脑肿瘤病例纳入本研究。我们检索了这些病例的切片并进行复查。对需要的病例进行免疫组织化学检测。记录年龄和性别分布、临床表现、肿瘤部位及组织病理学类型和分级,并用SPSS 17.0软件对数据进行分析。

结果

我们的分析表明,大多数脑肿瘤发生在40-60岁之间,男女比例为0.9:1。除枕叶外,大多数病例累及硬脑膜和脑叶,脑膜瘤和神经胶质瘤是最常见的广义组织学类型。与女性相比,男性中WHO IV级肿瘤和转移瘤更为常见。

结论

本研究揭示了在我院就诊患者中脑肿瘤的分布情况。所得结果与全球现有数据具有可比性。

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