Ahadi Mahsa, Moradi Afshin, Rakhshan Azadeh, Arefian Alireza, Rafizadeh Mitra, Zham Hanieh
Cancer Research Center, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iran J Pathol. 2017 Summer;12(3):241-247. Epub 2017 Jul 1.
Gliomas are the most prevalent subgroup of primary brain tumors with a relatively high mortality. However, oligodendrogliomas have a better prognosis compared to other subtypes due to their sensitivity to chemotherapy. Considering the low incidence and the resulting lack of information about oligodendrogliomas, particularly in Iran, this study aimed at assessing their basic characteristics.
In this descriptive retrospective study, patients with definite diagnosis of oligodendroglioma were identified by reviewing the archives of pathology reports at the department of pathology of Shohada-e Tajrish Hospital during years 2008 to 2014. Age, gender, location, and the grade of the tumor were extracted and entered to the SPSS statistical software for analysis.
A total of 182 patients, including 115 males (63.2%) and 67 females (36.8%), were included with a mean age of 38.5±13.36 years. Frontal lobe was involved in 53 patients (29.1%), parietal lobe in 31 (17.0%), temporal lobe in 22 (12.1%), frontoparietal area in 15 (8.2%), parieto-occipital area in 11 (6.0%), temporoparietal and frontotemporal areas each in 9 subjects (4.9%), occipital lobe in 5 (2.7%), and the brainstem in 4 (2.2%). Furthermore, 108 cases (59.3%) had grade-2 and the remaining74 patients (40.7%) had grade-3 anaplastic oligodendrogliomas. The mean age of subjects with brainstem oligodendrogliomas was significantly lower than the other patients (p=0.025).
Oligodendrogliomas commonly effects the frontal lobe, followed by the parietal and temporal lobes. The mean age of subjects with brainstem lesions was significantly lower than other patients. Age, gender or location of the tumor did not independently predict a higher grade lesion.
胶质瘤是最常见的原发性脑肿瘤亚组,死亡率相对较高。然而,少突胶质细胞瘤因其对化疗敏感,与其他亚型相比预后较好。鉴于少突胶质细胞瘤发病率低,导致相关信息匮乏,尤其是在伊朗,本研究旨在评估其基本特征。
在这项描述性回顾性研究中,通过查阅2008年至2014年期间塔吉里什烈士医院病理科的病理报告档案,确定确诊为少突胶质细胞瘤的患者。提取患者的年龄、性别、肿瘤位置和分级,并录入SPSS统计软件进行分析。
共纳入182例患者,其中男性115例(63.2%),女性67例(36.8%),平均年龄为38.5±13.36岁。53例(29.1%)累及额叶,31例(17.0%)累及顶叶,22例(12.1%)累及颞叶,15例(8.2%)累及额顶叶区域,11例(6.0%)累及顶枕叶区域,颞顶叶和额颞叶区域各9例(4.9%),5例(2.7%)累及枕叶,4例(2.2%)累及脑干。此外,108例(59.3%)为2级,其余74例(40.7%)为3级间变性少突胶质细胞瘤。脑干少突胶质细胞瘤患者的平均年龄显著低于其他患者(p = 0.025)。
少突胶质细胞瘤通常累及额叶,其次是顶叶和颞叶。脑干病变患者的平均年龄显著低于其他患者。肿瘤的年龄、性别或位置并不能独立预测更高分级的病变。