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原发性颅内肿瘤的流行病学概况与趋势:来自三级医疗中心的基于医院的脑肿瘤登记

Epidemiological Profiling and Trends of Primary Intracranial Tumors: A Hospital-Based Brain Tumor Registry from a Tertiary Care Center.

作者信息

Meel Mukta, Choudhary Nikita, Kumar Mukesh, Mathur Kusum

机构信息

Department of Pathology, SMS Medical College, Jaipur, Rajasthan, India.

Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India.

出版信息

J Neurosci Rural Pract. 2021 Jan;12(1):145-152. doi: 10.1055/s-0040-1721622. Epub 2021 Jan 29.

Abstract

Hospital-based cancer registry is an essential tool for augmentation of the standard of care, administration motive, and resource for population-based cancer registries. Here, we presented hospital-based brain tumor registry (HBBTR) to outline a comprehensive epidemiological data, both clinical and histopathological, as well as trends of central nervous system tumors. In addition, we compare this data with national brain tumor data as well as an international brain tumor registry.  For the generation of this 7-year HBBTR data of all primary intracranial tumors operated, diagnosed, and registered at the Department of Pathology, Sawai ManSingh, between January 1, 2013 and December 31, 2019, was collected, analyzed, and compared with Tata Memorial Hospital, National Institute of Mental Health and Neurosciences, and Central Brain Tumor Registry of the United States.  A total of 3,526 patients were of primary intracranial tumors. Out of which, male patients were 1,982 (56.2%), while 1,544 (43.8%) were female patients. Maximum proportion of tumors was in fifth decade. Overall, pediatric and adult patients constituted of 15.5 and 84.5% of the cases, respectively. Among all primary intracranial tumors, meningiomas (20%) were most common followed by glioblastoma multiformat (18%) and least common were germ cell tumors (0.1%) followed by pineal tumors (0.3%). In pediatric cohort astrocytic tumors (30.1%) are most common followed by embryonal tumors (20.8%), while in adults meningiomas (23.1%) were most common followed by glioblastomas (20.3%). Our registry showed similar trends of tumors with national data as compared with international data in median age of presentation.  This HBBTRs provide prevalence of primary intracranial tumors at a tertiary care center and could be a part of population-based registry.

摘要

基于医院的癌症登记是提高医疗护理标准、行政管理动机以及为基于人群的癌症登记提供资源的重要工具。在此,我们介绍基于医院的脑肿瘤登记 (HBBTR),以概述全面的流行病学数据,包括临床和组织病理学数据以及中枢神经系统肿瘤的趋势。此外,我们将这些数据与国家脑肿瘤数据以及国际脑肿瘤登记数据进行比较。 为了生成2013年1月1日至2019年12月31日期间在萨瓦伊·曼辛格病理学部门进行手术、诊断和登记的所有原发性颅内肿瘤的这7年HBBTR数据,我们进行了收集、分析,并与塔塔纪念医院、国家心理健康和神经科学研究所以及美国中枢脑肿瘤登记处进行了比较。 共有3526例原发性颅内肿瘤患者。其中,男性患者1982例(56.2%),女性患者1544例(43.8%)。肿瘤的最大比例出现在第五个十年。总体而言,儿科和成年患者分别占病例的15.5%和84.5%。在所有原发性颅内肿瘤中,脑膜瘤(20%)最常见,其次是多形性胶质母细胞瘤(18%),最不常见的是生殖细胞瘤(0.1%),其次是松果体肿瘤(0.3%)。在儿科队列中,星形细胞瘤(30.1%)最常见,其次是胚胎性肿瘤(20.8%),而在成人中,脑膜瘤(23.1%)最常见,其次是胶质母细胞瘤(20.3%)。我们的登记显示,与国际数据相比,该登记的肿瘤呈现趋势在中位发病年龄方面与国家数据相似。 这个HBBTR提供了三级医疗中心原发性颅内肿瘤的患病率,并且可以成为基于人群的登记的一部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ce/7846331/2e06bee2a20b/10-1055-s-0040-1721622_6_0908_01.jpg

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