Choi N W, Hsu P H, Nelson N A, Abu-Zeid H A
Neurol Neurocir Psiquiatr. 1977;18(2-3 Suppl):199-210.
In an attempt to describe epidemiologic features to generate etiological hypotheses and to study natural history, 121 cases of childhood CNS neoplasms under 15 years of age, occurring during 1950-66 in Manitoba, were analyzed. The incidence of CNS neoplasms in childhood (2.4/100 000 per annum) ranks second only to leukemia in Manitoba. For both sexes somewhat elevated incidences were noted for both extreme age groups; i.e. 0-4 and 10-14. Such peaks were more prominent for gliomas, which may indicate differential factors operation in the genesis of gliomas between early and late childhood. The former may be related to genetic and/or perinatal environmental factors and the latter, to environmental factors, in early childhood. Excess occurrences of gliomas among Irish, Scottish and Icelandic offsprings were observed, which possibly indicates the importance of either genetic or environmental factors peculiar to these ethnic groups. There was no evidence of time clustering (i.e. season and year) by estimated conception or by birth. Further investigation into the relative role of genetic and environmental factor in the genesis of childhood gliomas are in order.
为了描述流行病学特征以生成病因假设并研究自然史,对1950年至1966年期间在马尼托巴省发生的121例15岁以下儿童中枢神经系统肿瘤病例进行了分析。儿童中枢神经系统肿瘤的发病率(每年2.4/10万)在马尼托巴省仅次于白血病。在两个极端年龄组,即0至4岁和10至14岁,两性的发病率均略有升高。这种峰值在胶质瘤中更为突出,这可能表明儿童早期和晚期胶质瘤发生过程中存在不同的影响因素。前者可能与遗传和/或围产期环境因素有关,而后者可能与儿童早期的环境因素有关。在爱尔兰、苏格兰和冰岛后裔中观察到胶质瘤的发生率过高,这可能表明这些种族特有的遗传或环境因素的重要性。没有证据表明根据估计受孕时间或出生时间存在时间聚集(即季节和年份)。进一步研究遗传和环境因素在儿童胶质瘤发生中的相对作用是必要的。