Iartsev V V, Korshunov A G, Nepomniashchiĭ V P
Zh Vopr Neirokhir Im N N Burdenko. 1997 Jul-Sep(3):9-13.
The data obtained from various surveys of the epidemiology of the CNS tumors in different countries were analyzed. It was noted, the incidence of primary CNS tumors remains within the limits of 5-12.5 cases per 100,000 people, and depends on number of factors (e.g. sex, age, place of residence, etc.). Metastases double the incidence of all CNS tumors. The estimated incidence of tumors of the nervous system in Russia and particularly Moscow are given in the paper. The analysis of the data cells for the improvement in the organization of the medical care of this group of patients. With this respect the second WHO histological classification of CNS tumors (WHO, 1993) is critically analyzed. Based on the experience at the Burdenko Neurosurgical Institute (over 10,000 brain biopsies), a modified WHO neuropathological classification is suggested. The classification may be useful in research projects, and may facilitate the diagnosis, treatment, rehabilitation, and final assessment of the outcome. Series of documents of this kind help to make the evaluation of the activities of neurosurgical departments more objective, as well as to make the statistics more reliable.
对从不同国家的各类中枢神经系统肿瘤流行病学调查中获得的数据进行了分析。值得注意的是,原发性中枢神经系统肿瘤的发病率保持在每10万人5至12.5例的范围内,并且取决于多种因素(例如性别、年龄、居住地等)。转移瘤使所有中枢神经系统肿瘤的发病率翻倍。本文给出了俄罗斯尤其是莫斯科神经系统肿瘤的估计发病率。对数据进行分析以改善这组患者的医疗护理组织。就此,对世界卫生组织中枢神经系统肿瘤的第二版组织学分类(世界卫生组织,1993年)进行了批判性分析。基于布尔坚科神经外科研究所的经验(超过10000例脑活检),提出了一种改良的世界卫生组织神经病理学分类。该分类在研究项目中可能有用,并且可能有助于诊断、治疗、康复以及对结果的最终评估。这类系列文件有助于使神经外科部门活动的评估更加客观,也使统计数据更加可靠。