Abstract
The Neuropathology Study Group of the Korean Society of Pathologists conducted a nationwide collection of central nervous system (CNS) tumors to evaluate the relative frequency in Korea of CNS tumors belonging to the revised World Health Organization (WHO) classification categories. A total of 3221 histologically proven cases of CNS tumors were collected from 13 institutes between 1997 and 1998. All the cases were classified according to the revised WHO histological types and analyzed for the relative frequency, the distribution of age and sex, and location of tumors. The most frequent type of CNS tumors in Korea was meningiomas, followed by pituitary adenoma, glioblastoma, astrocytoma, and schwannoma. Among the pediatric CNS tumors, pilocytic astrocytoma, medulloblastoma, craniopharyngioma, germ cell tumors, and ependymomas were common types of tumors. Compared with a previous nationwide study, the rates for neuronal/glial tumors, glioblastoma, malignant lymphoma, and cystic lesion were increased, and the rate of embryonal tumors was decreased. The overall male to female ratio was 0.9 : 1, which may be attributed to the greater number of female-predominate meningiomas and pituitary adenoma. Compared with Western countries, Koreans had higher rates of pituitary adenoma and meningiomas and lower rate of gliomas. The relative frequency of CNS tumors among Koreans is very similar to that reported in Taiwan. The occurrence rates for various subtypes of CNS tumors in Korea are distinct from those in the United States and Europe and similar in many ways to those in Asian and Mexican population.
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Lee HS, Ham EK, Kim JM, Lee SK: Ahistopathologic study on tumors of central nervous system. Korean J Pathol 6: 157-165, 1972
Kim TS: Clinicopathological study of tumors of the nervous system among Koreans. Korean J Pathol 10: 555-564, 1976
Chi JG, Lee HS, Kim MS, Kim CW: Tumors of central nervous system, histological analysis of 327 cases among Koreans. J Korean Cancer Assoc 12: 3-20, 1980
Chi JG, Khang SK: Central nervous system tumors among Koreans. A statistical study of 697 cases. J Korean Med Sci 4: 77-90, 1989
The Neuropathology Study Group of the Korean Society of Pathologists: Central nervous system tumors among Koreans. A statistical study on 2724 cases. In: Proceedings of the 41st Fall Meeting of the Korean Society of Pathologists, 1989, p 101 (Abstract)
Kleihues P, Burger PC, Scheithauer BW: The new WHO classification of brain tumours. Brain Pathol 3: 255-268, 1993
Mahmood A, Caccamo DV, Tomecek FJ, Malik GM: A typical and malignant meningiomas: a clinicopathologic review. Neurosurgery 33: 955-963, 1993
Giles GG, Gonzales MF: Epidemiology of brain tumors and factors in prognosis. In: Kaye AH, Laws ER Jr (eds) Brain Tumors. An Encyclopedic Approach. Churchill Livingstone, Edinburgh, 1995, pp 47-67
Lantos PL, Vandenberg SR, Kleihues P: Tumours of the nervous system. In: Graham DI, Lantos PL (eds) Greenfield's Neuropathology. 6th edn, Oxford University Press, New York, 1997, pp 584-586
Davis FG, Preston-Martin S: Epidemiology. In: Bigner DD, Mclendon RE, Brunner JM (eds) Russell and Rubinstein's Pathology of Tumors of the Nervous System. 6th edn, Arnold, London, 1998, pp 5-45
Ko Y-H, Kim C-W, Park C-S, Jang H-K, Lee S-S, Kim S-H, Ree H-J, Lee J-D, Kim S-W, the Hematolymphoreticular Study Group of the Korean Society of Pathologists: Real classification of malignant lymphomas in the Republic of Korea. Incidence of recently recognized entities and changes in clinicopathologic features. Cancer 83: 806-811, 1998
DeAngelis LM: Primary central nervous system lymphoma: a new clinical challenge. Neurol 41: 619-621, 1991
Kepes JJ, Chen WY, Pang LC, Kepes M: Tumors of the central nervous system in Taiwan, Republic of China. Surg Neurol 22: 149-156, 1984
Cheng MK: Brain tumors in the People's Republic of China: a statistical review. Neurosurgery 10: 16-21, 1982
Nomura K: The epidemiology and statistic of brain tumors in Japan. No To Shinkei 40: 797-806, 1988
Zülch KJ: Atlas of Gross Neurosurgical Pathology. Springer, New York, 1975, pp 44-48
Walker AE, Robins M, Weinfeld FD: Epidemiology of brain tumors: the national survey of intracranial neoplasms. Neurol 35: 219-226, 1985
Lopez-Gonzalez MA, Sotelo J: Brain tumors in Mexico: characteristics and prognosis of glioblastoma. Surg Neurol 53: 157-162, 2000
Staneczek W, Janisch W: Epidemiology of primary tumors of the central nervous system in children and adolescents. A population-based study. Pathologe 15: 207-215, 1994
Wen-Qing H, Shi-Ju Z, Qing-Sheng T, Jian-Qing H, Yu-Xia L, Qing-Zhong X, Zi-Jun L, Wen-Cui Z: Statistical analysis of central nervous system tumors in China. J Neurosurg 56: 555-564, 1982
The Committee of the Brain Tumor Registry in Japan: Astatistical study of brain tumors in Japan; general features. Jpn J Clin Oncol 17: 19-28, 1987
Bondy M, Ligon BL: Epidemiology and etiology of intracranial meningiomas: a review. J Neuro-Oncol 29: 197-205, 1996
Kuratsu JI, Ushino Y: Epidemiological study of primary intracranial tumors: a regional survey in Kumamotos Prefecture in the southern part of Japan. J Neurosurg 84: 946-950, 1996
Velema JP, Percy CL: Age curves of central nervous system tumor incidence in adults: variation of shape by histologic type. J Natl Cancer Inst 79: 623-629, 1987
Helseth A: Increasing incidence of primary central nervous system tumors in the elderly: real increase of improved detection? J Nat Cancer Inst 85: 1871-1872, 1993
Werner MH, Phuphanich S, Lyman GH: The increasing incidence of malignant gliomas and primary central nervous system lymphoma in the elderly. Cancer 76: 1634-1642, 1995
Modan B, Wagner DK, Feldman JJ, Rosenberg HM, Feinleib M: Increased mortality from brain tumors: a combined outcome of diagnostic technology and change of attitute toward the elderly. Am J Epidemiol 135: 1349-1357, 1992
Matson DD: Neurosurgery of Infancy and Childhood. Springfield Charles C Thomas, IL, 1969, pp 403-409
Bei KM: Brain tumors in children (in Chinese). In: Beijing HsuanWu Hospital (ed) Neurosurgery. Vol. II, People's Health Publication House, Beijing, 1979, pp 403-421
Thorne RN, Pearson ADJ, Nicoll JAR, Coakham HB, Oakhill A, Mott MG, Foreman NK: Decline in incidence of medulloblastoma in children. Cancer 74: 3240-3244, 1994
Kuratsu JI, Ushino Y: Epidemiological study of primary intracranial tumors in childhood. A population-based survey in Kumamoto Prefecture, Japan. Pediatr Neurosurg 25: 240-246, 1996
Lin IJ, Shu SG, Chu HY, Chi CS: Primary intracranial germ cell tumors in children. Chung Hua I Hsueh Tsa Chih (Taepei) 60: 259-264, 1997
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Suh, YL., Koo, H., Seung Kim, T. et al. Tumors of the Central Nervous System in Korea A Multicenter Study of 3221 Cases.. J Neurooncol 56, 251–259 (2002). https://doi.org/10.1023/A:1015092501279
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DOI: https://doi.org/10.1023/A:1015092501279