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Tumors of the Central Nervous System in Korea A Multicenter Study of 3221 Cases.

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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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References

  1. Lee HS, Ham EK, Kim JM, Lee SK: Ahistopathologic study on tumors of central nervous system. Korean J Pathol 6: 157-165, 1972

    Google Scholar 

  2. Kim TS: Clinicopathological study of tumors of the nervous system among Koreans. Korean J Pathol 10: 555-564, 1976

    Google Scholar 

  3. 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

    Google Scholar 

  4. Chi JG, Khang SK: Central nervous system tumors among Koreans. A statistical study of 697 cases. J Korean Med Sci 4: 77-90, 1989

    Google Scholar 

  5. 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)

  6. Kleihues P, Burger PC, Scheithauer BW: The new WHO classification of brain tumours. Brain Pathol 3: 255-268, 1993

    Google Scholar 

  7. Mahmood A, Caccamo DV, Tomecek FJ, Malik GM: A typical and malignant meningiomas: a clinicopathologic review. Neurosurgery 33: 955-963, 1993

    Google Scholar 

  8. 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

    Google Scholar 

  9. 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

    Google Scholar 

  10. 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

    Google Scholar 

  11. 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

    Google Scholar 

  12. DeAngelis LM: Primary central nervous system lymphoma: a new clinical challenge. Neurol 41: 619-621, 1991

    Google Scholar 

  13. 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

    Google Scholar 

  14. Cheng MK: Brain tumors in the People's Republic of China: a statistical review. Neurosurgery 10: 16-21, 1982

    Google Scholar 

  15. Nomura K: The epidemiology and statistic of brain tumors in Japan. No To Shinkei 40: 797-806, 1988

    Google Scholar 

  16. Zülch KJ: Atlas of Gross Neurosurgical Pathology. Springer, New York, 1975, pp 44-48

    Google Scholar 

  17. Walker AE, Robins M, Weinfeld FD: Epidemiology of brain tumors: the national survey of intracranial neoplasms. Neurol 35: 219-226, 1985

    Google Scholar 

  18. Lopez-Gonzalez MA, Sotelo J: Brain tumors in Mexico: characteristics and prognosis of glioblastoma. Surg Neurol 53: 157-162, 2000

    Google Scholar 

  19. 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

    Google Scholar 

  20. 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

    Google Scholar 

  21. 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

    Google Scholar 

  22. Bondy M, Ligon BL: Epidemiology and etiology of intracranial meningiomas: a review. J Neuro-Oncol 29: 197-205, 1996

    Google Scholar 

  23. 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

    Google Scholar 

  24. 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

    Google Scholar 

  25. 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

    Google Scholar 

  26. 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

    Google Scholar 

  27. 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

    Google Scholar 

  28. Matson DD: Neurosurgery of Infancy and Childhood. Springfield Charles C Thomas, IL, 1969, pp 403-409

    Google Scholar 

  29. 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

    Google Scholar 

  30. 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

    Google Scholar 

  31. 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

    Google Scholar 

  32. 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

    Google Scholar 

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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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