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Tumors of the Central Nervous System in Korea A Multicenter Study of 3221 Cases.
Authors:Suh  Yeon-Lim  Koo   Heasoo  Seung Kim  Tai  Chi  Je G.  Park  Sung-Hye  Kwang Khang  Shin  Choe  Gheeyoung  Cheol Lee  Min  Kyung Hong  Eun  Kyung Sohn  Yoon  Seok Chae  Yang  Sug Kim  Dong  Yeong Huh  Gi  Sook Lee  Sang  Soo Lee  Youn
Affiliation:(1) Department of Diagnostic Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Ilsan;(2) Department of Pathology, Ewha Womans University, College of Medicine, Ilsan;(3) Department of Pathology, Yonsei University, College of Medicine, Ilsan;(4) Department of Pathology, Seoul National University, College of Medicine, Seoul;(5) Department of Pathology, Inje University College of Medicine, Ilsan;(6) Department of Pathology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul;(7) Department of Pathology, Chonnam National University, Medical School and Research Institute of Medical Science, Kwangju;(8) Department of Pathology, Hanyang University, College of Medicine, Seoul;(9) Department of Pathology, Kyungpook National University, School of Medicine, Taegu;(10) Department of Pathology, Korea University, College of Medicine, Seoul;(11) Department of Pathology, Yeungnam University, College of Medicine, Taegu;(12) Department of Pathology, Dong-A University, Medical College, Pusan;(13) Department of Pathology, Keimyung University, School of Medicine, Taegu;(14) Department of Pathology, Kangnam St. Mary's Hospital, Catholic University, Seoul, Korea
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 0.9thinsp:thinsp1, 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.
Keywords:central nervous system  brain neoplasms  statistics  Korea
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