Profile of Brain Tumor Patients in 10 Hospitals in North Sumatera

A. Rambe, A. Fitri, Tonam Tonam
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引用次数: 1

Abstract

Although brain tumors only 1.4% of all tumors, high fatality rate made these tumors need special attention. In North Sumatera, there is no data on brain tumors patients profile. Objective: To determine brain tumor patients’ profile in North Sumatera, Indonesia. Method: A descriptive hospital-based study with primary data which taken from September–December 2012. Result: Of 75 brain tumors patients surveyed in 10 hospitals in North Sumatera 38 (50.7%) patients were male and 37 (49.3%) patients were female. Mean of age was 51.45 (11–87) years old. Most of the subjects were housewifes, 26 (34.7%) patients. The most common cause that brought these patients to see doctors was headache 32 (42.7%), followed by decreased level of consciousness 17 (22.7%). Clinical manifestations found in these patients were headache 67 (89.3%), dizziness/vertigo 41 (54.7%), convulsion 22 (29.3%), vomitting 32 (42.7%), motor dysfunction 46 (61.3%), sensory dysfunction 21 (28%), and cognitive decline 21 (28%). Only 7 patients (9.3%) had history of tumor in his/her relatives. Eighteen patients (24%) were treated surgically and 8 (10.7%) were given radiotherapy. 71 patients were alive (94.7%) when discharged from the hospitals due to various reasons. Head CT Scan/MRI showed primary tumors in 56 (74.7%) patients. Of these primary tumors 25 (44.6%) patients were meningioma and 19 (33.9%) were astrocytoma. Of 19 (25.3%) patients with secondary tumor, most common primary tumor where found in the lung 11 (57.9%). Conclusion: Sex the patients were equally distributed with mean of age was 51.45 (11–87) years old. The most common cause that brought these patients to seek for treatment were headache. Most of these patients were treated conservatively. The most common head CT Scan/MRI findings showed primary tumors.
北苏门答腊10家医院脑肿瘤患者概况
虽然脑肿瘤仅占所有肿瘤的1.4%,但其高致死率使其值得特别关注。在北苏门答腊,没有关于脑肿瘤患者概况的数据。目的:了解印度尼西亚北苏门答腊地区脑肿瘤患者的特征。方法:采用2012年9 - 12月的描述性医院研究。结果:在北苏门答腊10家医院调查的75例脑肿瘤患者中,男性38例(50.7%),女性37例(49.3%)。平均年龄51.45岁(11 ~ 87岁)。以家庭妇女居多,26例(34.7%)。这些患者就诊的最常见原因是头痛32例(42.7%),其次是意识水平下降17例(22.7%)。临床表现为头痛67例(89.3%),头晕/眩晕41例(54.7%),惊厥22例(29.3%),呕吐32例(42.7%),运动功能障碍46例(61.3%),感觉功能障碍21例(28%),认知能力下降21例(28%)。亲属有肿瘤史的仅有7例(9.3%)。手术治疗18例(24%),放疗8例(10.7%)。因各种原因出院时存活71例(94.7%)。头部CT /MRI显示原发肿瘤56例(74.7%)。原发肿瘤中脑膜瘤25例(44.6%),星形细胞瘤19例(33.9%)。在19例(25.3%)继发肿瘤患者中,最常见的原发肿瘤发生在肺部11例(57.9%)。结论:患者性别分布均匀,平均年龄为51.45(11 ~ 87)岁。使这些患者寻求治疗的最常见原因是头痛。这些患者大多采用保守治疗。最常见的头部CT /MRI表现为原发性肿瘤。
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