2006-2015 年法国 399 例经组织学确诊的新发脑膜单发纤维瘤和血管细胞瘤的描述性流行病学。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Charles Champeaux Depond, Sonia Zouaoui, Amélie Darlix, Valérie Rigau, Hélène Mathieu-Daudé, Fabienne Bauchet, Mohamed Khettab, Brigitte Trétarre, Dominique Figarella-Branger, Luc Taillandier, Julien Boetto, Johan Pallud, Mathieu Peyre, Marine Lottin, Luc Bauchet
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引用次数: 0

摘要

目的:脑膜单发纤维性肿瘤(SFT)和脑膜血管瘤(HPC)是不常见的肿瘤,在最新的2021年世界卫生组织中枢神经系统肿瘤分类中被合并为一个实体。目的:描述法国SFT/HPC的流行病学,并评估其发病率:我们对法国脑肿瘤数据库(FBTDB)进行了处理,对2006年至2015年间所有经组织病理学确诊的SFT/HPC进行了一项全国性人群研究:我们的研究纳入了 399 名 SFT/HPC 患者,他们均于 2006 年至 2015 年期间在法国的 46 家参与研究的神经外科中心之一接受了手术。发病率为 0.062,95%CI[0.056-0.068]/100,000 人年。SFT占35.8%,HPC占64.2%。同期手术的 SFT/HPC 与脑膜瘤的比率为 0.013。SFT/HPC在女性和男性中的分布大致相同(55.9% 对 44.1%)。就整个人群而言,手术时的平均年龄为 53.9 岁(SD ± 15.8)。SFT/HPC手术的发生率随着年龄的增长而增加,50-55岁年龄组的发生率最高。良性 SFT/HPC 占 65.16%,行为不确定的 SFT/HPC 占 11.53%,恶性占 23.31%。随着组织病理学行为变得更具侵袭性,切除的数量也在增加。6.7%的良性 SFT/HPC 患者进行了二次手术,而 16.6% 的良性 SFT/HPC 患者和 28.4% 的恶性 SFT/HPC 患者进行了二次手术:结论:脑膜SFT和HPC都是罕见的中枢神经系统间质肿瘤,两者具有共同的流行病学特征,因此可以归为一个共同的实体。SFT/HPC的发病率为每年10亿人中不到1例,切除约100个脑膜瘤样肿瘤,就可能诊断出1例SFT/HPC。SFT/HPC在女性和男性中的分布相当,主要在50-55岁左右确诊。肿瘤的侵袭性越强,复发的可能性就越大。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Descriptive epidemiology of 399 histologically confirmed newly diagnosed meningeal solitary fibrous tumours and haemangiopericytomas in France: 2006-2015.

Descriptive epidemiology of 399 histologically confirmed newly diagnosed meningeal solitary fibrous tumours and haemangiopericytomas in France: 2006-2015.

Purpose: Meningeal solitary fibrous tumour (SFT) and haemangiopericytoma (HPC) are uncommon tumours that have been merged into a single entity in the last 2021 WHO Classification of Tumors of the Central Nervous System. To describe the epidemiology of SFT/HPC operated in France and, to assess their incidence.

Methods: We processed the French Brain Tumour Database (FBTDB) to conduct a nationwide population-based study of all histopathologically confirmed SFT/HPC between 2006 and 2015.

Results: Our study included 399 SFT/HPC patients, operated in France between 2006 and 2015, in one of the 46 participating neurosurgical centres. The incidence reached 0.062, 95%CI[0.056-0.068] for 100,000 person-years. SFT accounted for 35.8% and, HPC for 64.2%. The ratio of SFT/HPC over meningioma operated during the same period was 0.013. SFT/HPC are about equally distributed in women and men (55.9% vs. 44.1%). For the whole population, mean age at surgery was 53.9 (SD ± 15.8) years. The incidence of SFT/HPC surgery increases with the age and, is maximal for the 50-55 years category. Benign SFT/HPC accounted for 65.16%, SFT/HPC of uncertain behaviour for 11.53% and malignant ones for 23.31%. The number of resection progresses as the histopathological behaviour became more aggressive. 6.7% of the patients with a benign SFT/HPC had a second surgery vs.16.6% in case of uncertain behaviour and, 28.4% for malignant SFT/HPC patients.

Conclusion: Meningeal SFT and HPC are rare CNS mesenchymal tumours which both share common epidemiological characteristics, asserting their merging under a common entity. SFT/HPC incidence is less that one case for 1 billion per year and, for around 100 meningiomas-like tumours removed, one SFT/HPC may be diagnosed. SFT/HPC are equally distributed in women and men and, are mainly diagnosed around 50-55 years. The more aggressive the tumour, the higher the probability of recurrence.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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