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Descriptive epidemiology of pediatric intracranial neoplasms in Egypt
1Department of Neurosurgery, Kasr Al-Ainy Medical School, Cairo University, Cairo, Egypt. mohamedelgaidi@gmail.com
Insights
This study analyzed 451 Egyptian children with primary intracranial neoplasms. Pediatric brain tumor characteristics in Egypt align with global data, showing slight male predominance and common astrocytomas.
Area of Science:
- Pediatric Neurosurgery
- Neuro-oncology
- Epidemiology of Childhood Cancers
Background:
- Primary intracranial neoplasms in children present unique diagnostic and therapeutic challenges.
- Understanding the epidemiological and pathological characteristics of these tumors is crucial for improving patient outcomes.
- Previous studies have highlighted variations in pediatric brain tumor profiles across different geographic regions.
Purpose of the Study:
- To investigate the demographic, clinical, topographical, and pathological features of primary intracranial neoplasms in Egyptian children.
- To characterize the spectrum of pediatric brain tumors based on the 2007 Classification of Central Nervous System Tumors.
- To compare the findings with existing international literature on childhood brain tumors.
Main Methods:
- A retrospective analysis of 451 Egyptian children (aged 0-14 years) diagnosed with primary intracranial neoplasms.
- Data collected from 2005 to 2008 at Cairo University Hospitals.
- Tumor classification utilized the 2007 Classification of Central Nervous System Tumors and ICD-O-4 coding.
Main Results:
- A slight male predominance (51.4%) was observed, with the 5-9 year age group most affected (43.2%).
- Infratentorial (49.7%) and supratentorial (46.6%) locations were most common.
- Astrocytomas (35%), medulloblastomas (18.8%), craniopharyngiomas (11.3%), and ependymomas (10%) were the most frequent diagnoses. Benign, borderline, and malignant tumors comprised 7.54%, 36.14%, and 56.32% respectively.
Conclusions:
- The epidemiological and pathological characteristics of pediatric intracranial tumors in Egypt are broadly consistent with international findings.
- Minor variations exist, emphasizing the need for continued regional surveillance and research.
- This study provides valuable data on the burden and nature of childhood brain tumors in Egypt.
Objective:
The characteristics of 451 Egyptian children (aged 0-14 years) with primary intracranial neoplasms were investigated for demographic, clinical, topographical and pathological features using the most recent 2007 Classification of Central Nervous System Tumors.
Patients And Methods:
This was a retrospective study performed in the Departments of Pediatric Neurosurgery of the Cairo University Hospitals from 2005 to 2008.
Results:
There was a slight male predominance (51.4%) observed in our study, and the most affected age group was 5-9 years old (43.2%). Most of the tumors were confined to a single compartment (infratentorial in 49.7%, supratentorial in 46.6%), while 3.8% of the tumors involved multiple compartments. The most common intracranial tumors were astrocytomas (35%), medulloblastomas (18.8%), craniopharyngiomas (11.3%) and ependymomas (10%). Pilocytic astrocytomas constituted 55% of all astrocytomas and 19.3% of all brain tumors, only slightly ahead of medulloblastomas. Less common types were primitive neuroectodermal tumors (2.7%), followed by meningiomas, germ cell tumors and choroid plexus tumors (2.4% each). According to the International Classification of Diseases for Oncology Coding (ICD-O-4), benign, borderline and malignant tumors constituted 7.54, 36.14 and 56.32%, respectively.
Conclusion:
The characteristics of pediatric intracranial tumors in Egypt are generally similar to those reported in the literature, with only minor differences.
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