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Brain and spinal tumour.

C H Goh1, Y Y Lu2, B L Lau2

  • 1Sarawak General Hospital, Department of Neurosurgery, Jalan Hospital, Kuching, Sarawak 93586, Malaysia. shencity@yahoo.com.

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Brain and spinal tumor incidence in Sarawak (2009-2012) revealed meningioma as most common. Brain metastases, particularly from lung carcinoma, showed a rising trend, highlighting the need for improved healthcare data collection.

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Area of Science:

  • Neurology
  • Oncology
  • Epidemiology

Background:

  • Brain and spinal tumors represent a significant public health concern.
  • Understanding the epidemiological patterns of these tumors is crucial for effective healthcare planning and resource allocation.
  • Sarawak's healthcare system provides an opportunity to study tumor incidence and trends.

Purpose of the Study:

  • To review the epidemiology of brain and spinal tumors in Sarawak between January 2009 and December 2012.
  • To identify the most common types of brain and spinal tumors.
  • To analyze trends in tumor incidence, including brain metastases and pediatric tumors.

Main Methods:

  • Retrospective review of epidemiological data for brain and spinal tumors in Sarawak.
  • Data collection spanned from January 2009 to December 2012.
  • Analysis of tumor types, primary sites, and incidence rates.

Main Results:

  • The crude incidence of brain tumors in Sarawak was 4.6 per 100,000 population/year.
  • Meningioma (32.3%) and astrocytoma (19.4%) were the most common primary brain tumors.
  • Brain metastases, primarily from lung carcinoma, showed a doubling trend over four years (15.4% of cases).
  • Primitive neuroectodermal tumor (PNET) and astrocytoma were prevalent in pediatric cases (60%).
  • Primary spinal tumors were more common than spinal metastases, with intradural schwannoma at the thoracic level being the most frequent.

Conclusions:

  • Sarawak's healthcare system facilitates robust data collection for accurate brain tumor incidence.
  • The rising trend of brain metastases underscores the importance of early detection and management of primary cancers.
  • This epidemiological data is vital for future survival outcome research and healthcare resource planning in the region.