Spinal cord tumors: A review of demographic characteristics and treatment follow-up of patients in Isfahan city, Iran

Mehdi Shafiei, Mehdi Mahmoodkhani, Majid Rezvani, Majid Aliyari, DonyaS Tehrani
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Abstract

Background: Given that spinal cord tumors cause damage to the central nervous system, the involvement of body organs, patients’ reduced quality of life, and the follow-up of patients should be performed with more sensitivity. Therefore, the present study aimed to determine the demographic characteristics and treatment follow-up of patients with spinal cord tumors. Materials and Methods: The present descriptive-analytical and cross-sectional study investigated all patients with spinal cord tumors in 2022 who visited the Kashani Hospital Isfahan. A total of 31 patients were included in the study using the census sampling method. The data were collected by a checklist and three pain scales, namely the Dennis pain scale, the Frankel Grade classification, and Nurick’s grading scales. Results: The present cross-sectional study examined 31 patients with spinal cord tumors who visited the Kashani Hospital in Isfahan. Most spinal cord tumors were ependymoma with nine cases (29%) and neurofibroma with six cases (19.35%). The tumor site was thoracic in 10 cases (33.33%). In the follow-up phase, 31 patients (53.4%) returned to their normal life with full recovery and 10 (17.2%) died. Three (75%) out of four cases of tumor recurrence had ependymoma tumors and one (25%) had astrocytoma. There was a significant difference between the patients’ pre- and post-operative pain severity and functional status as the post-operative scores decreased on all three scales. Conclusion: The results may contribute to improve the pre-operative planning, optimization, and monitoring of the patient’s recovery after the operation.
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脊髓肿瘤:伊朗伊斯法罕市患者的人口统计学特征和治疗随访的回顾
背景:脊髓肿瘤损害中枢神经系统,累及身体器官,患者生活质量下降,对患者的随访应更加敏感。因此,本研究旨在确定脊髓肿瘤患者的人口学特征和治疗随访。材料和方法:本描述性分析和横断面研究调查了2022年在伊斯法罕Kashani医院就诊的所有脊髓肿瘤患者。采用普查抽样方法,共纳入31例患者。数据通过检查表和三种疼痛量表收集,即Dennis疼痛量表、Frankel分级量表和Nurick分级量表。结果:本横断面研究检查了在伊斯法罕Kashani医院就诊的31例脊髓肿瘤患者。脊髓肿瘤以室管膜瘤9例(29%)和神经纤维瘤6例(19.35%)居多。10例肿瘤位于胸部,占33.33%。随访期间,31例(53.4%)患者完全恢复正常生活,10例(17.2%)患者死亡。肿瘤复发4例中有3例(75%)为室管膜瘤,1例(25%)为星形细胞瘤。患者术前和术后疼痛严重程度和功能状态之间存在显著差异,因为术后三个量表的评分都有所下降。结论:该结果有助于改善术前计划、优化和患者术后康复的监测。
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