The frequency of various spinal cord tumors (SCTs) in surgically treated patients at Shiraz Shahid Chamran Hospital from 2012 to 2022

IF 0.7 Q4 CLINICAL NEUROLOGY Egyptian journal of neurosurgery Pub Date : 2023-11-13 DOI:10.1186/s41984-023-00244-7
Farideh Iravanpour, Majid Reza Farrokhi, Seyed Reza Mousavi, Ahmad Soltani, Mahshid Hosseini
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Abstract

Abstract Aim The incidence of spinal cord tumors (SCTs) in a population considering sex, age, histopathology, and emplacement position of tumors is different between various regions. Therefore, the present study aimed to evaluate the frequency of various SCTs in surgically treated patients in a reference spinal surgery center in Shiraz, Iran. Method Documented information related to 109 SCT patients surgically treated was collected from the archive of Shahid Chamran Hospital (the reference center of spinal cord surgery in the south of Iran) in Shiraz from 2012 to 2022. This information includes demographics, medical history, histology, and position of SCTs within the spinal cord. Result The population of patients included 65 men and 44 women, with a mean age of 44.7 years old. Most patients (26 cases) were in the age group of 50–59 years. Neurological function in most patients (51 cases) was equivalent to level D of the ASIA impairment scale (AIS), and the most common complaints of patients (83 cases) were related to pain. Finally, anatomic and histologic evaluations indicated that intradural and schwannoma tumors were the most common types of tumors, with 64 and 25 cases, respectively. Conclusions In the present study, most of the findings are consistent with the previous reports. Schwannoma and ependymoma tumors were the most common types of SCTs and the most common types of intramedullary tumors, respectively. The sixth decade of life was the most common age of incidence. Neurological function in most patients with SCT was equivalent to levels of D and E of AIS. However, regarding the factor of gender, our results are similar to those of the Asian population. More comprehensive studies in the future likely reveal the probable role of environmental, genetic, and hormonal factors in the etiology of SCTs.
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2012年至2022年设拉子沙希德查姆兰医院接受手术治疗的患者中各种脊髓肿瘤(sct)的频率
摘要目的脊髓肿瘤(SCTs)在人群中的发病率,考虑到不同地区的性别、年龄、组织病理学和肿瘤的位置是不同的。因此,本研究旨在评估在伊朗设拉子一家脊柱外科参考中心接受手术治疗的患者中各种sct的频率。方法收集设拉子地区Shahid Chamran医院(伊朗南部脊髓外科参考中心)2012 - 2022年收治的109例SCT患者的文献资料。这些信息包括人口统计学、病史、组织学和sct在脊髓内的位置。结果患者男性65例,女性44例,平均年龄44.7岁。大多数患者(26例)年龄在50 ~ 59岁之间。大多数患者(51例)的神经功能相当于亚洲神经功能障碍量表(AIS)的D级,患者最常见的主诉(83例)与疼痛有关。最后,解剖和组织学评估显示硬膜内瘤和神经鞘瘤是最常见的肿瘤类型,分别有64例和25例。结论本研究大部分结果与文献报道一致。神经鞘瘤和室管膜瘤分别是最常见的sct类型和最常见的髓内肿瘤类型。60岁是最常见的发病年龄。大多数SCT患者的神经功能与AIS的D和E水平相当。然而,关于性别因素,我们的结果与亚洲人群相似。未来更全面的研究可能会揭示环境、遗传和激素因素在sct病因中的可能作用。
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