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Histopathological classification and location of consecutively operated meningiomas at a single institution in China from 2001 to 2010

摘要Background Meningioma is one of the most common primary tumors of the central nervous system,but there are not many detailed studies on the sex,age,subtypes and locations of large series.This study was a retrospective analysis of the characteristics of meningioma cases consecutively operated on at a single institution in China from 2001 to 2010.Methods This study investigated the demographic background of 7084 meningioma cases,and the subtypes and locations of the tumors.Sex and age distributions were analyzed,and the pathological subtypes were classified according to the World Health Organization (WHO) classification.The location of the meningiomas was also categorized.Results The female:male ratio of the 7084 cases was 2.34:1.The mean age was 51.4 years (range,11 months-86 years).The mean age of cases of WHO grade Ⅰ meningioma was significantly older than that of grade Ⅱ or Ⅲ meningiomas (P <0.001,Fisher's Least Significant Digit test).There was a significantly higher female:male ratio in WHO grade Ⅰ meningiomas than in grade Ⅱ or grade ll meningiomas (2.57,1.03 and 0.76,respectively; P <0.001,x2 test).Meningothelial (n=2061) and fibrous meningiomas (n=3556) were the most common subtypes,comprising 79.3% of all meningiomas.All meningioma cases were classified into 23 locations in this study,with the cerebral convexity the most common site (38.33%,n=2722).Cases with uncommon locations such as extra-cranial and sylvian fissure meningiomas were also present in this series.Conclusions Female predominance was found for benign meningiomas,while malignant subtypes showed male predominance.The mean age of patients with WHO grade Ⅰ meningiomas was older than that of patients with higher-grade tumors.Meningothelial and fibrous meningiomas were the most common subtypes.The cerebral convexity was the most common meningioma location.

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作者单位 Department of Neurosurgery ,Huashan Hospital, Fudan University,Shanghai 200040, China [1] Department of Neuropathology,Huashan Hospital, Fudan University,Shanghai 200040, China [2]
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DOI 10.3760/cma.j.issn.0366-6999.20122874
发布时间 2013-04-19(万方平台首次上网日期,不代表论文的发表时间)
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中华医学杂志(英文版)

中华医学杂志(英文版)

2013年126卷3期

488-493页

SCIMEDLINEISTICCSCDCABP

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