Questions About Tumors In The Central Nervous System课件.pptVIP

Questions About Tumors In The Central Nervous System Liu Zhan, Department of Neurosurgery, 2nd Hospital of Zhengzhou University 1. What’s the classification of the CNS tumors? Primary brain tumors Benign or malignant Most pediatric brain tumors are primary Examples are astrocytoma, glioblastoma Secondary brain tumors Metastases from other sites Most common tumors of the brain 2. What’s the epidemiology of CNS tumors? Annual incidence ~15–20 cases per 100,000 people. Annual incidence primary brain cancer in children is about 3 per 100,000. Leading cause of cancer-related death in patients younger than age 35. Primary brain tumors /secondary ~ 50/50 ~180,000 people in the China are diagnosed with primary cancer each year. Secondary brain cancer occurs in 20–30% of patients with metastatic disease. 4. What’s the symptoms of CNS tumors? epilepsy (focal or generalised) focal neurologic deficits symptoms and signs of raised ICP symptoms and signs of hydrocephalus 5. What’s the relationships between the locations and the tumors? Supratentorial tumors account for 90%, Therefore increased incidence of epilepsy and decreased incidence of headache Posterior fossa tumours cause headache and vomiting as early features 6.What’s the methods of treating CNS tumors? Operation, Radiotherapy, Chemotherapy, Observation Cases medulloblastoma (14-years- old male) 14-years- old male meningioma * 3.what’s the location of CNS tumors Intrinsic tumours – account for virtually all tumours in children and 60% of primary CNS tumours in adults Extrinsic tumours – arising from cranial and spinal nerves and dura. Tumours arising from adjacent structures i.e pituitary gland and metastatic tumours. ependymoma *