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معالجة اورام الدماغ في العراق 2016 == Management of brain Tumors in Iraq 2016
Author name:
هدير رياض سعيد
Supervisor name:
خضير جاسم صبيح الرواق
General topic:
Medicine
Specific topic:
Therapeutic Radiology
Degree:
Higher Diploma
University:
University of Baghdad - Faculty Of Medicine
Language:
English
University location:
Baghdad
First pages:
19T1437 - p.pdf
Abstract:
CNS tumors constitute 2% of all cancers, and are observed in 4 - 5 in 100,000. CNS tumors exhibit different behaviors according to age, histology, and location.Aim of study1 - Detect the rate of incidence of CNS tumors in relation to age, sex, geographical distribution, environmental factors & genetic factors in our country2 - Explaining of the associated clinical features3 - Determine the effect of radiotherapy & chemotherapy on the patient’s outcome.Patients and methodsProspective study of CNS tumors started from the beginning of Jan 2016 to the end of Apr 2016. The patients were taken from the outpatient clinic of Oncology Teaching Hospital / Medical City in BaghdadAll patients (47) underwent surgery and the surgeons then sent them to our out patients clinic with their Histopathological reports seeking for further management.(42) Patients received Chemotherapy and/or Radiotherapy while the remaining (5) patients didn’t followed up after surgery because they didn’t attend to our out patients clinic according to their dates.The outcome of management was divided into : Good outcome, Fair outcome and Poor outcome.ResultsThe 5th decade is the most commonly involved age with male incidence more than females and the incidence is higher in the south of Iraq. There is little IIassociation of CNS tumors with family history and high association with environmental factors. Neurological deficit was the main chief compliant and headache was present in most of the patients at time of diagnosis. Frontal region was the commonest site for CNS tumors with size of 1 - 5cm and mostly associated with edema and +ve enhancement. Meningioma was the commonest histological type.Conclusions1 - There is a poor relationship between family history & CNS tumors2 - There is significant relationship between environmental factors & CNS tumors.3 - Headache is not the dominant chief compliant in compare with neurological deficit .4 - Total resection of the tumor followed by radio and/or chemotherapy has the best prognosis.Recommendations1 - Further researches with larger sample size to be collected from all oncology hospitals in Iraq are needed to generalize the results to national level .2 - Make the total resection of the brain tumor the aim of the surgeon because it is the golden stone in brain tumor management.3 - Use the new technique of radiotherapy like gamma knife and IMRT for the
