Epidemiologic and histologic characteristics of CNS lesions: a 20-year experience of a tertiary center in Lebanon

CNS Oncol. 2020 Jun;9(2):CNS55. doi: 10.2217/cns-2020-0001. Epub 2020 Jun 30.

Abstract

Aim: Report the epidemiologic and histologic characteristics of CNS lesions in the Lebanese population. Methods: We conducted a retrospective study evaluating 2025 CNS lesions diagnosed between 1998 and 2017 in the pathology laboratory of a Lebanese tertiary center. Results: 52.2% of patients were men with a median age of 50 years. The most frequent symptoms were epilepsy (22.5%), headache (20.6%) and motor impairment (19.9%). 90.7% of tumors were primary. Lung (35.6%) and breast (16.5%) were the most frequent primaries of metastases. 46.2% of primary CNS tumors were glial, predominantly astrocytic (56.4%), and (42.5%) were nonglial, predominantly meningeal tumors (58%). Conclusion: Compared with Western literature, the Lebanese population is characterized by a younger age of onset of brain tumors, a lower rate of meningiomas and a higher rate of gliomas.

Keywords: CNS; Lebanese population; brain tumors; epidemiology.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Central Nervous System Neoplasms / epidemiology*
  • Central Nervous System Neoplasms / pathology*
  • Central Nervous System Neoplasms / surgery
  • Child
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Humans
  • Infant
  • Infant, Newborn
  • Lebanon / epidemiology
  • Male
  • Middle Aged
  • Prognosis
  • Retrospective Studies
  • Tertiary Care Centers / statistics & numerical data
  • Young Adult