PREVALENCE OF CNS TUMORS AND HISTOLOGICAL RECOGNITION IN THE OPERATED PATIENTS: 10 YEARS EXPERIENCE IN YEMEN

Abstract

Background: Tumors of the central nervous system consist of a heterogeneous grouping of neoplasms of enormous histological variety. In spite of the increasing prevalence of CNS tumors in developing countries, certain places alike Yemen do not have representative studies showing the true impact of these tumors on the population. Aims: Description of the distinctiveness of primary and secondary tumors of the CNS in the past ten years in one Yemeni institute. Subjects and methods: A descriptive-observational study was performed on patients with tumors of the CNS who were selectively treated by surgical excision with subsequent diagnosis through a study of pathological tissues at the Saudi German Hospital SGH- Sana'a, over a period of 10 years from January 1, 2009 to December 31, 2019. The variables of the study were qualitative (histological type, gender, affected anatomical position) and quantitative (age). Both group and histopathological diagnoses were formed in line with the 2006 WHO classification of CNS tumors. Results: There were a total of 359 central nervous system tumors. Of these, 200 were females and 159 were males, with a ratio of 1.3: 1 and a mean age of 49.3 years. The most common tumors were the neuroepithelium (28.4%), meningiomas (26.55%), followed by mesenchymal tumors (13.4%), sellar region tumors (11.14%) and the nerve sheets tumors (11.14%). Meningiomas had the highest prevalence in female patients (20.33%), while it was in male neuroepithelial tumors (15.32%). Single entity repeat point form, Grade I meningioma was the most common (18.11%) followed by pituitary adenomas (9.2%), Glioblastoma multiform (8.6%), Class II meningiomas (7.24%) and Schwannoma (6.7%). Conclusion: This is the firstly study of a sequence of cases in Yemen to be conducted on both benign and malignant tumors of the CNS, with all age groups patients with a extent of 10 years. Whilst this work represents no more than a retrospective analysis of a single institute, it can be a strong indicator of the epidemiology of the CNS tumors in Yemen. Peer Review History: Received 12 March 2021; Revised 26 March; Accepted 22 April, Available online 15 May 2021 UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency. Received file: Reviewer's Comments: Average Peer review marks at initial stage: 6.5/10 Average Peer review marks at publication stage: 8.0/10 Reviewer(s) detail: Dr. George Zhu, Tehran University of Medical Sciences, Tehran, Iran, sansan4240732@163.com Dr. Ahmed Mohammed Al-Haddad, Hadhramout University, Al-Mukalla, Yemen, ahmedalhaddad@yahoo.com