국내 소아뇌종양의 역학: 2005-2014년 국가 인구기반 연구

국내 소아뇌종양의 역학: 2005-2014년 국가 인구기반 연구

Epidemiology of childhood brain tumors: a nationwide population-based study in Korea 2005-2014

(구연):
Release Date : 2017. 10. 26(목)
Ji-Man Kang1, Johyun Ha2, Eun-Kyung Hong3, Hee young Ju1, Byung Kiu Park1, Sang-Hoon Shin4, Kyu-Won Jung2 , Hyeon Jin Park1
National Cancer Center Center for Pediatric Cancer1
National Cancer Center Cancer Registration and Statistics Branch2
National Cancer Center Center for Liver Cancer3
National Cancer Center Neuro-Oncology Clinic4
강지만1, 하조현2, 홍은경3, 주희영1, 박병규1, 신상훈4, 정규원2 , 박현진1
국립암센터 소아청소년암센터1
국립암센터 암등록사업과2
국립암센터 간암센터3
국립암센터 뇌척수종양클리닉4

Abstract

Background: Brain and central nervous system tumors are the most common solid tumors in childhood, with incidence and distribution rates varying between countries and/or ethnicity. We investigated the epidemiologic characteristics of childhood brain tumors (CBTs) in Korea. Methods: We used data from the Korea National Cancer Incidence Database in the Korea Central Cancer Registry (KCCR) from 2005 to 2014 to investigate the incidence and survival rate of patients with CBTs aged 0-19 years. Age-standardized incidence rate (ASR) was used for incidence analysis. CBT classification refers to CBTRUS classification. Results: A total of 6,027 children were diagnosed with CBT and 4,000 of them (66%) were confirmed by histology. The boys/girls ratio was 1.04:1. The ASR of all CBTs was 5.16 per 100,000 children (95%CI, 5.03-5.29). The ASR of all CBTs tended to increase over 10 years, however, there was no statistical significance (Annual percentage change 1.8%, p=0.06). Glioma (ASR=1.28) was the most common histologic type, followed by embryonal tumor (ASR=0.61), pituitary tumor (ASR=0.52) and germ cell tumor (ASR=0.49). The ASR of unspecified neoplasm was 0.74. Embryonal tumor (ASR=0.74) was the most common in children aged 0-14 years, whereas pituitary tumor (ASR=1.63) was most common in children aged 15-19 years. The 5-year overall survival (OS) of all CBTs was 84%. The prognosis of gliomas varied according to the subtype (17% to 97%), and the prognosis was lowest in glioblastoma. Conclusion: To date, this large population-based study provides the most reliable incidence and survival data for CBTs in Korea.

Keywords: Childhood brain tumor (CBT) , Epidemiology, Korea