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65th Annual Meeting of the German Society of Neurosurgery (DGNC)

German Society of Neurosurgery (DGNC)

11 - 14 May 2014, Dresden

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Evaluation of 22 patients presenting multiple primary brain tumors

Meeting Abstract

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  • Seyho Cem Yucetas - Kafkas University School of Medicine, Department of Neurosurgery
  • Hakan Erdogan - Maltepe University School of Medicine, Department of Neurosurgery
  • Bilal Kelten - Maltepe University School of Medicine, Department of Neurosurgery
  • Can Hakan Yildirim - Kafkas University School of Medicine, Department of Neurosurgery
  • Miktat Kaya - Kafkas University School of Medicine, Department of Neurosurgery

Deutsche Gesellschaft für Neurochirurgie. 65. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC). Dresden, 11.-14.05.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. DocP 041a

doi: 10.3205/14dgnc437, urn:nbn:de:0183-14dgnc4379

Published: May 13, 2014

© 2014 Yucetas et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Objective: There are different types of brain tumors which arise from different types of cell. The incidence rate for Central Nervous System tumors is approximately 4.5/100,000. Deaths from these tumors constitute 9% of all tumor-related deaths. Here we report clinical, radiological and histological presentations of the patients with multiple brain tumors who were admitted to our hospital between December 2010 and October 2013.

Method: Between December 2010 and October 2013, we experienced a total of 22 patients with radiologically proved multiple primary tumors from our institution. This study included 22 patients with multiple primary brain tumors. Computed tomographies with and without contrast and magnetic resonance imaging with and without gadolinium were performed for each patient. Types and locations of the tumors were recorded. The patients' characteristics, symptoms, radiological and histological presentations were analyzed.

Results: The patients in the study included 8 men and 14 women, with ages ranging from 44 to 93 years (mean age, 68 years). 14 patients had meningiomas, 4 of them had glial tumors, one patient had lymphomatosis cerebri, one had an epidermoid tumor. 2 patients had glial tumors and meningiomas both. Meningiomas were presented mostly in frontal, parietal, parafalcine and temporal regions (Resim 1,2). Glial tumors were located frequently in temporal, parietal and frontal regions. The two patients who had both meningioma and glial tumor, presented with meningiomas in frontal and parietal regions and glial tumors in temporal and parietal regions. 17 patients were operated. 5 patients had conservative therapies. 8 patients had one and 3 patients had two reoperations due to residual mass.

Conclusions: Multiple primary brain tumors frequently consist of meningiomas. Multidisciplinary management has become preferential in treatment of such cases. We have planned our operations according to location, extention and radiological features of tumors besides the clinical evidences. Our aim is to set up new opinions for therapeutic strategies for the management of multiple primary brain tumors.