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Woehrer, A; Slavc, I; Waldhoer, T; Heinzl, H; Zielonke, N; Czech, T; Benesch, M; Hainfellner, JA; Haberler, C.
Incidence of atypical teratoid/rhabdoid tumors in children: A population-based study by the Austrian Brain Tumor Registry, 1996-2006.
CANCER. 2010; 116(24): 5725-5732. Doi: 10.1002/cncr.25540 [OPEN ACCESS]
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Co-authors Med Uni Graz
Benesch Martin
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Abstract:
BACKGROUND Atypical teratoid/rhabdoid tumors are highly malignant embryonal central nervous system (CNS) tumors that were defined as an entity in 1996 As compared with other malignant CNS tumors their biological behavior is particularly aggressive but patients may benefit from an intensified treatment Atypical teratoid/rhabdoid tumors display a complex histomorphology which renders them prone to misdiagnosis They occur predominantly in young children with an estimated prevalence of 1% to 2% among all pediatric CNS tumors However population based data on the incidence of these tumors are not yet available METHODS A nation-wide survey of malignant high-grade CNS tumors (World Health Organization grade III/IV) diagnosed in children (aged birth to 14 years) from 1996 to 2006 was conducted by the Austrian Brain Tumor Registry A central histopathology review was performed including the assessment of SMARCB1 (INII) protein status RESULTS A total of 311 newly diagnosed malignant CNS tumors were included Atypical teratoid/rhabdoid tumors constituted the sixth most common entity (61%) referring to an age-standardized incidence rate of 1 38 per 1 000 000 person-years in children Peak incidence was found in the birth to 2 years age group where they were as common as CNS primitive neuroectodermal tumors and medulloblastomas A total of 47 4% of atypical teratoid/rhabdoid tumors were initially diagnosed whereas 52 6% were retrospectively detected by the central review The 5 year survival of atypical teratoid/rhabdoid tumor patients was 39 5% with 66 7% in the correctly diagnosed group versus 15 0% in the not recognized group (P = 0469) CONCLUSIONS Clinicians and pathologists should be aware of the high incidence of atypical teratoid/rhabdoid tumors in young children to optimize diagnostic and therapeutic management of patients with these tumors Cancer 2010 116 5725-32 (C) 2010 American Cancer Society
Find related publications in this database (using NLM MeSH Indexing)
- epidemiology
Brain Neoplasms - epidemiology
Child -
Child, Preschool -
Female -
Humans -
Incidence -
Infant -
Male -
Population Surveillance -
Retrospective Studies -
Rhabdoid Tumor - epidemiology
Teratoma - epidemiology

Find related publications in this database (Keywords)
atypical teratoid/rhabdoid
tumor
central nervous system
neoplasm
childhood
epidemiology
population based incidence survival
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