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Comprehensive analysis of Iranian reports of pediatric central nervous system tumors

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Abstract

Purpose

Iran lacks a national registry reporting the data of central nervous system (CNS) tumors in children. Consequently, treatment success and failure rates are unknown, and a centralized system for disease-management recommendations does not exist.

Methods

To critically evaluate the current state of pediatric CNS tumor studies and reporting in Iran, we performed an extensive retrospective analysis of all known reports identified with multiple search engines.

Results

Of 409 initially retrieved articles, we evaluated 123 matching our inclusion criteria. We further narrowed these reports to 74 by excluding studies pertaining to adult patients only, non-CNS tumors, or brain metastases. We also excluded studies that were performed outside of Iran or that did not contain relevant data from our analysis. We divided the remaining studies into those describing exclusively pediatric patients (3484 patients) and those describing mixed populations of adults and children (18,641 patients). In total, our analysis included 22,125 patients.

Conclusions

We identified many limitations in the reporting of studies describing the treatment or prevalence of CNS tumors in children in Iran. Our results may guide future efforts in Iran to improve the care for children with CNS tumors and may provide a valuable template for other comprehensive country- and disease-specific retrospective analyses.

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References

  1. Alimohamadi SM, Ghodsi SM, Ketabchi SE (2008) Epidemiologic patterns of primary brain tumors in Iran. Asian Pac J Cancer Prev 9:361–362

    PubMed  Google Scholar 

  2. Samad A, Daneshbod K (1980) Soft tissue ependymoma in the sacrococcygeal region. Iran J Surg 3:243–247

    Google Scholar 

  3. Aslanabadi S, Azhough R, Motlagh PS, Hadidchi S, Tabrizi AD, Zonouzy KK (2004) Intramedullary spinal cord ganglioglioma presenting with abnormal abdominal wall movement: case report. Neurosurg Focus 17:1–2

    Article  Google Scholar 

  4. Zamani G, Mohammadi M (2005) Bilateral choroid plexus papilloma of lateral ventricles. Acta Medica Iranica 43:158–160

    Google Scholar 

  5. Nejat F, Kazmi SS, Ardakani SB (2007) Congenital brain tumors in a series of seven patients. Pediatr Neurosurg 44:1–8

    Article  PubMed  Google Scholar 

  6. Modirian M, Rahimzadeh S, Cheraghi Z, Khosravi A, Salimzadeh H, Kompani F, Rezaei N, Qorbani M, Delavari A, Moradi-Lakeh M, Farzadfar F (2014) Quality evaluation of national cancer registry system in Iran: study protocol. Arch Iran Med 17:193–197

    PubMed  Google Scholar 

  7. Kumar PV, Hosseinzadeh M, Bedayat GR (2001) Cytologic findings of medulloblastoma in crush smears. Acta Cytolog 45:542–546

    Article  CAS  Google Scholar 

  8. Ansari S, Vosough P, Mo’udi S (2003) Determination of the main epidemiological factors in children with brain tumor admitted to Hazrat Ali Asghar children hospital. Iran Med J 10:535–539

    Google Scholar 

  9. Ghodsi K, Rezaei HE, Birjandi AR, Yazdi SA, Kbarzadeh RA, Baharvahdat H, Abili M, Nejad MG, Gabgeifar B, Poor HA, Dabiri RH (2003) A study of malignant glioma in a consanguinity family with three siblings affected, Mashhad, North-East Iran. Eur J Neurol S1:185–186

    Google Scholar 

  10. Mahzuni P, Moghaddam NA (2006) Histopathological study of primary pediatric brain tumor. J Res Med Sci 11:203

    Google Scholar 

  11. Yavari P, Mehrazin M (2006) Morphological pattern and frequency of brain tumors in children. Presented at: 2nd North American Congress of Epidemiology, Seattle

  12. Zali AR, Farzan AN, Radmandi M (2006) The frequency of pediatric brain tumors in Mofid hospital of Tehran. Iran J Med Council 24:119–122

    Google Scholar 

  13. Mehrazin M, Yavari P (2007) Morphological pattern and frequency of intracranial tumors in children. Childs Nerv Syst 23:157–162

    Article  CAS  PubMed  Google Scholar 

  14. Miabi Z, Midia MMR (2007) Evaluation of pediatric intracranial neoplasm in Tabriz Iran. Acta Medica Iranica 45:465–458

    Google Scholar 

  15. Jadali F, Almasi A, Gharib A, et al (2008) A 10 year survey on childhood CNS tumors. Iran J Child Neurolog 2:33–36

  16. Alimohamadi M, Bidabadi MS, Ayan Z, Ketabchi E, Amirjamshidi A (2009) Pilomyxoid astrocytoma with involvement of the sella turcica in an adolescent. J Clin Neurosci 16:1648–1649

    Article  PubMed  Google Scholar 

  17. Mahdavi A, Baradaran N, Nejat F, El Khashab M, Monajemzadeh M (2010) Sudden deterioration due to intra-tumoral hemorrhage of ependymoma of the fourth ventricle in a child during a flight: a case report. J Med Case Rep 4:143

    Article  PubMed  PubMed Central  Google Scholar 

  18. Meshkini A, Shahzadi S, Zali A, Zali A, Parsa K, Afrough A, Hamdi A (2011) Computed tomography-guided stereotactic biopsy of intracranial lesions in pediatric patients. Childs Nerv Syst 27:2145–2148

    Article  PubMed  Google Scholar 

  19. Khalatbari M, Borghei-Razavi H, Shayanfar N, Behzadi AH, Sepehmia A (2011) Collision tumor of meningioma and malignant astrocytoma. Pediatr Neurosurg 46:357–361

    Article  Google Scholar 

  20. Khalatbari MR, Hamidi M, Moharamzad Y (2011) Glioblastoma multiforme with very rapid growth and long-term survival in children: report of two cases and review of the literature. Childs Nerv Syst 27:1347–1352

    Article  PubMed  Google Scholar 

  21. Khalatbari MR, Borghei-Razavi H, Moharamzad Y (2011) Intradiploic orbital roof meningioma with pneumosinus dilatans in a child: a case report and review of the literature. Pediatr Neurosurg 47:66–71

    Article  PubMed  Google Scholar 

  22. Radmanesh F, Nejat F, Mahjoub F, El Khashab M (2011) Congenital spinal tumor in a patient with encephalocele and hydrocephalus: a case report. J Med Case Rep 5:9

    Article  PubMed  PubMed Central  Google Scholar 

  23. Rafsanjani KA, Bahoush G, Nikpoor F, Vossough P (2012) Outcome of primary childhood central nervous system tumors: results from a single center in Iran. Neuropediatrics 43:232–237

    Article  PubMed  Google Scholar 

  24. Binesh F, Akhavan A, Navabii H (2012) Pleomorphic xanthoastrocytoma with malignant transformation and multiple recurrences in an Iranian girl. BMJ Case Rep. doi:10.1136/bcr.12.2011.5372

  25. Tabatabaei SM, Seddighi A, Seddighi AS (2012) Posterior fossa tumor in children. Iran J Child Neurol 6:19–24

    Google Scholar 

  26. Fard MA, Fakhree S, Eshraghi B (2013) Correlation of optical coherence tomography parameters with clinical and radiological progression in patients with symptomatic optic pathway gliomas. Graefes Arch Clin Exp Ophthalmol 251:2429–2436

    Article  PubMed  Google Scholar 

  27. Farivar S, Zati Keikha R, Shiari R, Jadali F (2013) Expression of bmi-1 in pediatric brain tumors as a new independent prognostic marker of patient survival. Biomed Res Int 2013:192548

    Article  PubMed  PubMed Central  Google Scholar 

  28. Ghodsi M, Mortazavi A, Shahjouei S, Hanaei S, Esmaeili A, Nejat F, El Khashab M (2014) Exophytic glioma of the medulla: presentation, management and outcome. Pediatr Neurosurg 49:195–201

    Article  Google Scholar 

  29. Khalatbari MR, Moharamzad Y (2014) Myxopapillary ependymoma of the conus medullaris presenting with intratumoral hemorrhage during weight lifting in a teenager. Childs Nerv Syst 30:181–183

    Article  PubMed  Google Scholar 

  30. Anvari K, Toussi MS, Bahadorkhan G, Bitaghsir M, Heidari M, Ersi MF, Shahidsales S (2014) Treatment outcomes and prognostic factors in pediatric non-brainstem astrocytoma in north east of Iran. Iran J Cancer Prev 7:96–100

    PubMed  PubMed Central  Google Scholar 

  31. Hanaei S, Habibi Z, Nejat F, Sayarifard F, Vasei M (2015) Pediatric glioblastoma multiforme in association with Turner’s syndrome: a case report. Pediatr Neurosurg 50:38–41

    Article  PubMed  Google Scholar 

  32. Khalatbari MR, Khalatbari S, Moharamzad Y (2014) Fatal intratumoral hemorrhage in tectal plate glioblastoma multiforme following ventriculoperitoneal shunt. Pediatr Neurosci 9:192–195

    Article  Google Scholar 

  33. Mehrvar A, Faranoush M, Asl AAH, Tashvighi M, Fazeli MA, Qaddoumi I, Mehrvar N, Sobuti B, Jafarpour A, Parsa RR, Zangooei R, Alebouyeh M, Vossough P (2014) Childhood central nervous system tumors at MAHAK’s Pediatric Cancer Treatment and Research Center (MPCTRC), Tehran, Iran. Childs Nerv Syst 30:491–496

    Article  PubMed  Google Scholar 

  34. Golkashani HA, Hatami H, Farzan A, Mohammadi HR, Nilipour Y, Khoddami M, Jadali F (2015) Tumors of the central nervous system: an 18-year retrospective review in a tertiary pediatric referral center. Iran J Child Neurol 9:24–33

    Google Scholar 

  35. Bahoush G, Yazdi E, Ansari S, Arjmandi KH, Vossough P (2015) Identification of children with acute lymphoblastic leukemia at low risk for tumor lysis syndrome. J Blood Dis Transfus 6:318

    Google Scholar 

  36. Parvaresh M, Azar M, Ghalaenovi H, Ghalaenovi H, Fattahi A (2015) Parkinsonism: a rare manifestation of craniopharyngioma. Electron Physician 7:1027–1031

    PubMed  PubMed Central  Google Scholar 

  37. Samadian M, Bakhtevari MH, Haddadian K, Alavi HA, Rezaei O (2016) Spontaneous complete regression of hypothalamic pilocytic astrocytoma after partial resection in a child, complicated with Stevens-Johnson syndrome: a case report and literature review. Neurosurg Rev 39:335–340

    Article  PubMed  Google Scholar 

  38. Kumar PV (1997) Nuclear grooves in ependymoma. Acta Cytol 41:1726–1731

    Article  CAS  PubMed  Google Scholar 

  39. Amirjamshidi A, Mehrazin M, Abbassioun K (2000) Meningiomas of the central nervous system occurring below the age of 17: report of 24 cases not associated with neurofibromatosis and review of literature. Childs Nerv Syst 16:406–415

    Article  CAS  PubMed  Google Scholar 

  40. Amirjamshidi A, Abbassioun K (2000) Radiation-induced tumors of the central nervous system occurring in childhood and adolescence. Four unusual lesions in three patients and a review of the literature. Childs Nerv Syst 16:390–397

    Article  CAS  PubMed  Google Scholar 

  41. Larijani B, Bastanhagh M, Pajouhi M, Shadab KF, Vasigh A, Aghakhani S (2004) Presentation and outcome of 93 cases of craniopharyngioma. Eur J Cancer Care 13:11–15

    Article  CAS  Google Scholar 

  42. Taghipour M, Zamanizadeh B, Judaki A (2004) Pineal region surgery: experience in occipital transtentorial approach. Neurosurg Q 14:181–183

    Article  Google Scholar 

  43. Tavangar SM, Larijani B, Mahta A, Hosseini SM, Mehrazine M, Bandarian F (2004) Craniopharyngioma: a clinicopathological study of 141 cases. Endocr Pathol 15:339–344

    Article  PubMed  Google Scholar 

  44. Daneshbod Y, Monabati A, Kumar PV, Taghipoor M, Bedayat GR (2005) Intraoperative cytologic crush preparation findings in craniopharyngioma. Acta Cytol 49:7–10

    Article  PubMed  Google Scholar 

  45. Abdollahzadeh-Hosseini S, Allahdini HRF (2006) Management of hydrocephalus in posterior cranial fossa tumors. Acta Medica Iranica 44:89–94

    Google Scholar 

  46. Ahmadi SA, Samadi N (2006) Evaluation of argyrophilic nucleolar organizer region staining in predicting the behavior of meningiomas. Ann Saudi Med 26:38–42

    Article  PubMed  Google Scholar 

  47. Malekpour Afshar R, Mirshekari T-R, Ebrahimnejad A, Mirshekari R (2006) The glioblastoma multiforme in Kerman–Iran, 1994–2004. Int J Cancer Res 2:109–112

    Article  Google Scholar 

  48. Mehrazin M, Rahmat H, Yavari P (2006) Epidemiology of primary intracranial tumors in Iran, 1978–2003. Asian Pacific J Cancer Prev 7:283–288

    CAS  Google Scholar 

  49. Rokni-Yazdi H, Sotoudeh H (2006) Prevalence of “dural tail sign” in patients with different intracranial pathologies. Eur J Radiol 60:42–45

    Article  PubMed  Google Scholar 

  50. Mahzooni P, Mokhtari M, Amirmansour B (2007) Differentiation between reactive gliosis and astrocytomas by MIB-1/ki67 immunostaining. J Res Med Sci 12:241–245

    Google Scholar 

  51. Mehrazin M (2007) Pituitary tumors in children: clinical analysis of 21 cases. Childs Nerv Syst 23:391–398

    Article  CAS  PubMed  Google Scholar 

  52. Moradi A, Semnani V, Djam H, Tajodini A, Zali AR, Ghaemi K, Nikzad N, Madani-Civi M (2008) Pathodiagnostic parameters for meningioma grading. J Clin Neurosci 15:1370–1375

    Article  CAS  PubMed  Google Scholar 

  53. Shahzadi S, Sharifi G, Andalibi R, Zali A, Ali-Asgari A (2008) Management of cystic craniopharyngiomas with intracavitary irradiation with 32P. Arch Iranian Med 11:30–34

    Google Scholar 

  54. Haghighatkhah H, Taheri MS, Haghighi M, Shahzadi S, Birang SH (2010) Imaging of monstrous craniopharyngioma: a pictorial essay. Iran J Radiol 7:79–81

    Google Scholar 

  55. Mahzouni P, Mohammadizadeh F, Mougouei K, Moghaddam NA, Chehrei A, Mesbah A (2010) Determining the relationship between “microvessel density” and different grades of astrocytoma based on immunohistochemistry for “factor VIII-related antigen” (von Willebrand factor) expression in tumor microvessels. Indian J Pathol Microbiol 53:605–610

    Article  PubMed  Google Scholar 

  56. Pour NH, Tavassoli R, Mahzouni P (2011) Mutational analysis of the PTEN/MMAC1 tumor suppressor gene in sporadic glioblastoma multiforme. Iran J Cancer Prev 4:55–64

    Google Scholar 

  57. Ansari M, Nasrolahi H, Kani AA, Mohammadianpanah M, Ahmadloo N, Omidvari S, Mosalaei A (2012) Pediatric glioblastoma multiforme: a single-institution experience. Indian J Med Pediatr Oncol 33:155–160

    Article  Google Scholar 

  58. Bagheri MH, Ahmadloo N, Rezaian S (2013) Artifacts in magnetic resonance imaging after surgical resection of brain tumors. Magn Reson Imaging 31:700–702

    Article  PubMed  Google Scholar 

  59. Rezvanizadeh A, Firouznia K, Salehi-Sadaghiani M, Mohseni M, Gharaei D, Ghanaati H, Rad SH, Masoudnia M (2012) The effects of voxel localization and time of echo on the diagnostic accuracy of cystic brain tumors in 3 tesla magnetic resonance spectroscopy. Iran J Radiol 9:195–201

    Article  PubMed  PubMed Central  Google Scholar 

  60. Beygi S, Saadat S, Jazayeri SB, Rahimi-Movaghar V (2013) Epidemiology of pediatric primary malignant central nervous system tumors in Iran: a 10 year report of National Cancer Registry. Cancer Epidemiol 37:396–401

    Article  PubMed  Google Scholar 

  61. Jazayeri SB, Rahimi-Movaghar V, Shokraneh F, Saadat S, Ramezani R (2013) Epidemiology of primary CNS tumors in Iran: a systematic review. Asian Pac J Cancer Prev 14:3979–3985

    Article  PubMed  Google Scholar 

  62. Kheirollahi M, Mehrazin M, Kamalian N, Mohammadi-asl J, Mehdipour P (2013) Telomerase activity in human brain tumors: astrocytoma and meningioma. Cell Mol Neurobiol 33:569–574

    Article  CAS  PubMed  Google Scholar 

  63. Moein P, Behnamfar O, Khalighinejad N, Farahzadegan Z, Fard SA, Razavi M, Mahzouni P (2013) A 12-year epidemiologic study on primary spinal cord tumors in Isfahan, Iran. J Res Med Sci 18:17–21

    PubMed  PubMed Central  Google Scholar 

  64. Shahzadi S, Azimi P, Parsa K (2013) Long-term results of stereotactic brachytherapy (temporary 125Iodine seeds) for the treatment of low-grade astrocytoma (grade II). Iran Red Crescent Med J 15:49–57

    Article  PubMed  PubMed Central  Google Scholar 

  65. Larijani L, Madjd Z, Samadikuchaksaraei A, Younespour S, Zham H, Rakhshan A, Mohammadi F, Rahbari A, Moradi A (2014) Methylation of O 6-methyl guanine methyltransferase gene promoter in meningiomas—comparison between tumor grades I, II, and III. Asian Pac J Cancer Prev 15:33–38

    Article  PubMed  Google Scholar 

  66. Mehdipour P, Karami F, Javan F, Mehrazin M (2015) Linking ATM promoter methylation to cell cycle protein expression in brain tumor patients: cellular molecular triangle correlation in ATM territory. Mol Neurobiol 52:293–302

    Article  CAS  PubMed  Google Scholar 

  67. Pashaki AS, Hamed EA, Mohammadian K, Abbasi M, Safaei AM, Babaei M, Gholami MH, Khoshghadam A (2014) Pathologic characteristics and treatment outcome of patients with malignant brain tumors: a single institutional experience from Iran. Middle East J Cancer 5:91–96

    CAS  Google Scholar 

  68. Zahir ST, Vakili M, Navabii H, Rahmani K (2013) Clinicopathological findings and five year survival rates for patients with central nervous system tumors in Yazd, Iran. Asian Pac J Cancer Prev 15:10319–10323

    Article  Google Scholar 

  69. Nazemi A, Mohammadi AR (2014) Investigating contingency risk factors of brain tumor in children and adolescents. J Shahid Sadoughi Univ Med Sci 22:1495–1504

    Google Scholar 

  70. Afzali A, Emadi-Baygi M, Nikpour P, Nazemroaya F, Kheirollahi M (2015) Expression of ZFX gene correlated with the central features of the neoplastic phenotype in human brain tumors with distinct phenotypes. Adv Biomed Res 4:179

    PubMed  PubMed Central  Google Scholar 

  71. Dashti S, Khorvash F, Salehi R, Mahzouni P, Koulivand L, Kheirollahi M (2015) Comparison of TERRA expression in human brain tumors. Eur J Oncol 20:25–31

    Google Scholar 

  72. Khoddami M, Akbarzadeh A, Mordai A, Bidari-Zerehpoush F, Alipour H, Samadzadeh S, Alipour B (2015) Diagnostic accuracy of frozen section of central nervous system lesions: a 10-year study. Iran J Child Neurol 9:25–30

    PubMed  PubMed Central  Google Scholar 

  73. Anbarloui MR, Ghodsi SM, Khoshnevisan A, Khadivi M, Abdollahzadeh S, Aoude A, Naderi S, Najafi Z, Faghih-Jouibari M (2015) Accuracy of magnetic resonance spectroscopy in distinction between radiation necrosis and recurrence of brain tumors. Iran J Neurol 14:29–34

    PubMed  PubMed Central  Google Scholar 

  74. Mohammadianpanah M (2015) Pediatric glioblastoma multiforme. Presented at: 47th Congress of the International Society of Pediatric Oncology (SIOP), Cape Town

  75. Sadeghi F, Salehi-Vaziri M, Alizadeh A, Ghodsi SM, Bokharaei-Salim F, Fateh A, Monavari SH, Keyvani H (2015) Detection of Merkel cell polyomavirus large T-antigen sequences in human central nervous system tumors. J Med Virol 87:1241–1247

    Article  CAS  PubMed  Google Scholar 

  76. Meshkini A, Vahedi A, Meshkini M, Alikhah H, Naghavi-Behzad M (2014) Atypical medulloblastoma: a case series. Asian J Neurosurg 9:45–47

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

This work was supported by a grant (CA21765) from the National Institutes of Health and by the ALSAC. We thank Vanessa Hays, librarian specialist at St. Jude Children’s Research Hospital, for her help performing reference searches. We also thank Nisha Badders for editing the manuscript.

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Correspondence to Narjes Mehrvar.

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Mehrvar, N., Mehrvar, A., Akbari, M.E. et al. Comprehensive analysis of Iranian reports of pediatric central nervous system tumors. Childs Nerv Syst 33, 1481–1490 (2017). https://doi.org/10.1007/s00381-017-3468-0

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