Ramos RE, Arroyo MG, Salazar ZA, Olvera RJE

Language: Spanish
References: 12
Page: 20-24
PDF size: 242.67 Kb.

ABSTRACT

Introduction. The study of tumours of the central nervous system is a challenge. Because of the advances in knowledge about the biology of these tumours, the collaboration of a interdisciplinary team is necessary in order to arrive at a diagnosis and establish therapeutic measures.
Method. A prospective, longitudinal, observational study was done, which included one hundred and three patients who underwent biopsy by stereotaxia and/or surgical resection of the tumour were included who were admitted to the Central Militar Hospital with either suspected or diagnosed tumour of the central nervous system. Clinical diagnosis were compared with histopathologic diagnosis and that diagnosis made by a neuropathologist to know the certainty ratio of each one.
Results. The diagnosis was the same in all groups in 63% of the cases. Clinical diagnosis compared with neuropathologic diagnosis had a certainty ratio of 66%. Histopathologic diagnosis compared with neuropathologic diagnosis had a certainty ratio of 87%. Clinical diagnosis together with histopathologic diagnosis had a certainty ratio of 88% compared with neuropathologic diagnosis.
Conclusion. This study concluded that colaboration of the clinical team with a radiologist, pathologist and neuropathologist is necessary to obtain an exact diagnosis in most cases of tumours of the central nervous system.

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