Journal of Neuro-Oncology

, Volume 131, Issue 3, pp 525–546 | Cite as

Epidemiology for primary brain tumors: a nationwide population-based study

  • Amélie Darlix
  • Sonia Zouaoui
  • Valérie Rigau
  • Faiza Bessaoud
  • Dominique Figarella-Branger
  • Hélène Mathieu-Daudé
  • Brigitte Trétarre
  • Fabienne Bauchet
  • Hugues Duffau
  • Luc Taillandier
  • Luc Bauchet
Clinical Study


Primary central nervous system tumors (PCNST) are rare tumors responsible for high mortality and morbidity. Their epidemiology is poorly known, and clinical data are scarcely analyzed at a national level. In this study, we aimed at providing descriptive epidemiological data and incidence rates for all histological subtypes of PCNST according to the WHO classification. We conducted a nationwide population-based study of all newly diagnosed and histologically confirmed PCNST in France, between 2006 and 2011. A total of 57,816 patients were included: male 46.4%, median age at diagnosis 56 years old (range 0–99). For all newly diagnosed PCNST with histological confirmation the crude incidence rate was 15.5/105 per 100,000 person-years. To enable international comparisons, standardized rates were calculated: 14.1/105 (population of reference: USA), 14.5/105 (population of reference: Europe), and 12.0/105 (population of reference: world). 23.4% of samples were cryopreserved. Resection was performed in 79.1% of cases. Results are detailed (incidence rate, sex ratio, median age at diagnosis, number of cryopreserved samples, and type of surgery) for each of the 143 histological subtypes of PCNST, including all rare tumors. For example, incidence rates (population of reference: USA) were 0.018/105 for anaplastic gangliogliomas, 0.054/105 for malignant meningiomas, and 0.036/105 for hemangiopericytomas. Our study is the first to describe incidence rates and epidemiological data for all histological subtypes of PCNST, including rare tumors, at a national level. Its methodology ensures the exhaustiveness of the data collection for histologically-proven cases. Histological population-based studies have many perspectives in the field of clinical epidemiology and research.


Brain tumor Epidemiology Incidence Database Neuro-oncology Neuropathology 


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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Amélie Darlix
    • 1
    • 2
  • Sonia Zouaoui
    • 3
    • 4
  • Valérie Rigau
    • 5
  • Faiza Bessaoud
    • 3
  • Dominique Figarella-Branger
    • 6
  • Hélène Mathieu-Daudé
    • 3
  • Brigitte Trétarre
    • 3
  • Fabienne Bauchet
    • 3
  • Hugues Duffau
    • 2
    • 4
  • Luc Taillandier
    • 7
  • Luc Bauchet
    • 2
    • 4
  1. 1.Department of Medical OncologyInstitut Régional du Cancer de Montpellier (ICM)—Val d’AurelleMontpellierFrance
  2. 2.INSERM U1051MontpellierFrance
  3. 3.Department of Epidemiology, French brain tumor database, GNOLR, Registre des Tumeurs de l’HéraultInstitut Régional du Cancer de Montpellier (ICM)—Val d’AurelleMontpellierFrance
  4. 4.Department of NeurosurgeryGui de Chauliac HospitalMontpellierFrance
  5. 5.Department of PathologyGui de Chauliac HospitalMontpellierFrance
  6. 6.Department of Neuropathology and INSERM U911, Timone HospitalUniversité de la MéditerranéeMarseilleFrance
  7. 7.Neuro-oncology UnitUniversity HospitalNancyFrance

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