Pineal region tumor epidemiology

Pineal region tumors (PRTs), which are rare tumors, account for approximately 0.4-1.0% of intracranial tumors.

Pineal parenchymal tumors (PPTs) are even rarer, and approximately 30% of PPTs occur in neoplasms of the pineal region 1).

Over the age of 40 is more likely to be a meningioma or a glioma.

Tumors in this region are more common in children (3–8% of pediatric brain tumors) than in adults (≤1%). 2)

Over 17 tumor types occur in this region 3).

Pineal germinoma is the most common tumor (21– 44% in American/European population, 43–70% in Japan), followed by pineal astrocytoma, pineal teratoma and pineoblastoma 4).

Many tumors are of mixed cell type.

Germ cell tumors (GCT), ependymomas and pineal cell tumors metastasize easily through the CSF (“drop metastases”).


1)
Jakacki RI, Zeltzer PM, Boyett JM, Albright AL, Allen JC, Geyer JR, et al. Survival and prognostic factors following radiation and/or chemotherapy for primitive neuroectodermal tumors of the pineal region in infants and children: a report of the Childrens Cancer Group. J Clin Oncol. 1995;13:1377–1383.
2)
Regis J, Bouillot P, Rouby-Volot F, et al. Pineal Region Tumors and the Role of Stereotactic Biopsy: Review of the Mortality, Morbidity, and Diagnostic Rates in 370 Cases. Neurosurgery. 1996; 39:907–914
3)
Youssef AS, Keller JT, van Loveren HR. Novel applica- tion of computer-assisted cisternal endoscopy for the biopsy of pineal region tumors: cadaveric study. Acta Neurochir (Wien). 2007; 149:399–406
4)
Oi S, Matsumoto S. Controversy pertaining to thera- peutic modalities for tumors of the pineal region: a worldwide survey of di erent patient populations. Childs Nerv Syst. 1992; 8:332–336
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