Abstract
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.
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References
Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Burger PC, Jouvet A et al (2007) The 2007 WHO classification of tumours of the central nervous system. Acta Neuropathol 114(2):97–109
Louis DN, Ohgaki H, Wiestler OD, Cavenee WK (eds) (2007) WHO classification of tumours of the central nervous system. IARC, Lyon
Louis DN, Perry A, Reifenberger G, von Deimling A, Figarella-Branger D, Cavenee WK et al (2016) The 2016 World Health Organization classification of tumors of the central nervous system: a summary. Acta Neuropathol 131(6):803–820
Ostrom QT, Gittleman H, Fulop J, Liu M, Blanda R, Kromer C et al (2015) CBTRUS statistical report: primary brain and central nervous system tumors diagnosed in the United States in 2008–2012. Neuro Oncol 17(Suppl 4):iv1–iv62
Wöhrer A, Waldhör T, Heinzl H, Hackl M, Feichtinger J, Gruber-Mösenbacher U et al (2009) The austrian brain tumour registry: a cooperative way to establish a population-based brain tumour registry. J Neurooncol 95(3):401–411
Baldi I, Gruber A, Alioum A, Berteaud E, Lebailly P, Huchet A et al (2011) Descriptive epidemiology of CNS tumors in France: results from the Gironde registry for the period 2000–2007. Neuro Oncol 13(12):1370–1378
Crocetti E, Trama A, Stiller C, Caldarella A, Soffietti R, Jaal J et al (2012) Epidemiology of glial and non-glial brain tumours in Europe. Eur J Cancer 48(10):1532–1542
DeAngelis LM (2001) Brain tumors. N Engl J Med 344(2):114–123
Forman D, Bray F, Brewster DH, Gombe Mbalawa C, Kohler B, Pineros M et al (2014) Cancer incidence in five continents, vol X. IARC, Lyon
Johannesen TB, Angell-Andersen E, Tretli S, Langmark F, Lote K (2004) Trends in incidence of brain and central nervous system tumors in Norway, 1970–1999. Neuroepidemiology 23(3):101–109
Klaeboe L, Lonn S, Scheie D, Auvinen A, Christensen HC, Feychting M et al (2005) Incidence of intracranial meningiomas in Denmark, Finland, Norway and Sweden, 1968–1997. Int J Cancer 117(6):996–1001
Deltour I, Johansen C, Auvinen A, Feychting M, Klaeboe L, Schüz J (2009) Time trends in brain tumor incidence rates in Denmark, Finland, Norway, and Sweden, 1974–2003. J Natl Cancer Inst 101(24):1721–1724
Arora RS, Alston RD, Eden TO, Estlin EJ, Moran A, Geraci M et al (2010) Are reported increases in incidence of primary CNS tumours real? An analysis of longitudinal trends in England, 1979–2003. Eur J Cancer 46(9):1607–1616
Kaatsch P, Rickert CH, Kühl J, Schüz J, Michaelis J (2001) Population-based epidemiologic data on brain tumors in German children. Cancer 92(12):3155–3164
McCarthy BJ, Shibui S, Kayama T, Miyaoka E, Narita Y, Murakami M et al (2012) Primary CNS germ cell tumors in Japan and the United States: an analysis of 4 tumor registries. Neuro Oncol 14(9):1194–1200
Desandes E, Guissou S, Chastagner P, Lacour B (2014) Incidence and survival of children with central nervous system primitive tumors in the french national registry of childhood solid tumors. Neuro Oncol 16(7):975–983
Ruiz-Tovar M, López-Abente G, Pollán M, Aragonés N, Ardanaz E, Moreo P et al (1999) Brain cancer incidence in the province of Zaragoza and Navarre (Spain): effect of age, period and birth cohort. J Neurol Sci 164(1):93–99
Caldarella A, Crocetti E, Paci E (2011) Is the incidence of brain tumors really increasing? A population-based analysis from a cancer registry. J Neurooncol 104(2):589–594
Bauchet L, Rigau V, Mathieu-Daudé H, Figarella-Branger D, Hugues D, Palusseau L et al (2007) French brain tumor data bank: methodology and first results on 10,000 cases. J Neurooncol 84(2):189–199
Rigau V, Zouaoui S, Mathieu- Daudé H, Darlix A, Maran A, Trétarre B et al (2011) French brain tumor database: 5-year histological results on 25756 cases. Brain Pathol 21(6):633–644
Zouaoui S, Rigau V, Mathieu-Daudé H, Darlix A, Bessaoud F, Fabbro-Peray P et al (2012) French brain tumor database: general results on 40,000 cases, main current applications and future prospects. Neurochirurgie 58(1):4–13
Zouaoui S, Darlix A, Rigau V, Mathieu- Daudé H, Bauchet F, Bessaoud F et al (2015) Descriptive epidemiology of 13,038 newly diagnosed and histologically confirmed meningiomas in France: 2006–2010. Neurochirurgie. pii: S0028-3770(15):00073–9.
Kleihues P, Cavenee WK (eds) (2000) World health classification of tumors. Tumors of the nervous system. Pathology and genetics. IARC Scientific Publications, Lyon
Dolecek TA, Dressler EV, Thakkar JP, Liu M, Al-Qaisi A, Villano JL (2015) Epidemiology of meningiomas post-Public Law 107–206: The Benign Brain Tumor Cancer Registries Amendment Act. Cancer 121(14):2400–2410
Ostrom QT, de Blank PM, Kruchko C, Petersen CM, Liao P, Finlay JL et al (2015) Alex’s lemonade stand foundation infant and childhood primary brain and central nervous system tumors diagnosed in the United States in 2007–2011. Neuro Oncol 16(Suppl 10):x1–x36
Selvanathan SK, Hammouche S, Salminen HJ, Jenkinson MD (2011) Outcome and prognostic features in anaplastic ganglioglioma: analysis of cases from the SEER database. J Neurooncol 105(3):539–545
Couce ME, Aker FV, Scheithauer BW (2000) Chordoid meningioma: a clinicopathologic study of 42 cases. Am J Surg Pathol 24(7):899–905
Di Ieva A, Laiq S, Nejad R, Schmitz EM, Fathalla H, Karamchandani J et al (2015) Chordoid meningiomas: incidence and clinicopathological features of a case series over 18 years. Neuropathology 35(2):137–147
Sonabend AM, Zacharia BE, Goldstein H, Bruce SS, Hershman D, Neugut AI et al (2014) The role for adjuvant radiotherapy in the treatment of hemangiopericytoma: a Surveillance, Epidemiology, and End Results analysis. J Neurosurg 120(2):300–308
Smoll NR, Drummond KJ (2012) The incidence of medulloblastomas and primitive neurectodermal tumours in adults and children. J Clin Neurosci 19(11):1541–1544
Johnston DL, Keene D, Kostova M, Strother D, Lafay-Cousin L, Fryer C et al (2014) Incidence of medulloblastoma in Canadian children. J Neurooncol 120(3):575–579
Bauchet L, Mathieu-Daudé H, Fabbro-Peray P, Rigau V, Fabbro M, Chinot O et al (2010) Oncological patterns of care and outcome for 952 patients with newly diagnosed glioblastoma in 2004. Neuro Oncol 12(7):725–735
Scott JG, Bauchet L, Fraum TJ, Nayak L, Cooper AR, Chao ST et al (2012) Recursive partitioning analysis of prognostic factors for glioblastoma patients aged 70 years or older. Cancer 118(22):5595–5600
Zouaoui S, Darlix A, Fabbro- Peray P, Mathieu-Daudé H, Rigau V, Fabbro M et al (2014) Oncological patterns of care and outcomes for 265 elderly patients with newly diagnosed glioblastoma in France. Neurosurg Rev 37(3):415–423
Darlix A, Zouaoui S, Virion JM, Rigau V, Mathieu-Daudé H, Blonski M et al (2014) Significant heterogeneity in the geographical distribution of diffuse grade II/III gliomas in France. J Neurooncol 120(3):547–555
Menei P, Figarella-Branger D, Bauchet L, Loiseau H, Denyset M, Roman T et al (2014) French research infrastructures to develop and validate glioma biomarkers. Neurosurgery 75(2):E195–E196
Labreche K, Simeonova I, Kamoun A, Gleize V, Chubb D, Letouzé E et al (2015) TCF12 is mutated in anaplastic oligodendroglioma. Nat Commun 6:7207
Acknowledgements
The authors wish to acknowledge Dr. Hélène de Forges for reviewing the manuscript and all the doctors and professors who helped and completed the cards for the recording of the PCNST in France: Abbey Toby A., Adam C., Adle-Biassette H., Adreux, Albagnac V., Algros M.P., Amat C., Ansart F., Arbez-Gindre F., Arbion F., Arrivets P., Aubriot Lorton M.H., Auvigne I., Averous G., Pinel-briquel N., Badsi A., Baglin A.C., Baldet P., Barbey C., Bazille C., Bedgedjian I., Bedossa P., Benabidallah S., Benali A., Bergemer Fouquet A.M., Bergouignan M.A., Bernier M., Bertocchi C., Beuvon F., Billotet C., Blechet C., Bondoin L., Bonneau C., Bonyhay G., Bordier, Borrelly C., Bost Bezeaud F., Boudjadi S., Bouvier C., Brambilla E., Branquet D., Bressenot A., Broche C., Brouchet A., Brousse N., Brousset P., Bruniau A., Burel-Vandenbos F., Camparo P., Cahn V., Calvet P., Camo J., Camparo P., Carbonnelle Puscian A., Carloz E., Cassagnau E., Cathelineau D., Caulet S., Caveriviere P., Cazals-Hatem D., Chapon F., Charlotte F., Taranger-Charpin C., Chatelain D., Chenard M.P., Chretien F., Christov C., Clairotte A., Cohen C., Colombat M., Conan V., Conan-Charlet V., Cormier B., Costa K., Costes V., Costes-Charlet N., Coulon A., Couvelard A., Cremades, Croue A., Cruel T., Danjoux M., Darrasse D., Daumas-Duport C., Degano-Valmarx S., Delage Corre M., Delattre C., Delisle M.B., Delsol M., Denoux Y., Deschamps L., Desrousseaux M., Diebold M.D., Donsbeck A.V., Dosda A., Dreux N., Dubost G., Duga I., Dujardin F., Dumollard J.M., Durand L., Duval H., Eimer S., Etchandy M.P., Eyremandi R.P., Fabre B., Fallet C., Felce dachez M., Felix S., Fernandez C., Fetissof F., Feutry C., Fornes P., Figarella-Branger D., Figuccio M., Fornes P., Fouet, Fregeville M., Fromont G., Gaillard F., Gallois S., Gaspard C., Gay G., Gonguet A.M., Gontier M.F., Gonzalez, Goujon J.M., Gray F., Grignon Y., Gros P., Guedj N., Guettier-Bouttier C., Guillou P.J., Guymar S., Gyenes C., Hassoun, Haudebourg J., Heitzmann A., Henin D., Hennequin V., Heymann M.F., Istier L., Jaubert F., Jonas J., Jouan H., Jourdan F., Jouvet A., Justrabo, Kaci R., Kantelip B., Kemeny J.L., Kerdraon O., Kerdraon R., Kermanach P., Khaddage A., Kleinclaus I., Kopp N., Krzisch S., Kujas M., Labrousse F., Lacroix C., Lamant. L, Lannes B., Lantuejoul S., Laquerriere A., Laurent C., Le Gall F., Le Houcq M., Lechapt E., Leclair F., Leduc F., Leger F., Lerintiu F., Levillain P., Lhermitte B., Liprandi A., Lomazzi S., Longchampt E., Loussouarn D., Maitre F., Majek-Zakine E., Manent A.M., Maran A., Marcon N., Mareel A., Marie B., Martin L., Maues de Paula A., Maurage C.A., Mazerolles C., Mergey E., Meyronnet D., Michalak S., Michenet P., Michiels J.F., Milin S., Miquel C., Mohr M., Mohra, Mokhtari K., Monpon C., Morand Dusserre I., Moreau A., Moreau M., Moreno S., Mosnier J.F., Musso Rigal C., Neuville A., Oksman A., Oukabli M., Palasse J., Parent M., Patey M., Pellissier J.F., Peoc’h M., Philippe A., Pialat J., Pluot M., Polivka M., Pommepuy I., Ponnelle T., Pradere Labat M., Quintana M., Quintin-Roue I., Quintyn-Ranty M.L., Ranfaing E., Raoux D., Raynaud P., Reis Borges R., Renaudin K., Renjard L., Reyre J., Richard, Richard S., Rigau V., Ringenbach F., Roger P., Rouquette I., Rousseau A., Rousselet M.C., Rousselot C., Ruchoux, Sabourin J.C., Saïkali S., Saingra B., Saint-Andre J.P., Saint Blancard P., Saint Pierre G., Saint-Paul M.C., Salameire D., Salon C., Sarrouy J., Savin C., Sawan B., Schill H., Selves J., Seurat P.L., Sevestre H., Sorbara R., Soulard P., Soulard R., Souraud J.B., Straub P., Streichenberger N., Sturm N., Talagas M., Terrier J.P., Toquet C., Tortel M.C., Trouillas J., Tubiana A., Uro-Coste E., Valmary S., Van-Tran S., Vandenbos F., Varlet P., Vasiljevic A., Vaunois B., Verdier D., Veresezon L., Vic P., Viennet G., Vignaud J.M., Villa C., Vital A., Warter A., Weinbreck N., Yacoub M., Yaziji N., Yriarte-Laurent M.C., Yver M., Zafrani E., Zidane Marinnes M., Abi Lahoud G., Achim V., Adetchessi T., Aesch B., Agha M., Aghakhani N., Akkhabar, Al Hallak R., Albarello P., Almairach F., Al Nader E., Albert A., Aldea S., Alfieri A., Ali Benali M., Aliamus A., Allano V., Allaoui M., Alliez B., Alliez J.R., Amlashi S.F.A., Aouad N., Arthuis F., Ashraf A., Assaker R., Atta, Auque J., Autricque A., Ayache D., Barat J.L., Baron M.H., Baroncini M., Barrey C., Bataille B., Bauchet L., Baussart B., Bayram M., Bazin A., Beauchesne P., Beaudic Y., Beaurain J., Bedou G., Belliard H., Bellow F., Beltechi R., Ben hamouda H., Ben ismaïl M., Ben yahia M., Benabid A.L., Benezech J., Benhima H., Bennis S., Berger C., Bernard C., Bernard M.H., Berthelot J.L., Besson G., Bieron V., Billant J.B., Billon-Grand R., Bitar A., Bizette C., Blanc J.L., Blanquet A., Blond S., Blondet E., Blonski M., Boch A.L., Boetto S., Boissonnet H., Boone M., Bord E., Borha A., Bouali I., Bouazza S., Bougeard R., Bouillot P., Bourdain, Bourgeois P., Bousigue J.Y., Bousquet C., Bousquet O., Bousquet P., Boyer P., Brassier G., Bresson D., Bret P., Bruneau M., Brunon J., Buffenoir Billet K., Buffenoir K., Cabal P., Caillaud P., Caille J.M., Caire F., Campello C., Capelle L., Cardoso M., Carnin C., Carpentier A., Carron R., Cartalat-Carel S., Cesari J.B., Chabane A., Chabardes S., Chabolle F., Champeaux K., Chaynes P., Chays A., Chazal J., Chibbaro S., Chinot O., Chirossel J.P., Chobaut J.C., Choplain J.N, Choukri M., Cioloca C., Civit T., Clemenceau S., Colnat S., Comoy J., Cornelius J., Cornu P., Coste A., Coubes P., Coulbois S., Crampette L., Cristini A., Cuny E., Cuttaree H., Czorny A., Dagain A., Dam Hieu P., Dandine J.B., Darrouzet V., Dautheribes M., David P., De Germay B., De Greslan T., De Soultrait F., Debono B., Decq P., Delalande O., Delaretti, Delhaye M., Delion M., Delmas J.M., Delattre J.Y., Delpy P., Delsanti C., Derlon J.M., Derrey S., Deruty R., Desenclos C., Desgeorges M., Desplat A., Destandau J., Destrieux C., Devaux B., Dezamis E., Dhellemmes P., Di Rocco F., Di Tommaso L., Diabira S., Diaz A., Dimitriu C., Djindjian M., Do L., Doe K., Dorfmuller G., Dorwling-carter D., Dran G., Dubois G., Ducolombier A., Ducray F., Duffau H., Dufour H., Dufour T., Duhem R., Dulou R., Dumas B., Duntze J., Dupard T., Duplessis E., Durand A., Durandeau A., Dutertre G., Duthel R., El Fertit H., Emery E., Espagno C., Esposito P., Fabre T., Faillot T., Farah W., Farizon F., Faure A., Faure P., Fesselet J., Fichten A., Finiels P.J., Fischer D., Fischer Lokou D., Fono S., Fontaine D., Fotso M.J., Fournier D., Francois P., Frank B., Freger P., Freppel S., Froelich S., Fuentes J.-M., Fuentes S., Gadan R., Gaillard S., Garrel R., Gay M., George B., Giacomelli R., Gigaud M., Gil Robles S., Gimbert E., Ginguene C., Goasguen O., Godard J., Godfrin G., Gomez A., Gosset J.F., Goutagny S., Gras R., Grayeli B., Graziani N., Grellier P., Grisoli F., Grosskopf D., Guarnieri J., Guegan Y., Guenot M., Guerrier B., Gueye E.M., Guinguene C., Guy G., Guyotat J., Haddad E., Haegelen C., Hallacq M., Hallacq P., Hamcha, Hamdi S., Hamel O., Hamlat A., Hansen F., Hatem O., Hattou M., Hayek G., Henaux P.L., Henry, Herman P., Heyman D., Hladky J.P., Hoffmann D., Honnorat J., Huot J.C., Iakovlev G., Ibrahim R., Irthum B., Ischac R., Jacquet G., James S., Jan M., Jarraya B., Jouanneau E., Joud A., Joulin, Kaczmarek D., Kaddoum H., Kalamarides M., Karachi C., Katranji H., Kaya J.M., Kehrli P., Keravel Y., Khalfallah M., Khalil T., Khouri K., Khouri S., Klap P., Klein O., Koubaïssi W., Koudsie A., Kuzeawu A., Laccoureye L., Lacerda P., Lagarrigue J., Langlois O., Lapierre F., Lapras C., Le Fay, Le Franc M., Le Guerinel C., Le Nen D., Le Rhun E., Legars D., Lejeune J.P., Lemaire J.J., Lena G., Lepeintre J.F., Leriche B., Lescanne D., Lescure J.P., Leston J.M., Leveque M., Liguoro D., Linne M., Lioret E., Lisii D., Listrat A., Litre F., Litrico S., Loiseau H., Lonjon M., Lonjon N., Lopes M., Lorgis V., Lot G., Louis E., Louveau A., Lubrano V., Lungu G., Maarrawi J., Maghreu, Magro E., Mahla K., Maillard A., Maingot M., Maitrot D., Makiese O., Malca S., Mandat S., Mandonnet E., Manisor M., Mansour M., Manzo N., Marchal J.C., Marchal T., Marie J.P., Marnet D., Martin S., Mascott C., Mazon A., Memia Zolo D., Mendes Martins V., Menegalli D., Menei P., Mercier P., Merlet Chicoine I., Merlot I., Mertens P., Metellus P., Mineo F., Mineo J.F., Mireau E., Monteil P., Montessuy R., Mora A, Morandi X., Morar S., Moraru C., Moreau J.J., Morel C., Mortada J., Mostofi K., Mottolese C., Moubarak K., Mourier L., Muckensturm B., Mulnet D., Nahas F., Namaki H., Nataf F., Navarro S., Nguyen J.P., Njee Bugha T., Njee T., Noël G., Nogues L., Noudel R., Nouet A., Nseir R., Nuti C., Orabi M., Orenstein D., Page P., Palfi S., Pallud J., Palombi O., Pampin S., Paquis P., Paradot Mouton G., Parker F., Pasqualini E., Passagia J.G., Patru M.C, Pech Gourg G., Pejeredou, Pelissou-Guyotat I., Pellet W.J., Peltier J., Pencalet P., Penchet G., Peragut J.C., Peyre M., Pernot P., Perrin G., Person H., Peruzzi P., Petit D., Pierre-Kahn A., Pinaudeau M., Pinelli C., Plas J.Y., Polo G., Poncet J.L., Porhiel V., Postelnicu A., Pouit B., Prades J.M, Privat J.M., Proust F., Puget S., Rabehenoina C., Rabhi M., Ragragui O., Ramirez C., Raoul S., Rasendrarijao D., Rech F., Redondo A., Regis J., Remond J., Renard J.L., Reynier Y., Reyns N., Ricard D., Ricci Franchi A.C., Richet A., Riem T., Riffaud L., Rigoard P., Robert G., Robert R., Robier A., Roche P.H., Rodriguez M.-A., Rodriguez V., Roualdes G., Roualdes V., Rougier A., Roujeau T., Rousseaux P., Roux F., Roux F.X., Sabatier J.F., Sabatier P., Sabbah M., Sacko O., Sainte-Rose C., Sakka L., Salmon B., Sallansonnet M., San Galli F., Sankaredja J.M., Sautreaux J.L., Sauvaget, Scarone P., Scavarda D., Scherpereel B., Schmidt E., Segnarbieux F., Seguin, Seigneuret E., Seizeur R., Sichez j.P., Sid Hamed S., Silhouette B., Simbert, Simon A., Simon E., Sinardet D., Sindou M., Sleiman M., Sol J.C., Sorin A., Soumare O., Srour A., Srour R., Stecken J., Sterkers O., Stilhart B., Suleiman N., Szathmari A., Tadie M., Taha S., Taillandier L., Taillia H., Tarek A., Ternier J., Thiebaut J.B., Thines L., Thomassin J.M., Tobenas Dujardin A.C., Tonnelle Duhem V., Tourneux H., Toussaint P., Touta A., Touzet G., Tran Ba Huy P., Travers N., Tremoulet M., Turak B., Turner F., Valery C., Vallee B., Van Effenterre R., Van Raay Y., Vassal F., Velut S., Verez J., Vidal J., Vignes J.R., Vincentelli Ange F., Villette L., Vinchon M., Voirin J., Von Langsdorf D., Vongsouthi. C, Wager M., Yordanova Y., Zaïri F., Zanaret M., Zemmoura I., Zerah M.
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This work was conducted with the financial support, as Grants, of the French National Cancer Institute (INCa), the Ligue Nationale Contre le Cancer, the Société Française de Neuropathologie (SFNP), the Société Française de Neurochirurgie (SFNC) and the Club of Neuro-Oncologie of the Société Française de Neurochirurgie (CNO-SFNC), the Association des Neuro-Oncologues d’Expression Française (ANOCEF), the Roche Laboratory, the Association pour la Recherche sur les Tumeurs Cérébrales Nord et Sud (ARTC), for the collection, management, analysis and interpretation of the data, and of the SIRIC Montpellier Cancer (Grant “INCa-DGOS-Inserm 6045”) for the design and conduct of the study and for the collection, management, analysis and interpretation of the data.
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The original version of this article was revised: In the first line of Table 1 (line “Tumors of neuroepithelial tissue”), column “Male, n”, the number was corrected to read 14,621.
Amélie Darlix and Sonia Zouaoui have equally contributed to this work.
With the participation of the Société Française de Neuropathologie (SFNP), the Société Française de Neurochirurgie (SFNC) and the Club Neuro-Oncologie of the Société Française de Neurochirurgie (CNO-SFNC), and the Association des Neuro-Oncologues d’Expression Française (ANOCEF).
An erratum to this article is available at http://dx.doi.org/10.1007/s11060-016-2340-5.
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Darlix, A., Zouaoui, S., Rigau, V. et al. Epidemiology for primary brain tumors: a nationwide population-based study. J Neurooncol 131, 525–546 (2017). https://doi.org/10.1007/s11060-016-2318-3
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DOI: https://doi.org/10.1007/s11060-016-2318-3