ORIGINAL
Introdução: Os tumores da coluna vertebral podem ser primários (5% dos casos), originários do próprio órgão, ou secundários (95% dos casos), por metástase de outro sítio anatômico. Objetivo: Caracterizar os dados epidemiológicos dos pacientes com tumor de coluna vertebral em Alagoas, Brasil, quanto ao sexo, idade, topografia e histologia da lesão vertebral. Métodos: Estudo retrospectivo realizado em um hospital de referência em neurocirurgia do estado de Alagoas. Resultados: Foram incluídos 21 pacientes, sendo 57,1% do sexo masculino. A média de idade foi de 51,9 ± 16,2 anos. Quanto à raça, 76,2% eram pardos. Quanto à topografia, a maioria ocorreu no nível torácico (66,6%). O nível mais alto ocorreu em C5, e a menor lesão ocorreu em S2. A mediana do número de vértebras afetadas simultaneamente num doente foi de 2 (1-3). Após análise anatomopatológica foram encontrados vários tipos de lesões, sendo que dos achados neoplásicos prevaleceram as metástases (19%). Conclusão: Alguns dados encontrados estão de acordo com a literatura, como sexo e idade, porém variáveis como raça, tipo histológico e nível vertebral da lesão apresentaram diferença. Ressalta-se ainda a carência de estudos brasileiros sobre essas variáveis, dada a sua importância para nortear medidas de saúde eficientes e conhecer a população a ser tratada.
Introduction: Spinal tumors can be primary (5% of cases), originating from the organ itself, or secondary (95% of cases), by metastasis from another anatomical site. Objective: To demonstrate the epidemiological data of patients with spinal tumor in Alagoas, Brazil, regarding gender, age, topography, and histology of the spinal lesion. Methods: Retrospective study conducted at the neurosurgical hospital of reference in the state of Alagoas. Results: Twenty-one patients were included, 57.1% male. The mean age was 51.9 ± 16.2 years. As for race, 76.2% were brown. As for the topography, the majority occurred at the thoracic level (66.6%). The highest level occurred at C5, and the lowest injury occurred at S2. The median number of simultaneously affected vertebrae in a patient was 2 (1-3). Various types of lesions were found after pathological analysis, and in neoplastic findings metastases prevailed (19%). Conclusion: Some data found are in agreement with the literature, such as sex and age, although variables such as race, histological type and vertebral level of the lesion showed a difference. The lack of Brazilian studies on these variables should also be highlighted, given their importance for guiding efficient health measures and knowing the population to be treated.
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1MS, Medical Student, Federal University of São Paulo – UNIFESP, São Paulo, SP, Brazil.
2MS, Medical Student, Alagoas State University of Health Sciences – UNCISAL, Maceió, AL, Brazil.
3MD, Neurosurgeon, Department of Neurosurgery, University Hospital Professor Alberto Antunes, Maceió, AL, Brazil.
Received Jun 21, 2023
Accepted Jun 30, 2023