Clinical Characteristics and Prognostic Factors of Testicular Sarcoma: A Population-Based Study
To study clinical characteristics and factors that may affect the prognosis of testicular sarcoma patients. In the Surveillance Epidemiology and End Results database (2006-2016), people with testicular sarcoma were enrolled in our research. Multivariable Cox proportional hazard model and Multivariab...
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Published in | Frontiers in oncology Vol. 11; p. 614093 |
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25.02.2021
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Abstract | To study clinical characteristics and factors that may affect the prognosis of testicular sarcoma patients.
In the Surveillance Epidemiology and End Results database (2006-2016), people with testicular sarcoma were enrolled in our research. Multivariable Cox proportional hazard model and Multivariable Logistic regression model were used to compare the impact of different factors on cancer-specific survival, localized metastasis, and distant metastasis.
This research was based on the registry information of 158 testicular sarcoma patients. All patients with a median age of 17.00 (1.00-93.00) years were pathologically diagnosed with orchiectomy or needle biopsy specimens. Patients with Grade I, II, III, and IV testicular sarcoma accounted for 34.29% (n = 24), 10.10% (n = 7), 22.86% (n = 16), and 32.86% (n = 23) of all patients, respectively. There were 42 (30.43%), 53 (38.41%), 15 (10.87%), 20 (14.49%), 5 (3.62%), 3 (2.17%) patients with Tis, T1, T2, T3, T4, and >T4 (the invasion degree exceeded the staging system of testicular cancer) disease respectively. Among all included patients, localized metastasis occurred in 31 (20.13%) patients, distant metastasis was found in 28 (18.18%) patients during observation, and 61.69% (n = 95) had no metastasis. Thirty-two (20.25%) patients died of this cancer. According to our study, patients with distant metastasis [OR = 17.86, 95% CI (4.63-68.84), p < 0.0001] and T3 disease [OR = 4.13, 95% CI (1.10-15.53), p = 0.0359] were more likely to die of this cancer. Patients with advanced T stage were more likely to occur distant metastasis, [OR = 13.91, 95% CI (1.80-107.54), p = 0.0116] for T3 and [OR = 16.36, 95% CI (1.36-196.21), p = 0.0275] for T4.
According to our research, factors including metastasis and higher T stage were significantly related with poorer prognosis of testicular sarcoma. Higher T stage was also found to be a risk factor of distant metastasis. The recognization of these poor prognostic factors may allow physicians to make comprehensive and appropriate management decision for testicular sarcoma patients. |
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AbstractList | OBJECTIVESTo study clinical characteristics and factors that may affect the prognosis of testicular sarcoma patients. PATIENTS AND METHODSIn the Surveillance Epidemiology and End Results database (2006-2016), people with testicular sarcoma were enrolled in our research. Multivariable Cox proportional hazard model and Multivariable Logistic regression model were used to compare the impact of different factors on cancer-specific survival, localized metastasis, and distant metastasis. RESULTSThis research was based on the registry information of 158 testicular sarcoma patients. All patients with a median age of 17.00 (1.00-93.00) years were pathologically diagnosed with orchiectomy or needle biopsy specimens. Patients with Grade I, II, III, and IV testicular sarcoma accounted for 34.29% (n = 24), 10.10% (n = 7), 22.86% (n = 16), and 32.86% (n = 23) of all patients, respectively. There were 42 (30.43%), 53 (38.41%), 15 (10.87%), 20 (14.49%), 5 (3.62%), 3 (2.17%) patients with Tis, T1, T2, T3, T4, and >T4 (the invasion degree exceeded the staging system of testicular cancer) disease respectively. Among all included patients, localized metastasis occurred in 31 (20.13%) patients, distant metastasis was found in 28 (18.18%) patients during observation, and 61.69% (n = 95) had no metastasis. Thirty-two (20.25%) patients died of this cancer. According to our study, patients with distant metastasis [OR = 17.86, 95% CI (4.63-68.84), p < 0.0001] and T3 disease [OR = 4.13, 95% CI (1.10-15.53), p = 0.0359] were more likely to die of this cancer. Patients with advanced T stage were more likely to occur distant metastasis, [OR = 13.91, 95% CI (1.80-107.54), p = 0.0116] for T3 and [OR = 16.36, 95% CI (1.36-196.21), p = 0.0275] for T4. CONCLUSIONSAccording to our research, factors including metastasis and higher T stage were significantly related with poorer prognosis of testicular sarcoma. Higher T stage was also found to be a risk factor of distant metastasis. The recognization of these poor prognostic factors may allow physicians to make comprehensive and appropriate management decision for testicular sarcoma patients. Objectives To study clinical characteristics and factors that may affect the prognosis of testicular sarcoma patients. Patients and Methods In the Surveillance Epidemiology and End Results database (2006–2016), people with testicular sarcoma were enrolled in our research. Multivariable Cox proportional hazard model and Multivariable Logistic regression model were used to compare the impact of different factors on cancer-specific survival, localized metastasis, and distant metastasis. Results This research was based on the registry information of 158 testicular sarcoma patients. All patients with a median age of 17.00 (1.00–93.00) years were pathologically diagnosed with orchiectomy or needle biopsy specimens. Patients with Grade I, II, III, and IV testicular sarcoma accounted for 34.29% (n = 24), 10.10% (n = 7), 22.86% (n = 16), and 32.86% (n = 23) of all patients, respectively. There were 42 (30.43%), 53 (38.41%), 15 (10.87%), 20 (14.49%), 5 (3.62%), 3 (2.17%) patients with Tis, T1, T2, T3, T4, and >T4 (the invasion degree exceeded the staging system of testicular cancer) disease respectively. Among all included patients, localized metastasis occurred in 31 (20.13%) patients, distant metastasis was found in 28 (18.18%) patients during observation, and 61.69% (n = 95) had no metastasis. Thirty-two (20.25%) patients died of this cancer. According to our study, patients with distant metastasis [OR = 17.86, 95% CI (4.63–68.84), p < 0.0001] and T3 disease [OR = 4.13, 95% CI (1.10–15.53), p = 0.0359] were more likely to die of this cancer. Patients with advanced T stage were more likely to occur distant metastasis, [OR = 13.91, 95% CI (1.80–107.54), p = 0.0116] for T3 and [OR = 16.36, 95% CI (1.36–196.21), p = 0.0275] for T4. Conclusions According to our research, factors including metastasis and higher T stage were significantly related with poorer prognosis of testicular sarcoma. Higher T stage was also found to be a risk factor of distant metastasis. The recognization of these poor prognostic factors may allow physicians to make comprehensive and appropriate management decision for testicular sarcoma patients. To study clinical characteristics and factors that may affect the prognosis of testicular sarcoma patients. In the Surveillance Epidemiology and End Results database (2006-2016), people with testicular sarcoma were enrolled in our research. Multivariable Cox proportional hazard model and Multivariable Logistic regression model were used to compare the impact of different factors on cancer-specific survival, localized metastasis, and distant metastasis. This research was based on the registry information of 158 testicular sarcoma patients. All patients with a median age of 17.00 (1.00-93.00) years were pathologically diagnosed with orchiectomy or needle biopsy specimens. Patients with Grade I, II, III, and IV testicular sarcoma accounted for 34.29% (n = 24), 10.10% (n = 7), 22.86% (n = 16), and 32.86% (n = 23) of all patients, respectively. There were 42 (30.43%), 53 (38.41%), 15 (10.87%), 20 (14.49%), 5 (3.62%), 3 (2.17%) patients with Tis, T1, T2, T3, T4, and >T4 (the invasion degree exceeded the staging system of testicular cancer) disease respectively. Among all included patients, localized metastasis occurred in 31 (20.13%) patients, distant metastasis was found in 28 (18.18%) patients during observation, and 61.69% (n = 95) had no metastasis. Thirty-two (20.25%) patients died of this cancer. According to our study, patients with distant metastasis [OR = 17.86, 95% CI (4.63-68.84), p < 0.0001] and T3 disease [OR = 4.13, 95% CI (1.10-15.53), p = 0.0359] were more likely to die of this cancer. Patients with advanced T stage were more likely to occur distant metastasis, [OR = 13.91, 95% CI (1.80-107.54), p = 0.0116] for T3 and [OR = 16.36, 95% CI (1.36-196.21), p = 0.0275] for T4. According to our research, factors including metastasis and higher T stage were significantly related with poorer prognosis of testicular sarcoma. Higher T stage was also found to be a risk factor of distant metastasis. The recognization of these poor prognostic factors may allow physicians to make comprehensive and appropriate management decision for testicular sarcoma patients. |
Author | Yang, Lu Chen, Zeyu Liu, Liangren Wang, Xingyuan Huang, Yin Qiu, Shi Jin, Kun Wei, Qiang Cao, Dehong Li, Jin Chen, Bo Lei, Haoran Bao, Yige |
AuthorAffiliation | 2 West China School of Medicine, Sichuan University , Chengdu , China 1 Department of Urology, Institute of Urology, West China Hospital, Sichuan University , Chengdu , China 3 Center of Biomedical Big Data, West China Hospital, Sichuan University , Chengdu , China |
AuthorAffiliation_xml | – name: 2 West China School of Medicine, Sichuan University , Chengdu , China – name: 3 Center of Biomedical Big Data, West China Hospital, Sichuan University , Chengdu , China – name: 1 Department of Urology, Institute of Urology, West China Hospital, Sichuan University , Chengdu , China |
Author_xml | – sequence: 1 givenname: Xingyuan surname: Wang fullname: Wang, Xingyuan organization: West China School of Medicine, Sichuan University, Chengdu, China – sequence: 2 givenname: Zeyu surname: Chen fullname: Chen, Zeyu organization: West China School of Medicine, Sichuan University, Chengdu, China – sequence: 3 givenname: Shi surname: Qiu fullname: Qiu, Shi organization: Center of Biomedical Big Data, West China Hospital, Sichuan University, Chengdu, China – sequence: 4 givenname: Dehong surname: Cao fullname: Cao, Dehong organization: Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China – sequence: 5 givenname: Kun surname: Jin fullname: Jin, Kun organization: West China School of Medicine, Sichuan University, Chengdu, China – sequence: 6 givenname: Jin surname: Li fullname: Li, Jin organization: West China School of Medicine, Sichuan University, Chengdu, China – sequence: 7 givenname: Bo surname: Chen fullname: Chen, Bo organization: West China School of Medicine, Sichuan University, Chengdu, China – sequence: 8 givenname: Haoran surname: Lei fullname: Lei, Haoran organization: West China School of Medicine, Sichuan University, Chengdu, China – sequence: 9 givenname: Yin surname: Huang fullname: Huang, Yin organization: West China School of Medicine, Sichuan University, Chengdu, China – sequence: 10 givenname: Yige surname: Bao fullname: Bao, Yige organization: Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China – sequence: 11 givenname: Lu surname: Yang fullname: Yang, Lu organization: Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China – sequence: 12 givenname: Liangren surname: Liu fullname: Liu, Liangren organization: Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China – sequence: 13 givenname: Qiang surname: Wei fullname: Wei, Qiang organization: Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China |
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Cites_doi | 10.1016/S0090-4295(01)01524-2 10.3322/caac.21605 10.5152/tud.2017.15821 10.1002/(SICI)1097-0142(19991015)86:8<1571::AID-CNCR26>3.0.CO;2-C 10.1080/00365590510007711 10.1097/00000658-198704000-00003 10.3322/caac.21551 10.1002/(SICI)1097-0142(19960415)77:8<1524::AID-CNCR15>3.0.CO;2-1 10.1046/j.1440-1827.1999.00844.x 10.3322/canjclin.56.5.282 10.1002/cncr.11365 10.1016/j.urology.2005.03.027 10.5146/tjpath.2013.01179 10.4103/0377-4929.125360 10.1136/jcp.2004.018770 10.4103/0377-4929.44977 10.1016/S0022-5347(05)67570-2 |
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Copyright | Copyright © 2021 Wang, Chen, Qiu, Cao, Jin, Li, Chen, Lei, Huang, Bao, Yang, Liu and Wei. Copyright © 2021 Wang, Chen, Qiu, Cao, Jin, Li, Chen, Lei, Huang, Bao, Yang, Liu and Wei 2021 Wang, Chen, Qiu, Cao, Jin, Li, Chen, Lei, Huang, Bao, Yang, Liu and Wei |
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Keywords | cancer-specific survival testicular sarcoma metastasis prognosis differentiation grade |
Language | English |
License | Copyright © 2021 Wang, Chen, Qiu, Cao, Jin, Li, Chen, Lei, Huang, Bao, Yang, Liu and Wei. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 These authors have contributed equally to this work Edited by: Ghulam Nabi, University of Dundee, United Kingdom Reviewed by: Andrea Mari, Careggi University Hospital, Italy; Saum Ghodoussipour, Rutgers Cancer Institute of New Jersey, United States This article was submitted to Genitourinary Oncology, a section of the journal Frontiers in Oncology |
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Snippet | To study clinical characteristics and factors that may affect the prognosis of testicular sarcoma patients.
In the Surveillance Epidemiology and End Results... Objectives To study clinical characteristics and factors that may affect the prognosis of testicular sarcoma patients. Patients and Methods In the Surveillance... OBJECTIVESTo study clinical characteristics and factors that may affect the prognosis of testicular sarcoma patients. PATIENTS AND METHODSIn the Surveillance... ObjectivesTo study clinical characteristics and factors that may affect the prognosis of testicular sarcoma patients.Patients and MethodsIn the Surveillance... |
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SubjectTerms | cancer-specific survival differentiation grade metastasis Oncology prognosis testicular sarcoma |
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Title | Clinical Characteristics and Prognostic Factors of Testicular Sarcoma: A Population-Based Study |
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