Primary and locally recurrent retroperitoneal soft-tissue sarcoma: Local control and survival
Abstract Aim To evaluate local control for long-term prognosis in retroperitoneal soft-tissue sarcoma (primary tumors (PT) and local recurrence (LR)). Methods A total of 110 patients underwent surgery between 1988 and 2002. Prospectively gathered clinicopathological data were analyzed. Kaplan–Meier...
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Published in | European journal of surgical oncology Vol. 35; no. 9; pp. 986 - 993 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
Elsevier Ltd
01.09.2009
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Subjects | |
Online Access | Get full text |
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Summary: | Abstract Aim To evaluate local control for long-term prognosis in retroperitoneal soft-tissue sarcoma (primary tumors (PT) and local recurrence (LR)). Methods A total of 110 patients underwent surgery between 1988 and 2002. Prospectively gathered clinicopathological data were analyzed. Kaplan–Meier estimations and Cox regression analyses were performed. Results Resectability was 90%, being comparable for PT ( n = 71) and LR ( n = 39). Morbidity, mortality, blood loss, and operation time did not differ for PT or LR (24% vs. 31%, p = 0.41; 7.0% vs. 5.1%, p = 1.0; 1000 ml vs. 1500 ml, p = 0.17; 240 min vs. 255 min, p = 0.13). Hospitalization was comparable in both groups (median, 12 days (PT) and 13 days (LR)). Follow-up was 89 months (median, IQR 37–112 months). Local 3- and 5-year control rates after complete resection of PT were 66% and 59% (19% and 9% for LR, p < 0.001). The mean number of operations were 1.4 for PT and 2.4 for LR ( p = 0.0047). The 5-year survival rates after complete resection were 51% for PT and 43% for LR ( p = 0.39 ) . The 5-year survival rates were 65%, 4%, and 0% for complete resection, incomplete resection, and exploration, respectively ( p < 0.001). Multivariate analysis showed high-grade and blood loss with a poor prognosis. Conclusions Comparable resectability rates and perioperative outcome were observed for surgery of PT and LR. Consequent reoperation leads to respectable long-term survival rates after resection of LR. The prognosis in retroperitoneal sarcomas varies significantly according to resectability, grade and blood loss. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0748-7983 1532-2157 |
DOI: | 10.1016/j.ejso.2008.11.003 |