Soft-Tissue sarcomas of the shoulder girdle: Factors influencing local recurrence, distant metastases, and survival

Autor: Anne Murphy, Marvin M. Romsdahl, Sarkis Meterissian, James A. Reilly, Raphael E. Pollock
Rok vydání: 1995
Předmět:
Zdroj: Annals of Surgical Oncology. 2:530-536
ISSN: 1534-4681
1068-9265
DOI: 10.1007/bf02307087
Popis: Prognostic factors and the role of radiotherapy have not been well characterized for soft-tissue sarcomas (STS) of the shoulder girdle.The cases of 70 patients with primary shoulder STS were reviewed for the following information: size, grade and histology of tumors, extent of resection, and use of adjuvant radiotherapy. The influence of these factors on local disease-free survival (LDFS), distant disease-free survival (DDFS), and overall survival (OS) rates was analyzed using univariate analysis.With a median follow-up of 108 months, the overall 5- and 10-year survival rates for patients with shoulder girdle STS were 82% and 80%, respectively, whereas the 5-year disease-free survival rate was 63%. There were 25 (35%) tumor recurrences: 12 (17%) distant and 13 (18%) local regional. Tumors5 cm in size were associated with a significantly decreased 5-year OS rate compared with lesions5 cm, and high-grade tumors were associated with significantly decreased DDFS and OS rates. Because most of the patients who underwent amputation had large, high-grade tumors, they had significantly decreased 5-year DDFS and OS rates compared with wide local excision. Radiotherapy produced a significant improvement in LDFS rates, particularly in patients with tumors5 cm in size.The results indicate that both tumor size and grade are important prognostic factors in shoulder girdle STS. Adjuvant radiotherapy should be considered in large tumors to improve the LDFS and to decrease the need for radical ablative surgery.
Databáze: OpenAIRE
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