Superficial soft tissue sarcomas (S-STS): a study of 367 patients from the French Sarcoma Group (FSG) database.

Détails

ID Serval
serval:BIB_7EF96070E1AB
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Superficial soft tissue sarcomas (S-STS): a study of 367 patients from the French Sarcoma Group (FSG) database.
Périodique
European Journal of Cancer
Auteur(s)
Salas S., Stoeckle E., Collin F., Bui B., Terrier P., Guillou L., Trassard M., Ranchere-Vince D., Gregoire F., Coindre J.M.
ISSN
1879-0852[electronic]
Statut éditorial
Publié
Date de publication
2009
Volume
45
Numéro
12
Pages
2091-2102
Langue
anglais
Résumé
AIM: The specific natural history of superficial soft tissue sarcomas (S-STS) has been rarely considered. We describe the clinical characteristics of a large series of S-STS (N=367) from the French Sarcoma Group (GSF-GETO) database and analyse the prognostic factors affecting outcome. METHODS: We performed univariate and multivariate analyses for overall survival (OS), metastasis-free survival (MFS) and local recurrence-free survival (LRFS). RESULTS: The median age was 59 years. Fifty-eight percent patients were female. Tumour locations were as follows: extremities, 55%; trunk wall, 35.4%; head and neck, 8% and unknown, 1.6%. Median tumour size was 3.0 cm. The most frequent tumour types were unclassified sarcoma (24.3%) and leiomyosarcoma (22.3%). Thirty-three percent of cases were grade 3. Median follow-up was 6.18 years. The 5-year OS, MFS and LRFS rates were 80.9%, 80.7% and 74.7%, respectively. Multivariate analysis retained histological type and wide resection for predicting LRFS and histological type and grade as prognostic factors of MFS. The factors influencing OS were age, histological type, grade and wide resection. STS with early invasion into but not through the underlying fascia had a significantly poorer MFS than with strict S-STS. CONCLUSION: S-STS represent a separate category characterised by a better outcome. Adequate surgery, i.e. wide resection, is essential in the management of S-STS.
Mots-clé
Adolescent, Adult, Aged, Analysis of Variance, Female, France/epidemiology, Humans, Immunohistochemistry, Male, Middle Aged, Neoplasm Recurrence, Local/mortality, Neoplasm Recurrence, Local/pathology, Neoplasm Staging, Prognosis, Sarcoma/mortality, Sarcoma/pathology, Soft Tissue Neoplasms/pathology, Soft Tissue Neoplasms/therapy, Young Adult
Pubmed
Web of science
Création de la notice
18/05/2009 18:32
Dernière modification de la notice
03/03/2018 18:42
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