Clinical Outcomes of Surgical Treatment for Primary Chest Wall Soft Tissue Sarcoma / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 148-154, 2019.
Article
en En
| WPRIM
| ID: wpr-761854
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND: This study investigated the clinical outcomes of surgical treatment of primary chest wall soft tissue sarcoma (CW-STS). METHODS: Thirty-one patients who underwent surgery for CW-STS between 2000 and 2015 were retrospectively reviewed. The disease-free and overall survival rates were estimated using the Kaplan-Meier method, and prognostic factors were analyzed using a Cox proportional hazards model. RESULTS: The median follow-up duration was 65.6 months. The most common histologic type of tumor was malignant fibrous histiocytoma (29%). The resection extended to the soft tissue in 14 patients, while it reached full thickness in 17 patients. Complete resection was achieved in 27 patients (87.1%). There were 5 cases of local recurrence, 3 cases of distant metastasis, and 5 cases of combined recurrence. The 5-year disease-free rate was 49%. Univariate analysis indicated that incomplete resection (p<0.001) and stage (p=0.062) were possible risk factors for recurrence. Multivariate analysis determined that incomplete resection (p=0.013) and stage (p=0.05) were significantly associated with recurrence. The overall 5- and 10-year survival rates were 86.8% and 64.3%, respectively. No prognostic factor for survival was identified. CONCLUSION: Long-term primary CW-STS surgery outcomes were found to be favorable. Incomplete microscopic resection and stage were risk factors for recurrence.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Recurrencia
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Sarcoma
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Tórax
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Modelos de Riesgos Proporcionales
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Análisis Multivariante
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Tasa de Supervivencia
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Estudios Retrospectivos
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Factores de Riesgo
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Estudios de Seguimiento
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Pared Torácica
Tipo de estudio:
Etiology_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Año:
2019
Tipo del documento:
Article