Leiomyosarcoma: investigation of prognostic factors for risk-stratification model

Verfasser / Beitragende:
[Hyun Kim, Yong Cho, Soo Kim, Sun Rha, Joong Ahn, Woo Yang, Young Lee, Jin-Suck Suh, Jae Roh, Kyung Kim, Young Choi, Kyoo-Ho Shin, Hyo Kim]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/6(2015-12-01), 1226-1232
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10147-015-0847-y  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10147-015-0847-y 
245 0 0 |a Leiomyosarcoma: investigation of prognostic factors for risk-stratification model  |h [Elektronische Daten]  |c [Hyun Kim, Yong Cho, Soo Kim, Sun Rha, Joong Ahn, Woo Yang, Young Lee, Jin-Suck Suh, Jae Roh, Kyung Kim, Young Choi, Kyoo-Ho Shin, Hyo Kim] 
520 3 |a Background: We performed this study to define distinctive clinical features of leiomyosarcoma by assessing prognostic factors. Methods: Between 1988 and 2011, 129 leiomyosarcoma patients who underwent surgical resection with curative intent were retrospectively reviewed. Results: Of the 129 leiomyosarcoma patients, the distribution of anatomic locations was: extremity (n=25), pelvis (n=40), thoracic cavity (n=11), intra-abdomen (n=19), retroperitoneum (n=23), and head/neck (n=11). We classified the anatomic locations into two categories as abdominal (intra-abdomen and retroperitoneum, n=42) and extra-abdominal (extremity, pelvis, thoracic cavity, and head/neck, n=87). Prognosis was worse for the abdominal group than for the extra-abdominal group (median DFS 2.9 9.0years, P=0.04). Similarly, overall survival (OS) was also significantly worse for abdominal group (P=0.027). Independent prognostic factors for survival were primary site (P=0.041, hazard ratio (HR) 1.7; 95% CI 1.2-2.8), tumor size (P=0.038, HR 1.9; 95% CI1.13-3.38), margin status (P=0.019, HR 2.1; 95% CI1.13-3.88), and histology grade (P=0.01, HR 3.59; 95% CI 1.64-7.87). We identified four different risk groups with different survival outcome: group 1 (n=8), no adverse factors; groups 2 (n=37) and 3 (n=61) with one and two adverse factors, and group 4 (n=23) with 3 or 4 adverse factors. Conclusion: Primary site, tumor size, resection margin, and histology subtype were independently associated with survival outcome. A prognostic model for leiomyosarcoma patients revealed four distinct groups of patients with good prognostic discrimination. 
540 |a Japan Society of Clinical Oncology, 2015 
690 7 |a Leiomyosarcoma  |2 nationallicence 
690 7 |a Prognostic factors  |2 nationallicence 
690 7 |a Risk stratification model  |2 nationallicence 
700 1 |a Kim  |D Hyun  |u Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-Gu, 120-752, Seoul, Korea  |4 aut 
700 1 |a Cho  |D Yong  |u Department of Orthopaedic Surgery, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-Gu, 120-752, Seoul, Korea  |4 aut 
700 1 |a Kim  |D Soo  |u Department of Pathology, Yonsei University College of Medicine, Seoul, Korea  |4 aut 
700 1 |a Rha  |D Sun  |u Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-Gu, 120-752, Seoul, Korea  |4 aut 
700 1 |a Ahn  |D Joong  |u Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-Gu, 120-752, Seoul, Korea  |4 aut 
700 1 |a Yang  |D Woo  |u Department of Pathology, Yonsei University College of Medicine, Seoul, Korea  |4 aut 
700 1 |a Lee  |D Young  |u Department of Radiology, Yonsei University College of Medicine, Seoul, Korea  |4 aut 
700 1 |a Suh  |D Jin-Suck  |u Department of Radiology, Yonsei University College of Medicine, Seoul, Korea  |4 aut 
700 1 |a Roh  |D Jae  |u Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-Gu, 120-752, Seoul, Korea  |4 aut 
700 1 |a Kim  |D Kyung  |u Department of Surgery, Yonsei University College of Medicine, Seoul, Korea  |4 aut 
700 1 |a Choi  |D Young  |u Department of Urology, Yonsei University College of Medicine, Seoul, Korea  |4 aut 
700 1 |a Shin  |D Kyoo-Ho  |u Department of Orthopaedic Surgery, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-Gu, 120-752, Seoul, Korea  |4 aut 
700 1 |a Kim  |D Hyo  |u Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-Gu, 120-752, Seoul, Korea  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/6(2015-12-01), 1226-1232  |x 1341-9625  |q 20:6<1226  |1 2015  |2 20  |o 10147 
856 4 0 |u https://doi.org/10.1007/s10147-015-0847-y  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10147-015-0847-y  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kim  |D Hyun  |u Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-Gu, 120-752, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cho  |D Yong  |u Department of Orthopaedic Surgery, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-Gu, 120-752, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kim  |D Soo  |u Department of Pathology, Yonsei University College of Medicine, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rha  |D Sun  |u Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-Gu, 120-752, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ahn  |D Joong  |u Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-Gu, 120-752, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yang  |D Woo  |u Department of Pathology, Yonsei University College of Medicine, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Young  |u Department of Radiology, Yonsei University College of Medicine, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Suh  |D Jin-Suck  |u Department of Radiology, Yonsei University College of Medicine, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Roh  |D Jae  |u Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-Gu, 120-752, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kim  |D Kyung  |u Department of Surgery, Yonsei University College of Medicine, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Choi  |D Young  |u Department of Urology, Yonsei University College of Medicine, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shin  |D Kyoo-Ho  |u Department of Orthopaedic Surgery, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-Gu, 120-752, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kim  |D Hyo  |u Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-Gu, 120-752, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/6(2015-12-01), 1226-1232  |x 1341-9625  |q 20:6<1226  |1 2015  |2 20  |o 10147