Key result
CD34 loss was an independent adverse prognostic factor for overall survival (HR 3.327) in patients with myxofibrosarcomas and undifferentiated pleomorphic sarcomas.
Why the study?
Whether patients with myxofibrosarcomas have better prognoses than those with undifferentiated pleomorphic sarcomas is controversial, and no useful prognostic factors have been established.
Does CD34 expression status predict overall survival in patients with myxofibrosarcomas and undifferentiated pleomorphic sarcomas?
Cohort (n=192)
No
Does CD34 expression status predict overall survival in patients with myxofibrosarcomas and undifferentiated pleomorphic sarcomas?
CD34 loss is an independent adverse prognostic factor for overall survival in patients with myxofibrosarcomas and undifferentiated pleomorphic sarcomas.
CD34 loss may refine prognostic stratification in these sarcomas; leaves open its role in guiding therapy.
It is controversial whether patients with myxofibrosarcomas (MFSs) have better prognoses than those with undifferentiated pleomorphic sarcomas (UPSs). No useful prognostic factors have been established to date. We therefore aimed to evaluate the prognostic value of CD34 expression status in 192 patients with MFSs and UPSs. Using the log-rank test, we showed that patients with MFSs had a significantly better overall survival than did those with UPSs when defining the former as having a > 10% myxoid component (p = 0.03), but not when defining it as having a > 50% myxoid component (p = 0.1). Under the definition of MFSs as > 10% myxoid component, the log-rank test revealed that the diagnosis of the UPS and the CD34 loss (p < 0.001) were significant adverse predictors of overall survival. As per the Cox model, the CD34 loss remained an independent prognostic factor (hazard ratio = 3.327; 95% confidence interval 1.334-8.295), while the diagnosis of the UPS was a nonsignificant confounding factor (hazard ratio = 1.084; 95% confidence interval 0.679-1.727). In conclusion, CD34 expression status is a useful prognostic factor in patients with MFS and UPS, and it should be incorporated into grading systems that are used to predict outcomes.
No takes yet. Share an insight, caveat, or question.
Sugiura et al. (2021) conducted a cohort in Myxofibrosarcomas and undifferentiated pleomorphic sarcomas (n=192). CD34 loss vs. CD34 expression was evaluated on Overall survival (HR 3.327, 95% CI 1.334-8.295, p=0.012). CD34 loss was an independent adverse prognostic factor for overall survival (HR 3.327) in patients with myxofibrosarcomas and undifferentiated pleomorphic sarcomas.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: