Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
January 1, 1986Cancer

Recurrence-free survival time for surgically treated soft tissue sarcoma patients. Multivariate analysis of five prognostic factors

View Full Paper
Ask AI
Bookmark
Share

Authors

HHHerman W. HeiseZimmer Biomet (Netherlands)MMMax H. MyersUniversity of IowaWRWilliam O. RussellAmerican Cancer Society

Discussion

Loading...

Member takes

Implication

Cohort study reveals tumor location, extension, and size predict recurrence-free survival in soft tissue sarcoma, suggesting staging systems require expansion beyond histologic grade.

Key Points

  • To evaluate recurrence-free survival time and identify independent prognostic factors to refine clinical staging for surgically treated soft tissue sarcoma.
  • Evaluated recurrence-free survival outcomes in a cohort of 594 patients selected from 1,215 individuals originally evaluated by the American Joint Committee Task Force on Soft Tissue Sarcoma.
  • Conducted a multivariate Weibull regression analysis on 297 patients with complete records to evaluate five prognostic variables alongside histologic tumor grade.
  • Within 5 years, 331 of 594 patients developed a recurrence (100 local only, 123 metastatic only, and 108 both) with a median time to recurrence of 9.7 months.
  • Recurrence was strongly associated with mortality within 5 years, resulting in 245 deaths among the 331 recurrent patients compared to 31 deaths among the 263 non-recurrent patients.
  • Multivariate analysis showed direct tumor extension, symptoms, and tumor location significantly predicted time to any recurrence, while tumor size significantly predicted metastatic recurrence.

Cite This Study

Heise et al. (1986) studied this question.

synapsesocial.com/papers/6a73a7631c100ebba7fb6bebhttps://doi.org/10.1002/1097-0142(19860101)57:1<172::aid-cncr2820570133>3.0.co;2-d
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Survival Distributions: Reliability Applications in the Biomedical Sciences1976 · 88 citations
  2. 2A clinical and pathological staging system for soft tissue sarcomas1977 · 768 citations