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March 6, 2022Journal of Surgical Oncology

Does synovial sarcoma grade predict oncologic outcomes, and does a low‐grade variant exist?

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Why the study?

While historically aggressive, some synovial sarcomas are clinically indolent, raising the question of whether tumor grade predicts oncologic outcomes and whether Grade 1 disease exists.

Does synovial sarcoma grade predict oncologic outcomes, and does a low-grade variant exist?

Comparison

Outcomes compared across tumor grades, including a theoretical Grade 1 group

Design

Retrospective review

Authors

MFMichael P. FiceRush University Medical CenterAAAbdullah AlmajnooniRush University Medical CenterCGCharles GushoUniversity of Missouri

Discussion

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Implication

Grade 3 synovial sarcoma was associated with worse metastasis-free survival; supports grading as prognostic but leaves open distinct low-grade variants.

Structured PICO

Does synovial sarcoma grade predict oncologic outcomes, and does a low-grade variant exist?

P
Population
35 cases of synovial sarcoma from 2010 to 2019, median patient age 37 years
I
Intervention
Tumor grade assessment (Grade 1, Grade 2, Grade 3)
C
Comparator
Different tumor grades compared against each other
O
Outcome
Oncologic outcomes including local control rate, recurrence-free survival (RFS), metastasis-free survival, and overall survival (OS)hard clinical

Tumor grade in synovial sarcoma appears to predict oncologic outcomes, with a theoretical Grade 1 group showing improved survival profiles compared to Grades 2 and 3.

Cite This Study

Fice et al. (2022) studied this question.

synapsesocial.com/papers/6a7ff19a1c96fcc8ad700650https://doi.org/10.1002/jso.26838
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Synovial Sarcoma2004 · 109 citations
  2. 2Synovial Sarcoma in Children and Adolescents2014 · 63 citations
  3. 3Synovial Sarcoma of Childhood and Adolescence: A Multicenter, Multivariate Analysis of Outcome2003 · 238 citations
  4. 4Long-term Treatment Outcomes for Patients With Synovial Sarcoma2012 · 55 citations
  5. 5Synovial Sarcoma: A Multivariate Analysis of Prognostic Factors in 112 Patients With Primary Localized Tumors of the Extremity2000 · 321 citations