Tolia Maria, Gkantaifi Areti, Hayward Larry, Gupta Girish, Kyriazoglou Anastasios, Mauri Davide, Nixon Ioanna
Department of Radiotherapy, University Hospital/Medical School, University of Crete, Vassilika, 71110 Crete, Greece.
Radiotherapy Department, Theageneio Cancer Hospital, 54639 Thessaloniki, Greece.
Oncol Lett. 2023 Jan 27;25(3):96. doi: 10.3892/ol.2023.13682. eCollection 2023 Mar.
Cutaneous sarcomas comprise a broad group of rare, heterogeneous mesenchymal tumours. The present report describes a single centre experience regarding the management and the outcomes of patients with superficial soft tissue sarcomas (SSTS). Key prognostic factors in predicting overall survival (OS) and local relapse-free survival were determined. Data from 66 patients with SSTS treated surgically within Edinburgh and Lothian were collected in the context of a service evaluation. Patient demographics, tumour specifics and treatment, as well as 5-year OS and local recurrence, were analysed. Kaplan-Meier analysis was applied for survival curves, and mortality rate estimation and Cox regression were used to establish independent predictors. The mean estimated OS time was 57.2 months, with a 95% CI between 55.0 and 59.5 months. The median OS time could not be estimated because there is no time point during which the survival function has a value <50%. The death risk for a person with SSTS was increased by 7.3% (odds ratio, 1.073; 95% CI, 1.012-1.138) for every additional year of life. The estimated mean local relapse time was 58.5 months, with a 95% CI between 56 and 61 months. The median local relapse time could not be estimated since there is no time point during which the local recurrence function has a value <50%. In conclusion, out of all independent variables considered, none could statistically significantly explicate local relapse recurrence time. It is important that these rare tumours are treated in the context of a multidisciplinary team with consensus guidelines to assist decision-making.
皮肤肉瘤是一组广泛的罕见、异质性间充质肿瘤。本报告描述了关于浅表软组织肉瘤(SSTS)患者管理和结局的单中心经验。确定了预测总生存期(OS)和局部无复发生存期的关键预后因素。在一项服务评估中收集了爱丁堡和洛锡安地区66例接受手术治疗的SSTS患者的数据。分析了患者人口统计学、肿瘤特征和治疗情况,以及5年OS和局部复发情况。应用Kaplan-Meier分析绘制生存曲线,并使用死亡率估计和Cox回归来确定独立预测因素。估计的平均OS时间为57.2个月,95%置信区间为55.0至59.5个月。无法估计中位OS时间,因为不存在生存函数值<50%的时间点。SSTS患者每多活一年,死亡风险增加7.3%(比值比,1.073;95%置信区间,1.012 - 1.138)。估计的平均局部复发时间为58.5个月,95%置信区间为56至61个月。无法估计中位局部复发时间,因为不存在局部复发函数值<50%的时间点。总之,在所有考虑的独立变量中,没有一个能在统计学上显著解释局部复发时间。重要的是,这些罕见肿瘤应在多学科团队的背景下,依据共识指南进行治疗,以协助决策。