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炎症标志物、改良格拉斯哥预后评分和肉瘤预测列线图在肢体软组织肉瘤中的联合应用:一项多中心观察性研究

The Combined Use of Inflammation Markers, Modified Glasgow Prognostic Score, and Sarculator Nomogram in Extremity Soft Tissue Sarcoma: A Multicenter Observational Study.

作者信息

Nakamura Tomoki, Takenaka Satoshi, Outani Hidetatsu, Hagi Tomohito, Tamiya Hironari, Imura Yoshinori, Asanuma Kunihiro, Sudo Akihiro

机构信息

Department of Orthopaedic Surgery, Mie University Graduate School of Medicine, Tsu 514-8507, Japan.

Musculoskeletal Oncology Service, Osaka International Cancer Institute, Osaka 541-8567, Japan.

出版信息

Cancers (Basel). 2024 Mar 6;16(5):1077. doi: 10.3390/cancers16051077.

DOI:10.3390/cancers16051077
PMID:38473433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10930663/
Abstract

BACKGROUND

Sarculator is a validated nomogram designed to predict overall survival (OS) in extremity soft tissue sarcoma (STS). Inflammation plays a critical role in cancer development and progression. There were no reports which investigated the relationship between Sarculator and inflammation.

METHODS

A total of 217 patients with extremity STS were included. The Sarculator-predicted 10-year probability of OS (pr-OS) was stratified into two subgroups: lower risk (10-year pr-OS ≥ 60%) and higher risk (10-year pr-OS < 60%). The modified Glasgow prognostic score (mGPS) varied from 0 to 2.

RESULTS

Out of the 217 patients, 67 were classified as higher risk, while 150 were lower risk. A total of 181 patients had an mGPS of 0, and 36 had a score of 1 or 2. The 5-year OS was 83.3%. When patients were divided into two groups according to the 10-year pr-OS, those with a higher risk had poorer OS than those with a lower risk. Among the patients with a higher risk, those with an mGPS of 1 or 2 had poorer OS compared to those with a score of 0.

CONCLUSIONS

The mGPS could potentially play an important role in identifying patients who are at high risk of death and metastasis in the higher-risk group on the Sarculator.

摘要

背景

Sarculator是一种经过验证的列线图,旨在预测肢体软组织肉瘤(STS)的总生存期(OS)。炎症在癌症的发生和发展中起着关键作用。目前尚无关于Sarculator与炎症之间关系的报道。

方法

共纳入217例肢体STS患者。将Sarculator预测的10年OS概率(pr-OS)分为两个亚组:低风险(10年pr-OS≥60%)和高风险(10年pr-OS<60%)。改良格拉斯哥预后评分(mGPS)范围为0至2。

结果

217例患者中,67例被归类为高风险,150例为低风险。共有181例患者的mGPS为0,36例患者的评分为1或2。5年OS率为83.3%。根据10年pr-OS将患者分为两组时,高风险组患者的OS比低风险组患者差。在高风险组患者中,mGPS为1或2的患者的OS比评分为0的患者差。

结论

mGPS可能在识别Sarculator高风险组中死亡和转移高风险患者方面发挥重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66e2/10930663/b5eb4d98e72c/cancers-16-01077-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66e2/10930663/e228509dd81e/cancers-16-01077-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66e2/10930663/7e9d322f39b4/cancers-16-01077-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66e2/10930663/4f0a2650d71e/cancers-16-01077-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66e2/10930663/b5eb4d98e72c/cancers-16-01077-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66e2/10930663/e228509dd81e/cancers-16-01077-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66e2/10930663/7e9d322f39b4/cancers-16-01077-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66e2/10930663/4f0a2650d71e/cancers-16-01077-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66e2/10930663/b5eb4d98e72c/cancers-16-01077-g004.jpg

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