Zeng Dong, Wang Zhiyi, Feng Yongdong, McKay Michael J, Masanam Monika K, Long Haixia, Cao Xi
Institute of Cancer, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Northern Cancer Service, Northwest Regional Hospital, Burnie, Tasmania, Australia.
Medicine (Baltimore). 2025 Jan 3;104(1):e41152. doi: 10.1097/MD.0000000000041152.
This study aimed to investigate the epidemiological trends of angiosarcoma and to establish a tool to estimate its prognosis. Data from the Surveillance, Epidemiology, and End Results (SEER) database (1975-2016) were used to assess trends in the epidemiology of angiosarcoma, and a nomogram was established based on independent prognostic factors. The age-adjusted incidence of angiosarcoma gradually increased from 0.13/100,000 in 1975 to 0.33/100,000 in 2016 (annual percentage change [2.4]). The most significant increase was observed in patients aged ≥ 60 years. The same increasing trend was observed across all the stages and grades. The limited-duration prevalence increased from 0.0003% in 1992 to 0.0013% in 2016 (P < .05). In multivariable analyses, age, sex, marital status, grade, historical stage, surgery, site, and tumor size were independent prognostic factors for angiosarcoma. The concordance index of the nomogram was significantly higher than that of the American Joint Committee on Cancer (AJCC) 6th edition and the AJCC 7th edition (0.74 vs 0.61 vs 0.66, respectively). Calibration analysis showed optimal agreement between nomogram predictions and actual observations. The incidence and prevalence of angiosarcoma has increased over the past 40 years. We established a nomogram to predict the overall survival of patients with angiosarcoma.
本研究旨在调查血管肉瘤的流行病学趋势,并建立一种评估其预后的工具。利用监测、流行病学和最终结果(SEER)数据库(1975 - 2016年)的数据评估血管肉瘤的流行病学趋势,并基于独立预后因素建立了列线图。血管肉瘤的年龄调整发病率从1975年的0.13/10万逐渐增加到2016年的0.33/10万(年百分比变化[2.4])。在≥60岁的患者中观察到最显著的增加。在所有分期和分级中均观察到相同的上升趋势。有限期患病率从1992年的0.0003%增加到2016年的0.0013%(P < 0.05)。在多变量分析中,年龄、性别、婚姻状况、分级、历史分期、手术、部位和肿瘤大小是血管肉瘤的独立预后因素。列线图的一致性指数显著高于美国癌症联合委员会(AJCC)第6版和第7版(分别为0.74对0.61对0.66)。校准分析显示列线图预测与实际观察之间具有最佳一致性。在过去40年中,血管肉瘤的发病率和患病率有所增加。我们建立了一个列线图来预测血管肉瘤患者的总生存期。