Konrad E A, Meister P, Lob G, Selbmann H K
Fortschr Med. 1980 Jul 26;98(28):1070-6.
Histological grading from I--III was carried out for 22 osteosarcomas. There was a positive correlation between higher histological grade of differentiation and higher rate of 2-years-survival. The death rate was 3,7 times higher for osteosarcomas of grade III than for grade I and II tumors. However, no significant differences as to prognosis and age of the patients, localization of tumor metastases, various stages and kind of therapy became evident. In spite of distinct regional differences, as subclassification according to 6 subtypes proposed by Scranton et al. (1975) was possible in all our cases. Statistically significant correlations between these subtypes of osteosarcoma and differences in survival time could not be found, neither for our own limited material, nor for the combined material, including the cases of Scranton et al.
对22例骨肉瘤进行了I至III级的组织学分级。组织学分化程度越高,2年生存率越高,二者呈正相关。III级骨肉瘤的死亡率比I级和II级肿瘤高3.7倍。然而,在患者的预后、年龄、肿瘤转移部位、不同分期及治疗方式方面,未发现明显差异。尽管存在明显的区域差异,但在我们所有的病例中,都可以按照Scranton等人(1975年)提出的6种亚型进行分类。无论是对于我们自己有限的病例材料,还是对于包括Scranton等人的病例在内的综合材料,均未发现骨肉瘤这些亚型与生存时间差异之间存在统计学上的显著相关性。