Retroperitoneal sarcoma: a 10-year follow-up analysis using hospital-based cancer registry data in Japan

被引：0

作者：

Nitta, Satoshi ^{[1
]}

Kandori, Shuya ^{[1
]}

Takahashi, Reo ^{[1
]}

Suzuki, Shuhei ^{[1
]}

Hamada, Kazuki ^{[1
]}

Tanuma, Kozaburo ^{[1
]}

Shiga, Masanobu ^{[1
]}

Kojo, Kosuke ^{[1
]}

Sakka, Shotaro ^{[1
]}

Nagumo, Yoshiyuki ^{[1
]}

Hoshi, Akio ^{[1
]}

Mathis, Bryan J. ^{[2
]}

Negoro, Hiromitsu ^{[1
]}

Okuyama, Ayako ^{[3
,4
]}

Higashi, Takahiro ^{[4
]}

Nishiyama, Hiroyuki ^{[1
]}

机构：

[1] Univ Tsukuba, Dept Urol, Fac Med, 1-1-1 Tennodai, Tsukuba, Ibaraki 3058575, Japan

[2] Univ Tsukuba, Affiliated Hosp, Int Med Ctr, Ibaraki, Japan

[3] St Lukes Int Univ, Grad Sch Nursing, Tokyo, Japan

[4] Natl Canc Ctr Japan, Inst Canc Control, Tokyo, Japan

来源：

JAPANESE JOURNAL OF CLINICAL ONCOLOGY | 2024年 / 54卷 / 06期

关键词：

retroperitoneal sarcoma; registries; survival; urology; POPULATION-BASED ANALYSIS; SURVIVAL; MANAGEMENT; PREDICTORS; RECURRENCE; RESECTION; OUTCOMES; ADULT; RPS;

D O I：

10.1093/jjco/hyae025

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Objectives: We sought clinical characteristics, survival outcomes, and prognostic factors for overall survival of retroperitoneal sarcoma in Japan. Methods: A Japanese hospital-based cancer registry database with a pivotal 10-year follow-up was used to identify and enroll patients, registered from 106 institutions, diagnosed with retroperitoneal sarcoma in 2008-2009. Treating hospitals were divided by hospital care volume; high-volume hospitals and low-volume hospitals were defined as >= 4 and < 4 cases/year, respectively. Results: A total of 91 men and 97 women were included, with a median age of 64 years. The most common histological type was liposarcoma in 101 patients, followed by leiomyosarcoma in 38 patients. The 5-year and 10-year overall survival rates were 44.1 and 28.3%. The majority of patients (n = 152, 80.9%) were treated at low-volume hospitals. High-volume hospital patients had higher 10-year overall survival rates than low-volume hospital patients (51.2% vs 23.2%, P = 0.026). Multivariate analysis revealed age over 60 years, treatment in low-volume hospitals and chemotherapy were independent predictors of unfavorable survival while treatment with surgery was an independent predictor of favorable survival. Conclusions: The possibility of surgical removal was suggested to be the most important prognostic factor for retroperitoneal sarcoma. Better survival was shown in patients treated at high-volume hospitals in our series.

引用

页码：716 / 721

页数：6

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