The influence of local recurrence of extremity soft tissue sarcoma on metastasis and survival

One hundred seventy‐five consecutive patients with soft tissue sarcoma of the limb and limb girdle were studied using univariate and multivariate analysis. The most important factor determining risk of local recurrence was the quality of treatment of the primary tumor, with wide or radical surgery p...

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Bibliographic Details
Published in:Cancer 1990-03, Vol.65 (5), p.1119-1129
Main Authors: Stotter, Anne T., A'Hern, R. P., Fisher, C., Mott, A. F., Fallowfield, Mary E., Westbury, G.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Child
Combined Modality Therapy
Diseases of the osteoarticular system
Extremities
Female
Humans
Male
Medical sciences
Middle Aged
Multivariate Analysis
Neoplasm Recurrence, Local - mortality
Prognosis
Risk Factors
Sarcoma - mortality
Sarcoma - pathology
Sarcoma - secondary
Sarcoma - therapy
Soft Tissue Neoplasms - mortality
Soft Tissue Neoplasms - pathology
Soft Tissue Neoplasms - therapy
Survival Analysis
Tumors of striated muscle and skeleton
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Summary:One hundred seventy‐five consecutive patients with soft tissue sarcoma of the limb and limb girdle were studied using univariate and multivariate analysis. The most important factor determining risk of local recurrence was the quality of treatment of the primary tumor, with wide or radical surgery plus radical radiotherapy obtaining the best local control. Tumor size, site, and histologic grade were not predictive of local recurrence. The important tumor variables predicting survival were tumor size at first presentation and histologic grade. Tumors with > 10 cm greatest diameter and high‐grade tumors carried a poor prognosis. Local recurrence was significantly associated with reduced survival, but only when (correctly) considered as a time‐dependent variable in multivariate analysis. Irradiation was also significantly associated with poor survival. Review of the literature indicates that local recurrence is believed to have little influence on survival. Since the relevant randomized controlled trials have been small, the evidence is inconclusive.
ISSN:0008-543X
1097-0142
DOI:10.1002/1097-0142(19900301)65:5<1119::AID-CNCR2820650515>3.0.CO;2-P