AIMS AND BACKGROUND: Retroperitoneal sarcomas are a rare group of malignant soft tissue tumors with a generally poor prognosis. The aim of the study was to assess clinical, pathological and treatment-related factors affecting prognosis in patients with retroperitoneal sarcomas. METHODS AND STUDY DESIGN: The hospital records of 73 patients who underwent surgical exploration at our unit for primary retroperitoneal sarcomas between 1984 and 2003 were reviewed. Factors influencing overall and disease-free survival were analyzed for all patients and for those who underwent complete surgical resection. RESULTS: The complete resectability rate was 69.8% (51/73). Operative mortality and morbidity rates were 2.7% and 21.9%, respectively. For patients who underwent complete resection, the 5-year survival rate was 58.3%, whereas it was 0% in cases of incomplete or no resection (P < 0.001). Local recurrence rate was 37.2%. Incomplete gross surgical resection and microscopic infiltration of margins were the most important independent predictors of a poor prognosis. CONCLUSIONS: The present study confirmed the importance of an aggressive surgical management for retroperitoneal sarcomas to offer these patients the best chance for long-term survival.
Pacelli, F., Tortorelli, A. P., Rosa, F., Papa, V., Bossola, M., Sanchez, A. M., Ferro, A., Menghi, R., Covino, M., Doglietto, G., Retroperitoneal soft tissue sarcoma: prognostic factors and therapeutic approaches, <<TUMORI>>, 2008; (Luglio): 497-504 [http://hdl.handle.net/10807/12739]
Autori: | ||
Titolo: | Retroperitoneal soft tissue sarcoma: prognostic factors and therapeutic approaches | |
Data di pubblicazione: | 2008 | |
Abstract: | AIMS AND BACKGROUND: Retroperitoneal sarcomas are a rare group of malignant soft tissue tumors with a generally poor prognosis. The aim of the study was to assess clinical, pathological and treatment-related factors affecting prognosis in patients with retroperitoneal sarcomas. METHODS AND STUDY DESIGN: The hospital records of 73 patients who underwent surgical exploration at our unit for primary retroperitoneal sarcomas between 1984 and 2003 were reviewed. Factors influencing overall and disease-free survival were analyzed for all patients and for those who underwent complete surgical resection. RESULTS: The complete resectability rate was 69.8% (51/73). Operative mortality and morbidity rates were 2.7% and 21.9%, respectively. For patients who underwent complete resection, the 5-year survival rate was 58.3%, whereas it was 0% in cases of incomplete or no resection (P < 0.001). Local recurrence rate was 37.2%. Incomplete gross surgical resection and microscopic infiltration of margins were the most important independent predictors of a poor prognosis. CONCLUSIONS: The present study confirmed the importance of an aggressive surgical management for retroperitoneal sarcomas to offer these patients the best chance for long-term survival. | |
Lingua: | Inglese | |
Rivista: | ||
Citazione: | Pacelli, F., Tortorelli, A. P., Rosa, F., Papa, V., Bossola, M., Sanchez, A. M., Ferro, A., Menghi, R., Covino, M., Doglietto, G., Retroperitoneal soft tissue sarcoma: prognostic factors and therapeutic approaches, <<TUMORI>>, 2008; (Luglio): 497-504 [http://hdl.handle.net/10807/12739] | |
Appare nelle tipologie: | Articolo in rivista, Nota a sentenza |