Factors Affecting Survival in Retroperitoneal Sarcomas Treated with Upfront Surgery: A Real-World Study by Turkish Oncology Group

Yıl: 2021 Cilt: 31 Sayı: 2 Sayfa Aralığı: 92 - 98 Metin Dili: İngilizce DOI: 10.4999/uhod.215190 İndeks Tarihi: 01-06-2023

Factors Affecting Survival in Retroperitoneal Sarcomas Treated with Upfront Surgery: A Real-World Study by Turkish Oncology Group

Öz:
Retroperitoneal sarcomas (RPS) account for approximately 15% of all soft tissue sarcomas (STS) and encompass a heterogeneous group of tumors with limited multimodality treatment options. Surgical resection with negative margins remains the standard primary treatment for patients with localized RPS. In this multicenter study, we aimed to demonstrate the real-world data on factors affecting survival in RPS treated with upfront surgery. We included a total of 197 patients who underwent curative-intent resection of a primary non-metastatic RPS between 2000-2020 at ten experienced medical oncology departments in Turkey. The median follow-up was 33 months. The median age of patients was 53 years, 57.4% of patients were female. Univariate analysis revealed that; tumor size, grade, necrosis, resection margin status, were factors affecting recurrence-free survival (RFS) (p= 0.002, p= 0.044, p= 0,024, p= 0.003 respectively). Age, tumor size, stage, resection margin status were factors affecting overall survival (OS) (p= 0.038, p= 0.001, p= 0.032, p< 0.001, respectively). In multivariate analysis, tumor size and resection margin status were independent factors affecting RFS and OS (all p-values < 0.05). Our study demonstrated that tumor size, and resection margin status were the main factors affecting survival in resected RFS. In comparison, adjuvant chemotherapy (CT), radiotherapy (RT), or multimodality treatment did not show OS and RFS advantages. We believe that advances in the molecular characterization of these tumors might help clinicians to detect the best candidates for adjuvant therapies in RPS.
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  • 1. Mullinax JE, Zager JS, Gonzalez RJ. Current diagnosis and management of retroperitoneal sarcoma. Cancer Control 18: 177-187, 2011.
  • 2. Bonvalot S, Rivoire M, Castaing M, et al. Primary retroperito - neal sarcomas: a multivariate analysis of surgical factors as - sociated with local control. J Clin Oncol 27:31–37, 2009.
  • 3. Anaya DA, Lahat G, Liu J, et al. Multifocality in retroperito - neal sarcoma: a prognostic factor critical to surgical decision- making. Ann Surg 249: 137-142, 2009.
  • 4. Singer S, Antonescu CR, Riedel E, et al. Histologic subtype and margin of resection predict pattern of recurrence and survival for retroperitoneal liposarcoma. Ann Surg 238: 358- 370, 2003.
  • 5. Stoeckle E, Coindre J, Bonvalot S, et al. Prognostic factors in retroperitoneal sarcoma: a multivariate analysis of a series of 165 patients of the French Cancer Center Federation Sar - coma Group. Cancer Interdiscip. Int J Am Cancer Soc 92: 359-368, 2001.
  • 6. O’Sullivan B, Davis AM, Turcotte R, et al. Preoperative ver- sus postoperative radiotherapy in soft-tissue sarcoma of the limbs: a randomised trial. Lancet 359: 2235-2241, 2002.
  • 7. Le Cesne A, Ouali M, Leahy MG, et al. Doxorubicin-based ad- juvant chemotherapy in soft tissue sarcoma: pooled Analysis of two STBSG-EORTC phase III clinical trials. Ann Oncol 25: 2425-2432, 2014.
  • 8. Miura JT, Charlson J, Gamblin TC, et al. Impact of chemo - therapy on survival in surgically resected retroperitoneal sar - coma. Eur J Surg Oncol 41: 1386-1392, 2015.
  • 9. Strauss DC, Hayes AJ, Thomas JM. Retroperitoneal tumours: review of management. Ann R Coll Surg Engl 93: 275-280, 2011.
  • 10. Lewis JJ, Leung D, Woodruff JM, et al. Retroperitoneal soft- tissue sarcoma: Analysis of 500 patients treated and followed at a single institution. Ann Surg 228: 355-365, 1998.
  • 11. Gronchi A, Casali PG, Fiore M, et al. Retroperitoneal soft tis - sue sarcomas: patterns of recurrence in 167 patients treated at a single institution. Cancer Interdiscip Int J Am Cancer Soc 100: 2448-2455, 2004.
  • 12. Jaques DP, Coit DG, Hajdu SI, et al. Management of primary and recurrent soft-tissue sarcoma of the retroperitoneum. Ann Surg 212: 51-59, 1990.
  • 13. Alvarenga J, Ball ABS, Fisher C, et al. Limitations of surgery in the treatment of retroperitoneal sarcoma. Br J Surg 78: 912- 916, 1991.
  • 14. Karakousis CP, Velez AF, Gerstenbluth R, et al. Resectability and survival in retroperitoneal sarcomas. Ann Surg Oncol 3: 150-158, 1996.
  • 15. Karakousis CP, Gerstenbluth R, Kontzoglou K, et al. Retro - peritoneal sarcomas and their management. Arch Surg 130: 1104-1109, 1995.
  • 16. Bevilacqua RG, Rogatko A, Hajdu SI, et al. Prognostic factors in primary retroperitoneal soft-tissue sarcomas. Arch Surg 126: 328-334, 1991.
  • 17. Kainhofer V, Smolle MA, Szkandera J, et al. The width of resection margins influences local recurrence in soft tissue sarcoma patients. Eur J Surg Oncol 42: 899-906, 2016.
  • 18. Gronchi A, Miceli R, Colombo C, et al. Frontline extended surgery is associated with improved survival in retroperitoneal low-to intermediate-grade soft tissue sarcomas. Ann Oncol 23: 1067-1073, 2012.
  • 19. Datta J, Ecker BL, Neuwirth MG, et al. Contemporary reap - praisal of the efficacy of adjuvant chemotherapy in resected retroperitoneal sarcoma: evidence from a nationwide clinical oncology database and review of the literature. Surg Oncol 26: 117-124, 2017.
  • 20. Malinka T, Nebrig M, Klein F, et al. Analysis of outcomes and predictors of long-term survival following resection for retrop- eritoneal sarcoma. BMC Surg 19: 61, 2019.
  • 21. Kwong ML, Lee B, Kunihira K, et al. Treatment factors as - sociated with overall survival in retroperitoneal sarcoma: An Institutional Review. Am Surg 86: 1358-1362, 2020.
  • 22. Catton CN, O’Sullivan B, Kotwall C, et al. Outcome and prog- nosis in retroperitoneal soft tissue sarcoma. Int J Radiat On - col Biol Phys 29: 1005-1010, 1994.
  • 23. Dalton RR, Donohue JH, Mucha P, et al. Management of ret- roperitoneal sarcomas. Surgery 106: 725-733, 1989.
  • 24. Heslin MJ, Lewis JJ, Nadler E, et al. Prognostic factors as - sociated with long-term survival for retroperitoneal sarcoma: implications for management. J Clin Oncol 15: 2832-2839, 1997.
  • 25. Le Péchoux C, Musat E, Baey C, et al. Should adjuvant ra - diotherapy be administered in addition to front-line aggressive surgery (FAS) in patients with primary retroperitoneal sarco - ma? Ann Oncol 24: 832-837, 2013.
APA Akagunduz B, Akın Telli T, ÖN S, sezgin goksu s, Demir N, OZER M, ÇEVİK G, SAKİN A, Göktaş Aydın S, SENGUL SAMANCI N, atcı m, ayhan m, Turan M, Sariyar N, Kılıçkap S, sen e, Dogan M, OZYURT N, HAFIZOGLU E, KARACIN C (2021). Factors Affecting Survival in Retroperitoneal Sarcomas Treated with Upfront Surgery: A Real-World Study by Turkish Oncology Group. , 92 - 98. 10.4999/uhod.215190
Chicago Akagunduz Baran,Akın Telli Tugba,ÖN SERCAN,sezgin goksu sema,Demir Nazan,OZER MUHAMMET,ÇEVİK GÖKÇEN TUĞBA,SAKİN Abdullah,Göktaş Aydın Sabin,SENGUL SAMANCI NİLAY,atcı muhammed mustafa,ayhan murat,Turan Merve,Sariyar Nisanur,Kılıçkap Saadettin,sen erdem,Dogan Mutlu,OZYURT Neslihan,HAFIZOGLU Emre,KARACIN Cengiz Factors Affecting Survival in Retroperitoneal Sarcomas Treated with Upfront Surgery: A Real-World Study by Turkish Oncology Group. (2021): 92 - 98. 10.4999/uhod.215190
MLA Akagunduz Baran,Akın Telli Tugba,ÖN SERCAN,sezgin goksu sema,Demir Nazan,OZER MUHAMMET,ÇEVİK GÖKÇEN TUĞBA,SAKİN Abdullah,Göktaş Aydın Sabin,SENGUL SAMANCI NİLAY,atcı muhammed mustafa,ayhan murat,Turan Merve,Sariyar Nisanur,Kılıçkap Saadettin,sen erdem,Dogan Mutlu,OZYURT Neslihan,HAFIZOGLU Emre,KARACIN Cengiz Factors Affecting Survival in Retroperitoneal Sarcomas Treated with Upfront Surgery: A Real-World Study by Turkish Oncology Group. , 2021, ss.92 - 98. 10.4999/uhod.215190
AMA Akagunduz B,Akın Telli T,ÖN S,sezgin goksu s,Demir N,OZER M,ÇEVİK G,SAKİN A,Göktaş Aydın S,SENGUL SAMANCI N,atcı m,ayhan m,Turan M,Sariyar N,Kılıçkap S,sen e,Dogan M,OZYURT N,HAFIZOGLU E,KARACIN C Factors Affecting Survival in Retroperitoneal Sarcomas Treated with Upfront Surgery: A Real-World Study by Turkish Oncology Group. . 2021; 92 - 98. 10.4999/uhod.215190
Vancouver Akagunduz B,Akın Telli T,ÖN S,sezgin goksu s,Demir N,OZER M,ÇEVİK G,SAKİN A,Göktaş Aydın S,SENGUL SAMANCI N,atcı m,ayhan m,Turan M,Sariyar N,Kılıçkap S,sen e,Dogan M,OZYURT N,HAFIZOGLU E,KARACIN C Factors Affecting Survival in Retroperitoneal Sarcomas Treated with Upfront Surgery: A Real-World Study by Turkish Oncology Group. . 2021; 92 - 98. 10.4999/uhod.215190
IEEE Akagunduz B,Akın Telli T,ÖN S,sezgin goksu s,Demir N,OZER M,ÇEVİK G,SAKİN A,Göktaş Aydın S,SENGUL SAMANCI N,atcı m,ayhan m,Turan M,Sariyar N,Kılıçkap S,sen e,Dogan M,OZYURT N,HAFIZOGLU E,KARACIN C "Factors Affecting Survival in Retroperitoneal Sarcomas Treated with Upfront Surgery: A Real-World Study by Turkish Oncology Group." , ss.92 - 98, 2021. 10.4999/uhod.215190
ISNAD Akagunduz, Baran vd. "Factors Affecting Survival in Retroperitoneal Sarcomas Treated with Upfront Surgery: A Real-World Study by Turkish Oncology Group". (2021), 92-98. https://doi.org/10.4999/uhod.215190
APA Akagunduz B, Akın Telli T, ÖN S, sezgin goksu s, Demir N, OZER M, ÇEVİK G, SAKİN A, Göktaş Aydın S, SENGUL SAMANCI N, atcı m, ayhan m, Turan M, Sariyar N, Kılıçkap S, sen e, Dogan M, OZYURT N, HAFIZOGLU E, KARACIN C (2021). Factors Affecting Survival in Retroperitoneal Sarcomas Treated with Upfront Surgery: A Real-World Study by Turkish Oncology Group. Uluslararası Hematoloji-Onkoloji Dergisi, 31(2), 92 - 98. 10.4999/uhod.215190
Chicago Akagunduz Baran,Akın Telli Tugba,ÖN SERCAN,sezgin goksu sema,Demir Nazan,OZER MUHAMMET,ÇEVİK GÖKÇEN TUĞBA,SAKİN Abdullah,Göktaş Aydın Sabin,SENGUL SAMANCI NİLAY,atcı muhammed mustafa,ayhan murat,Turan Merve,Sariyar Nisanur,Kılıçkap Saadettin,sen erdem,Dogan Mutlu,OZYURT Neslihan,HAFIZOGLU Emre,KARACIN Cengiz Factors Affecting Survival in Retroperitoneal Sarcomas Treated with Upfront Surgery: A Real-World Study by Turkish Oncology Group. Uluslararası Hematoloji-Onkoloji Dergisi 31, no.2 (2021): 92 - 98. 10.4999/uhod.215190
MLA Akagunduz Baran,Akın Telli Tugba,ÖN SERCAN,sezgin goksu sema,Demir Nazan,OZER MUHAMMET,ÇEVİK GÖKÇEN TUĞBA,SAKİN Abdullah,Göktaş Aydın Sabin,SENGUL SAMANCI NİLAY,atcı muhammed mustafa,ayhan murat,Turan Merve,Sariyar Nisanur,Kılıçkap Saadettin,sen erdem,Dogan Mutlu,OZYURT Neslihan,HAFIZOGLU Emre,KARACIN Cengiz Factors Affecting Survival in Retroperitoneal Sarcomas Treated with Upfront Surgery: A Real-World Study by Turkish Oncology Group. Uluslararası Hematoloji-Onkoloji Dergisi, vol.31, no.2, 2021, ss.92 - 98. 10.4999/uhod.215190
AMA Akagunduz B,Akın Telli T,ÖN S,sezgin goksu s,Demir N,OZER M,ÇEVİK G,SAKİN A,Göktaş Aydın S,SENGUL SAMANCI N,atcı m,ayhan m,Turan M,Sariyar N,Kılıçkap S,sen e,Dogan M,OZYURT N,HAFIZOGLU E,KARACIN C Factors Affecting Survival in Retroperitoneal Sarcomas Treated with Upfront Surgery: A Real-World Study by Turkish Oncology Group. Uluslararası Hematoloji-Onkoloji Dergisi. 2021; 31(2): 92 - 98. 10.4999/uhod.215190
Vancouver Akagunduz B,Akın Telli T,ÖN S,sezgin goksu s,Demir N,OZER M,ÇEVİK G,SAKİN A,Göktaş Aydın S,SENGUL SAMANCI N,atcı m,ayhan m,Turan M,Sariyar N,Kılıçkap S,sen e,Dogan M,OZYURT N,HAFIZOGLU E,KARACIN C Factors Affecting Survival in Retroperitoneal Sarcomas Treated with Upfront Surgery: A Real-World Study by Turkish Oncology Group. Uluslararası Hematoloji-Onkoloji Dergisi. 2021; 31(2): 92 - 98. 10.4999/uhod.215190
IEEE Akagunduz B,Akın Telli T,ÖN S,sezgin goksu s,Demir N,OZER M,ÇEVİK G,SAKİN A,Göktaş Aydın S,SENGUL SAMANCI N,atcı m,ayhan m,Turan M,Sariyar N,Kılıçkap S,sen e,Dogan M,OZYURT N,HAFIZOGLU E,KARACIN C "Factors Affecting Survival in Retroperitoneal Sarcomas Treated with Upfront Surgery: A Real-World Study by Turkish Oncology Group." Uluslararası Hematoloji-Onkoloji Dergisi, 31, ss.92 - 98, 2021. 10.4999/uhod.215190
ISNAD Akagunduz, Baran vd. "Factors Affecting Survival in Retroperitoneal Sarcomas Treated with Upfront Surgery: A Real-World Study by Turkish Oncology Group". Uluslararası Hematoloji-Onkoloji Dergisi 31/2 (2021), 92-98. https://doi.org/10.4999/uhod.215190