Table 3.
n | 10-yr. OS (%) | %95 CI (%) | p-value | 10-yr. DFS (%) | %95 CI (%) | p-value | 10-yr. LC (%) | %95 CI (%) | p-value | 10-yr. MM (%) | %95 CI (%) | p-value | |
All patients | 206 | 52 | 43–61 | 25 | 15–35 | 79 | 69–89 | 72 | 62–82 | ||||
Age (year) | |||||||||||||
≤ 60 | 103 | 63 | 50–76 | <0.0001 | 29 | 16–42 | 0.02 | 79 | 64–94 | 0.46 | 67 | 53–81 | 0.007 |
>60 | 03 | 34 | 19–49 | 22 | 9–35 | 79 | 67–91 | 76 | 62–90 | ||||
Gender | |||||||||||||
Female | 73 | 52 | 36–68 | 0.98 | 38 | 23–53 | 0.79 | 88 | 79–97 | 0.60 | 58 | 43–73 | 0.77 |
Male | 133 | 49 | 37–61 | 23 | 13–33 | 75 | 62–88 | 74 | 63–85 | ||||
Site of plasmacytoma | |||||||||||||
Vertebra | 102 | 52 | 38–66 | 0.99 | 19 | 4–34 | 0.89 | 89 | 79–98 | 0.07 | 79 | 64–94 | 0.39 |
Other | 104 | 48 | 35–61 | 28 | 16–40 | 78 | 68–88 | 66 | 53–79 | ||||
Largest tumor dimension (cm) | |||||||||||||
<5 | 45 | 67 | 36–98 | 0.001 | 24 | 7–41 | 0.73 | 87 | 75–99 | 0.47 | 79 | 58–100 | 0.31 |
≥ 5 | 59 | 57 | 42–72 | 34 | 19–49 | 78 | 65–91 | 58 | 42–74 | ||||
NA | 102 | 33 | 19–47 | 16 | 0–33 | 73 | 50–96 | 80 | 64–96 | ||||
IgM subtype | |||||||||||||
Kappa | 59 | 49 | 19–47 | 0.57 | 0 | - | 0.57 | 60 | 24–94 | 0.49 | 91 | 75–100 | 0.36 |
Lambda 100 | 31 | 61 | 40–81 | 35 | 16–54 | 87 | 69–100 | 65 | 46–84 | ||||
NA | 116 | 49 | 37–61 | 22 | 20–44 | 84 | 75–93 | 64 | 52–76 | ||||
Type of treatment | |||||||||||||
RT alone | 169 | 51 | 40–62 | 0.49 | 27 | 16–38 | 0.92 | 78 | 66–90 | 0.27 | 71 | 60–82 | 0.93 |
CT + RT 100 | 32 | 43 | 20–66 | 15 | 0–39 | 93 | 84- | 77 | 54–100 | ||||
2 Gy/fr equivalent RT dose (Gy)a | |||||||||||||
≥ 50 | 56 | 47 | 28–66 | 0.50 | 26 | 10–42 | 0.06 | 82 | 68–96 | <0.0001b | 71 | 55–87 | 0.25 |
≥ 40 and <50 | 65 | 55 | 34–76 | 25 | 6–44 | 67 | 40–94 | 78 | 59–97 | ||||
≥ 30 and <40 | 55 | 46 | 28–64 | 32 | 16–48 | 90 | 81–99 | 63 | 47–79 | ||||
<30 | 25 | 37 | 13–61 | 17 | 0–43 | 96 | 88–100 | 81 | 53–100 | ||||
No RTc | 5 | 0 | - | 0 | - | 0 | - | 33 | 0–86 |
OS: overall survival; CI: confidence interval; DFS: disease-free survival; LC: local control; MM: progression to multiple myeloma; NA: not available; CT: chemotherapy; RT: radiation therapy abiologically effective dose (BED) according to the linear-quadratic model.13 BED = nd(1+ [d÷α/β]) where n = number of fractions, d = dose per fraction, and α/β = 10 for plasmacytoma. bnot significant when excluding patients not receiving radiation therapy. cAll patients treated with surgery alone (with chemotherapy in one).