Table 3. Cox regression analysis of sarcoma-related survival in patients with radiation-induced sarcoma (cases) and sporadic sarcomas (controls).
(A) Patients with soft tissue sarcomaa
| ||||||
---|---|---|---|---|---|---|
All, n=204b
|
Without metastasis at diagnosis, n=178b
|
|||||
Prognostic factor | P-value | HR | 95% CI for HR | P-value | HR | 95% CI for HR |
Radiation-induced sarcoma | 0.543 | 0.87 | 0.56–1.35 | 0.212 | 0.72 | 0.44–1.20 |
Yes (ref) | ||||||
No | ||||||
Metastases at diagnosis | <0.001 | 0.34 | 0.19–0.61 | Not relevant | ||
Yes (ref) | ||||||
No | ||||||
Complete surgical remission | <0.001 | 4.96 | 3.14–7.84 | <0.001 | 5.38 | 3.35–8.65 |
Yes (ref) | ||||||
No | ||||||
Microscopic tumour necrosis | <0.001 | 0.39 | 0.23–0.66 | <0.001 | 0.35 | 0.21–0.60 |
Yes (ref) | ||||||
No |
(B) Patients with osteosarcoma in bone
| ||||||
---|---|---|---|---|---|---|
All, n=81c
|
Without metastasis at diagnosis, n=63c
|
|||||
Prognostic factor | P-value | HR | 95% CI for HR | P-value | HR | 95% CI for HR |
Radiation-induced sarcoma | 0.902 | 0.95 | 0.38–2.34 | 0.758 | 0.86 | 0.33–2.22 |
Yes | ||||||
No (ref) | ||||||
Metastases at diagnosis | 0.008 | 0.36 | 0.17–0.76 | Not relevant | ||
Yes (ref) | ||||||
No | ||||||
Complete surgical remission | <0.001 | 5.11 | 2.38–11.00 | 0.04 | 4.74 | 1.67–13.46 |
Yes (ref) | ||||||
No | ||||||
Site | 0.026 | 2.80 | 1.13–6.96 | 0.038 | 3.31 | 1.07–10.24 |
Extremity/trunk wall (ref) | ||||||
Head/abdomen/axial/thoracic |
Abbreviations: CI=confidence interval; HR=hazard ratio; ref=reference.
Including MFH, angiosarcoma, malignant peripheral nerve sheath tumour and leiomyosarcoma, but not osteosarcoma in soft tissue.
Gender, age at diagnosis, histology, time period at diagnosis, tumour size and site were not significant prognostic factors.
Gender, age at diagnosis, time period at diagnosis, tumour size and microscopic tumour necrosis were not significant prognostic factors.