Table 3.
First author | Year of publication | No of patients | Intervention and number of patients | Outcome of systemic therapy |
---|---|---|---|---|
Mitchell
[34] |
2000 |
22 resectable dediff CS |
Doxorubicin based chemotherapy + surgery |
1/5 > 90% necrosis after preoperative chemo |
5 preoperative chemotherapy and 6 postoperative, 11 no chemotherapy |
5 year OS with chemotherapy 36%, without 0% |
|||
Dickey
[35] |
2004 |
42 local or advanced dediff CS |
15 Surgery |
5 year OS and median OS: with surgery 11.8% and 6.4 months |
22 surgery and chemotherapy 5 other | ||||
With surgery and chemotherapy 4% and 8.4 months | ||||
Staals
[36] |
2006 |
102 local or advanced dediff central CS |
68 Surgery |
Median survival 18 vs 23 months (not significant) |
25 surgery + chemotherapy | ||||
9 palliative care | ||||
Cesari
[7] |
2007 |
24 local or advanced mesenchymal CS |
24 surgery of which: |
10 year OS: |
5 + RT |
Surgical remission 27% |
|||
12 + chemotherapy |
Non-surgical remission 0% |
|||
Complete surgical remission 10 year DFS: | ||||
With chemotherapy 76%, without 17% | ||||
Grimer
[37] |
2008 |
266 local and 71 advanced dediff CS |
207 Surgery |
Local disease |
90 chemotherapy |
5 year OS: |
|||
40 surgery + chemotherapy |
With chemotherapy 33%, without 25% (p = 0.11) |
|||
Advanced disease | ||||
Median OS: With chemotherapy 7 months, without 3 months (not significant) | ||||
Dantonello
[38] |
2008 |
14 local mesenchymal CS |
12 Surgery + chemotherapy |
10 year OS 64% |
2 surgery + RT | ||||
Bernstein-Molho
[39] |
2012 |
9 advanced CS |
Sirolimus + cyclophosphamide |
OR 11% |
SD 56% | ||||
PFS 15 months | ||||
Italiano
[5] |
2012 |
98 advanced CS |
Doxorubicin based chemotherapy |
OR 14% |
SD 31% | ||||
PFS 5.3 months | ||||
OS 19 months |
CS chondrosarcoma, Dediff dedifferentiated, DFS disease free survival, OR objective response, OS overall survival, PFS progression free survival, RT radiotherapy, SD stable disease.