Table 3.
Summary of literature review.
Parameter | Value | No. of patients with available data |
---|---|---|
Age (years) (mean ± s.d.) | 46 ± 14 | 160 |
Sex | 81:81 | 162 |
Location of tumor % (no.) | 163 | |
Paranasal sinuses | 43.7 (76) | |
Mandible | 21.5 (34) | |
Intracranial | 11.8 (19) | |
Maxilla | 9 (13) | |
Oral cavity | 6.2 (10) | |
Skull | 1.2 (2) | |
Parotid | 1.3 (2) | |
Posterior neck | 1.3 (2) | |
Cervical vertebra | 1.3 (2) | |
Infratemporal fossa | 0.7 (1) | |
Mastoid antrum | 0.7 (1) | |
Thyroid | 0.7 (1) | |
Local symptoms % (no.) | 44.1 (49) | 111 |
Hypophosphatemic symptoms | ||
Muscle weakness % (no.) | 77.9 (106) | 136 |
Fractures % (no.) | 61.2 (68) | 111 |
Bone pains % (no.) | 100 (142) | 142 |
Bony deformities % (no.) | 25.7 (27) | 105 |
Duration of symptoms (months), median (IQR) | 36 (24–72) | 139 |
Biochemical profile | ||
S. Calcium (mg %) (mean ± s.d.) | 8.9 ± 0.5 | 87 |
S. Phosphorus (mg %) (mean ± s.d.) | ||
Pre-op | 1.4 ± 0.4 | 119 |
Post-op | 3 ± 0.7 | 62 |
S. Alkaline phosphatase (U/L) (median (IQR)) | 313 (200–420) | 95 |
TMP/GFR (median (IQR)) | 0.9 (0.6–1.3) | 39 |
TRP (median (IQR)) | 61 (46.2–72.2) | 21 |
PTH (pg/mL) (median (IQR)) | 55.9 (39.3–83.7) | 73 |
1,25 (OH)2 vitamin D3 (pg/mL) (median (IQR)) | 18 (8.2–26.2) | 46 |
FGF-23 (Pre-op) (median (IQR)) | ||
X ULN | 3.6 (1.8–6.8) | 55 |
C-terminal (Ru/mL) | 573 (234–1058) | 33 |
Intact (pg/mL) | 256 (131–393) | 22 |
FGF-23 (Post-op) | ||
C-terminal (Ru/mL) | 69.3 (36.5–138) | 18 |
Intact (pg/mL) | 14 (5.9–50) | 15 |
Tumor size (cm) (median (IQR)) | 2.5 (1.8–3.2) | 70 |
Localization imaging % (no.) | 131 | |
History and PE | 16.7 (22) | |
X-ray | 2.3 (3) | |
CT scan | 25.9 (34) | |
MRI | 10.6 (14) | |
Octreotide scintigraphy | 20.6 (27) | |
FDG-PET/CT | 8.4 (11) | |
Ga-DOTA-based PET/CT | 11.4 (15) | |
Selective venous sampling of FGF-23 | 3.8 (5) | |
Primary modality of treatment % (no.) | 160 | |
Surgery | 97.5 (156) | |
Radiation therapy | 1.2 (2) | |
Combined surgery + radiation therapy | 1.2 (2) | |
Complete response to primary treatment % (no.) | 80.4 (119) | 148 |
Persistent disease % (no.) | 13.5 (20) | 148 |
Follow-up (months) | 13 (5.2–36) | 108 |
Recurrence % (no.) | 7 (9) | 128 |
Time to recurrence (months) (range) | 2–204 | |
Site wise persistence/recurrence % (no./no.) | ||
Paranasal sinuses | 14.4 (7/4) | 76 |
Mandible | 17.6 (6/0) | 34 |
Intracranial | 36.8 (4/3) | 19 |
Maxilla | 7.6 (1/0) | 13 |
Oral cavity | 33.3 (1/2) | 10 |
Thyroid | 100 (1) | 1 |
Secondary modality of treatment % (no.) | 26 | |
Surgery | 65.4 (17) | |
RT | 30.8 (8) | |
Chemotherapy | 7.7 (2) | |
Cinacalcet | 7.7 (2) | |
Octreotide | 7.7 (2) | |
Radiofrequency ablation | 3.8 (1) | |
PRRT | 3.8 (1) | |
Others | 3.8 (1) | |
Metastasis % (no.) | 2.7 (4) | 148 |
Histopathology % (no.) | 158 | |
PMTMCT | 48.7 (77) | |
PMT ossifying fibroma like | 1.3 (2) | |
PMT mixed epithelial and connective tissue type | 9.5 (15) | |
Malignant PMTMCT | 3.2 (5) | |
Hemangiopericytoma | 22.8 (36) | |
Giant cell tumor | 3.2 (5) | |
Odontogenic fibroma | 3.2 (5) | |
Glomangiopericytoma | 2.5 (4) | |
Malignant schwannoma | 0.6 (1) | |
Meningioma | 0.6 (1) | |
Salivary basal cell adenoma | 0.6 (1) | |
Ameloblastic fibrosarcoma | 0.6 (1) | |
Primitive mesenchymal tumor | 0.6 (1) | |
Arteriovenous hemangioma | 0.6 (1) | |
Spindle cell tumor with PMT features | 0.6 (1) | |
Cellular non-descript | 0.6 (1) | |
Chronic inflammatory tissue with fibrosis and epithelial cell rests | 0.6 (1) |