Table 2.
Type of sarcoma | Uterine adenosarcoma (n = 994) |
Endometrial stromal sarcoma (n = 2910) |
Uterine leiomyosarcoma (n = 5506) |
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---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Survival rate |
Multivariable |
Survival rate |
Multivariable |
Survival rate |
Multivariable |
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Characteristic | No. | 5-yr (%) | HR (95%CI) | P-value | No. | 5-yr (%) | HR (95%CI) | P-value | No. | 5-yr (%) | HR (95%CI) | P-value |
Age (y) | ||||||||||||
≥60 | 480 | 76.0 | 1.29 (0.96–1.74) | 0.09 | 923 | 51.3 | 1.38 (1.19–1.61) | <0.001 | 1671 | 35.1 | 1.53 (1.41–1.66) | <0.001 |
<60 | 514 | 83.8 | 1 | 1987 | 79.6 | 1 | 3835 | 54.3 | 1 | |||
Ethnicity | ||||||||||||
Caucasian | 652 | 81.2 | 1 | 1891 | 71.0 | 1 | 3420 | 51.1 | 1 | |||
African American | 131 | 73.1 | 1.18 (0.79–1.77) | 0.42 | 394 | 59.2 | 1.26 (1.05–1.52) | 0.01 | 950 | 41.7 | 1.37 (1.24–1.51) | <0.001 |
Hispanic | 113 | 80.8 | 1.32 (0.82–2.14) | 0.26 | 357 | 77.8 | 1.05 (0.82–1.35) | 0.68 | 674 | 47.5 | 1.05 (0.93–1.19) | 0.47 |
Others | 98 | 81.9 | 0.91 (0.54–1.52) | 0.71 | 268 | 78.4 | 0.99 (0.75–1.31) | 0.97 | 462 | 46.6 | 1.12 (0.98–1.30) | 0.11 |
Marital status | ||||||||||||
Single | 194 | 80.9 | 1 | 489 | 66.6 | 1 | 1020 | 45.6 | 1 | |||
Married | 488 | 85.2 | 0.98 (0.64–1.49) | 0.91 | 1647 | 75.9 | 0.75 (0.62–0.90) | 0.003 | 3080 | 52.7 | 0.83 (0.75–0.92) | <0.001 |
Others | 312 | 71.4 | 1.43 (0.93–2.19) | 0.11 | 774 | 62.4 | 0.92 (0.74–1.14) | 0.43 | 1406 | 42.2 | 0.99 (0.89–1.12) | 0.97 |
Registry Area | ||||||||||||
West | 525 | 81.3 | 1 | 1498 | 73.5 | 1 | 2849 | 46.2 | 1 | |||
Central | 193 | 75.7 | 1.24 (0.85–1.81) | 0.27 | 708 | 67.6 | 1.09 (0.92–1.29) | 0.32 | 1239 | 51.5 | 0.93 (0.84–1.03) | 0.14 |
East | 276 | 80.9 | 1.17 (0.81–1.67) | 0.40 | 704 | 68.6 | 0.98 (0.82–1.17) | 0.81 | 1418 | 51.4 | 0.82 (0.75–0.90) | <0.001 |
Year at diagnosis | ||||||||||||
1973–1999 | 236 | 83.3 | 1 | 946 | 73.9 | 1 | 1979 | 54.7 | 1 | |||
2000–2009 | 523 | 79.2 | 1.30 (0.91–1.88) | 0.16 | 1383 | 71.4 | 1.05 (0.87–1.26) | 0.68 | 2406 | 44.7 | 1.07 (0.97–1.18) | 0.17 |
2010–2012 | 235 | n.r | 1.07 (0.64–1.80) | 0.78 | 581 | n.r. | 1.23 (0.97–1.54) | 0.08 | 1121 | n.r. | 0.98 (0.86–1.13) | 0.82 |
Grade | ||||||||||||
1 | 109 | 93.4 | 1 | 465 | 96.1 | 1 | 314 | 81.8 | 1 | |||
2 | 158 | 84.2 | 2.59 (1.14–5.87) | 0.02 | 926 | 94.3 | 1.34 (0.87–2.07) | 0.18 | 573 | 66.7 | 1.82 (1.40–2.36) | <0.001 |
3a | 173 | 54.8 | 7.37 (3.41–15.9) | <0.001 | 914 | 32.6 | 14.0 (9.49–20.7) | <0.001 | 2003 | 32.7 | 4.64 (3.68–5.86) | <0.001 |
Unknown | 554 | 83.9 | 2.43 (1.17–5.05) | 0.02 | 605 | 69.1 | 4.52 (3.02–6.75) | <0.001 | 2616 | 52.3 | 2.72 (2.17–3.42) | <0.001 |
Tumor size | ||||||||||||
≤5.0 cm | 268 | 87.7 | 1 | 636 | 87.3 | 1 | 608 | 69.8 | 1 | |||
>5.0 cm | 318 | 64.7 | 1.89 (1.28–2.80) | 0.001 | 1084 | 61.2 | 1.91 (1.50–2.43) | <0.001 | 3096 | 42.2 | 2.03 (1.74–2.35) | <0.001 |
Unknown | 408 | 86.2 | 0.79 (0.51–1.24) | 0.31 | 1190 | 70.5 | 1.36 (1.06–1.76) | 0.016 | 1802 | 52.0 | 1.62 (1.37–1.91) | <0.001 |
Lymph node status | ||||||||||||
Negative | 848 | 81.8 | 1 | 2006 | 76.8 | 1 | 3561 | 49.0 | 1 | |||
Positive | 29 | 43.0 | 2.34 (1.29–4.25) | 0.01 | 192 | 30.4 | 2.43 (1.99–2.98) | <0.001 | 188 | 20.9 | 2.10 (1.75–2.52) | <0.001 |
Unknown | 117 | 75.8 | 1.71 (1.06–2.74) | 0.03 | 712 | 65.4 | 1.67 (1.37–2.03) | <0.001 | 1757 | 50.4 | 1.21 (1.09–1.35) | <0.001 |
Surgery type | ||||||||||||
No surgery | 46 | 59.1 | 4.70 (1.85–11.9) | 0.001 | 293 | 34.5 | 2.82 (2.08–3.82) | <0.001 | 466 | 18.9 | 4.09 (3.42–4.88) | <0.001 |
Total/pan/simple hyst | 720 | 82.2 | 1 | 1848 | 76.8 | 1 | 3383 | 50.6 | 1 | |||
Others | 228 | 78.0 | 1.28 (0.90–1.80) | 0.17 | 769 | 69.6 | 1.17 (0.98–1.40) | 0.08 | 1657 | 52.1 | 1.20 (1.09–1.33) | <0.001 |
Radiation | ||||||||||||
No adjuvant radiation | 746 | 76.7 | 1 | 1850 | 77.9 | 1 | 3335 | 49.9 | 1 | |||
Adjuvant radiation | 117 | 74.6 | 1.06 (0.74–1.52) | 0.75 | 493 | 65.8 | 0.91 (0.76–1.09) | 0.30 | 871 | 48.4 | 0.97 (0.88–1.08) | 0.58 |
Others | 77 | 65.7 | 0.82 (0.37–1.83) | 0.64 | 567 | 52.3 | 0.99 (0.76–1.29) | 0.94 | 1300 | 45.9 | 0.86 (0.74–0.99) | 0.04 |
A Cox proportional hazard regression model for multivariable analysis adjusted for collected covariates (myometrial invasion was not included due to over 50% of lack of data and stage was excluded for the multicollinearity of other factors). Significant P-values are emboldened.
Abbreviations: n.r., cases did not reach 5-year follow-up; 5-yr, 5-year proportion; and hyst, hysterectomy.
Included undifferentiated type.