Table 3.
Univariable Cox proportional hazard model analysis of prognostic factors for late local recurrences
Patients | Local recurrence | % | HR | 95% CI | p value | p value b | |
---|---|---|---|---|---|---|---|
Age (year) | |||||||
< 64 | 183 | 16 | 8.7 | Reference | |||
≥ 64 | 194 | 18 | 9.3 | 1.2 | 0.6–2.4 | 0.58 | 0.58 |
Sex | |||||||
Male | 214 | 21 | 9.8 | Reference | |||
Female | 163 | 13 | 8.0 | 0.8 | 0.4–1.6 | 0.48 | 0.48 |
Depth | |||||||
Superficial | 175 | 16 | 9.1 | Reference | |||
Deep | 196 | 18 | 9.2 | 0.8 | 0.4–1.7 | 0.63 | 0.63 |
Not available | 6 | 0 | |||||
Location | |||||||
Lower extremity | 233 | 24 | 10 | Reference | |||
Upper extremity | 100 | 6 | 6.0 | 0.6 | 0.2–1.4 | 0.25 | |
Trunk | 44 | 4 | 9.1 | 0.9 | 0.3–2.5 | 0.82 | 0.48 |
Size (cm) | |||||||
< 5 | 144 | 10 | 6.9 | Reference | |||
≥ 5 | 229 | 22 | 9.6 | 1.3 | 0.6–2.8 | 0.46 | 0.45 |
Not available (cm) | 4 | 2 | |||||
< 8 | 244 | 16 | 6.6 | Reference | |||
≥ 8 | 129 | 16 | 12 | 1.9 | 0.9–3.7 | 0.08 | 0.08 |
Not available | 4 | 2 | |||||
Malignancy grade | |||||||
Low-grade | 81 | 5 | 6.2 | Reference | |||
High-grade | 282 | 28 | 10 | 1.6 | 0.6–4.2 | 0.32 | 0.30 |
Not available | 14 | 1 | |||||
Vascular invasion | |||||||
No | 273 | 21 | 7.7 | Reference | |||
Yes | 38 | 4 | 11 | 1.4 | 0.5–4 | 0.55 | 0.57 |
Not available | 66 | 9 | |||||
Necrosis | |||||||
No | 157 | 13 | 8.3 | Reference | |||
Yes | 167 | 14 | 8.4 | 1.1 | 0.5–2.3 | 0.81 | 0.81 |
Not available | 53 | 7 | |||||
Growth pattern | |||||||
Pushing | 20 | 2 | 10 | Reference | |||
Infiltrative | 88 | 7 | 8.0 | 0.8 | 0.2–3.9 | 0.76 | 0.76 |
Not available | 269 | 25 | |||||
Histology | |||||||
UPS | 78 | 10 | 13 | Reference | |||
Leiomyosarcoma | 81 | 4 | 4.9 | 0.4 | 0.1–1.4 | 0.16 | |
Liposarcoma | 47 | 3 | 6.4 | 0.5 | 0.1–1.9 | 0.31 | |
MPNST | 18 | 3 | 17 | 1.0 | 0.3–4 | 0.90 | |
Myxofibrosarcoma | 68 | 8 | 12 | 0.8 | 0.5–3.2 | 0.63 | |
Synovial sarcoma | 19 | 0 | 0 | –* | |||
Other | 66 | 6 | 9.1 | 0.7 | 0.3–2.1 | 0.60 | 0.15 |
Surgical procedure a | |||||||
Local excision | 321 | 30 | 9.3 | Reference | |||
Amputation | 12 | 0 | 0 | – | |||
Final surgical margin | |||||||
R0 wide | 252 | 13 | 5.2 | Reference | |||
R0 marginal | 109 | 16 | 15 | 3.3 | 1.6–6.8 | 0.001 | |
R1 | 15 | 4 | 27 | 5.4 | 1.8–16.6 | 0.003 | 0.001 |
Not available | 1 | 1 | |||||
Radiotherapy | |||||||
No | 248 | 18 | 7.3 | Reference | |||
Yes | 129 | 16 | 12 | 2.3 | 1.2–4.6 | 0.015 | 0.017 |
Chemotherapy | |||||||
No | 332 | 30 | 9.0 | Reference | |||
Yes | 45 | 4 | 8.9 | 1.4 | 0.5–4.0 | 0.55 | 0.56 |
UPS undifferentiated pleomorphic sarcoma; MPNST malignant peripheral nerve sheath tumor
aNot applicable to the 44 patients with tumors located to the trunk wall
bOverall likelihood ratio test