Table 2.
Incidence (per million person-years) of Primary Soft Tissue Sarcomas by Sex and Histologic Subtype, Iran (2009-2014)
Histologic Subtype | Sex | n | Crude Rate | ASR* | 95% CI | SRR | 95% CI |
---|---|---|---|---|---|---|---|
Total | Both sexes | 2593 | 5.73 | 6.34 | 6.09-6.59 | ||
Male | 1476 | 6.45 | 7.19 | 6.82-7.57 | 1.31** | 1.21-1.42 | |
Female | 1117 | 4.99 | 5.47 | 5.15-5.80 | |||
Paragangliomas and Glomous Tumors | Both sexes | 1 | <0.01 | <0.01 | ----- | ||
Male | 1 | <0.01 | 0.01 | ----- | ----- | ----- | |
Female | 0 | <0.01 | <0.01 | ----- | |||
Glomangiosarcoma | Both sexes | 1 | <0.01 | <0.01 | ----- | ||
Male | 1 | <0.01 | 0.01 | ----- | ----- | ----- | |
Female | 0 | <0.01 | <0.01 | ----- | |||
Soft Tissue Sarcomas, NOS | Both sexes | 840 | 1.86 | 2.08 | 1.94-2.23 | ||
Male | 475 | 2.08 | 2.35 | 2.14-2.57 | 1.30** | 1.13-1.49 | |
Female | 365 | 1.63 | 1.81 | 1.62-2.00 | |||
Mesenchymal tumor | Both sexes | 318 | 0.70 | 0.81 | 0.71-0.90 | ||
Male | 174 | 0.76 | 0.88 | 0.75-1.02 | 1.21 | 0.96-1.52 | |
Female | 144 | 0.64 | 0.73 | 0.61-0.85 | |||
Spindle cell sarcoma | Both sexes | 316 | 0.70 | 0.78 | 0.69-0.86 | ||
Male | 190 | 0.83 | 0.94 | 0.80-1.07 | 1.53** | 1.21-1.92 | |
Female | 126 | 0.56 | 0.61 | 0.50-0.72 | |||
Giant cell sarcoma/pleomorphic cell sarcoma | Both sexes | 113 | 0.25 | 0.30 | 0.24-0.35 | ||
Male | 60 | 0.26 | 0.32 | 0.24-0.40 | 1.18 | 0.18-1.72 | |
Female | 53 | 0.24 | 0.27 | 0.20-0.34 | |||
Small cell sarcoma/round cell sarcoma | Both sexes | 17 | 0.04 | 0.04 | 0.02-0.06 | ||
Male | 10 | 0.04 | 0.05 | 0.02-0.08 | 1.37 | 0.51-3.73 | |
Female | 7 | 0.03 | 0.03 | 0.01-0.06 | |||
Epithelioid sarcoma | Both sexes | 38 | 0.08 | 0.08 | 0.05-0.11 | ||
Male | 23 | 0.10 | 0.09 | 0.05-0.13 | 1.33 | 0.69-2.56 | |
Female | 15 | 0.07 | 0.07 | 0.03-0.10 | |||
Undifferentiated sarcoma | Both sexes | 20 | 0.04 | 0.05 | 0.02-0.07 | ||
Male | 10 | 0.04 | 0.05 | 0.02-0.08 | 0.86 | 0.35-2.12 | |
Female | 10 | 0.04 | 0.05 | 0.02-0.09 | |||
Desmoplastic round cell tumor | Both sexes | 18 | 0.04 | 0.04 | 0.02-0.06 | ||
Male | 8 | 0.03 | 0.03 | 0.01-0.06 | 0.79 | 0.30-2.05 | |
Female | 10 | 0.04 | 0.04 | 0.02-0.07 | |||
Fibromatous Sarcomas | Both sexes | 486 | 1.07 | 1.23 | 1.12-1.35 | ||
Male | 274 | 1.20 | 1.38 | 1.22-1.55 | 1.28** | 1.07-1.54 | |
Female | 212 | 0.95 | 1.08 | 0.93-1.23 | |||
Fibrosarcoma | Both sexes | 114 | 0.25 | 0.26 | 0.21-0.31 | ||
Male | 61 | 0.27 | 0.29 | 0.21-0.36 | 1.20 | 0.82-1.75 | |
Female | 53 | 0.24 | 0.24 | 0.17-0.31 | |||
Fibromyxosarcoma | Both sexes | 24 | 0.05 | 0.06 | 0.03-0.08 | ||
Male | 8 | 0.03 | 0.04 | 0.01-0.08 | 0.61 | 0.26-1.40 | |
Female | 16 | 0.07 | 0.07 | 0.04-0.11 | |||
Infantile/congenital fibrosarcoma | Both sexes | 6 | 0.01 | 0.01 | 0.00-0.03 | ||
Male | 3 | 0.01 | 0.01 | 0.00-0.03 | ----- | ----- | |
Female | 3 | 0.01 | 0.01 | 0.00-0.03 | |||
Solitary fibrous tumor | Both sexes | 3 | 0.01 | 0.01 | 0.00-0.02 | ||
Male | 1 | <0.01 | <0.01 | 0.00-0.01 | ----- | ----- | |
Female | 2 | 0.01 | 0.01 | 0.00-0.03 | |||
Fibrous histiocytoma/fibroxanthoma | Both sexes | 297 | 0.66 | 0.80 | 0.71-0.89 | ||
Male | 177 | 0.77 | 0.93 | 0.79-1.08 | 1.42** | 1.12-1.79 | |
Female | 120 | 0.54 | 0.66 | 0.54-0.78 | |||
Dermatofibrosarcoma | Both sexes | 42 | 0.09 | 0.09 | 0.06-0.12 | ||
Male | 24 | 0.10 | 0.10 | 0.06-0.14 | 1.26 | 0.68-2.34 | |
Female | 18 | 0.08 | 0.08 | 0.04-0.12 | |||
Myxomatous Sarcomas | Both sexes | 5 | 0.01 | 0.01 | 0.00-0.03 | ||
Male | 3 | 0.01 | 0.02 | 0.00-0.04 | ----- | ----- | |
Female | 2 | 0.01 | 0.01 | 0.00-0.02 | |||
Myxosarcom | Both sexes | 5 | 0.01 | 0.01 | 0.00-0.03 | ||
Male | 3 | 0.01 | 0.02 | 0.00-0.04 | ----- | ----- | |
Female | 2 | 0.01 | 0.01 | 0.00-0.02 | |||
Lipomatous Sarcomas | Both sexes | 370 | 0.82 | 0.92 | 0.83-1.02 | ||
Male | 203 | 0.89 | 1.01 | 0.87-1.15 | 1.21 | 0.98-1.49 | |
Female | 167 | 0.75 | 0.83 | 0.70-0.96 | |||
Liposarcoma/fibroliposarcoma | Both sexes | 77 | 0.17 | 0.19 | 0.15-0.24 | ||
Male | 39 | 0.17 | 0.20 | 0.14-0.27 | 1.09 | 0.69-1.72 | |
Female | 38 | 0.17 | 0.18 | 0.12-0.24 | |||
Liposarcoma, well differentiated | Both sexes | 50 | 0.11 | 0.13 | 0.09-0.17 | ||
Male | 24 | 0.10 | 0.12 | 0.07-0.17 | 0.92 | 0.52-1.63 | |
Female | 26 | 0.12 | 0.13 | 0.08-0.19 | |||
Myxoid Liposarcoma | Both sexes | 163 | 0.36 | 0.39 | 0.33-0.45 | ||
Male | 93 | 0.41 | 0.44 | 0.35-0.53 | 1.28 | 0.93-1.76 | |
Female | 70 | 0.31 | 0.34 | 0.26-0.42 | |||
Round cell liposarcoma | Both sexes | 19 | 0.04 | 0.04 | 0.02-0.06 | ||
Male | 12 | 0.05 | 0.06 | 0.02-0.09 | 1.86 | 0.72-4.81 | |
Female | 7 | 0.03 | 0.03 | 0.01-0.05 | |||
Pleomorphic liposarcoma | Both sexes | 40 | 0.09 | 0.11 | 0.08-0.15 | ||
Male | 22 | 0.10 | 0.12 | 0.07-0.18 | 1.23 | 0.68-2.42 | |
Female | 18 | 0.08 | 0.10 | 0.05-0.14 | |||
Mixed liposarcoma | Both sexes | 11 | 0.02 | 0.03 | 0.01-0.04 | ||
Male | 8 | 0.03 | 0.04 | 0.01-0.06 | 2.30 | 0.64-8.23 | |
Female | 3 | 0.01 | 0.02 | 0.00-0.04 | |||
Fibromyxosarcoma | Both sexes | 24 | 0.05 | 0.06 | 0.03-0.08 | ||
Male | 8 | 0.03 | 0.04 | 0.01-0.08 | 0.61 | 0.26-1.40 | |
Female | 16 | 0.07 | 0.07 | 0.04-0.11 | |||
Infantile/congenital fibrosarcoma | Both sexes | 6 | 0.01 | 0.01 | 0.00-0.03 | ||
Male | 3 | 0.01 | 0.01 | 0.00-0.03 | ----- | ----- | |
Female | 3 | 0.01 | 0.01 | 0.00-0.03 | |||
Solitary fibrous tumor | Both sexes | 3 | 0.01 | 0.01 | 0.00-0.02 | ||
Male | 1 | <0.01 | <0.01 | 0.00-0.01 | ----- | ----- | |
Female | 2 | 0.01 | 0.01 | 0.00-0.03 | |||
Fibrous histiocytoma/fibroxanthoma | Both sexes | 297 | 0.66 | 0.80 | 0.71-0.89 | ||
Male | 177 | 0.77 | 0.93 | 0.79-1.08 | 1.42** | 1.12-1.79 | |
Female | 120 | 0.54 | 0.66 | 0.54-0.78 | |||
Dermatofibrosarcoma | Both sexes | 42 | 0.09 | 0.09 | 0.06-0.12 | ||
Male | 24 | 0.10 | 0.10 | 0.06-0.14 | 1.26 | 0.68-2.34 | |
Female | 18 | 0.08 | 0.08 | 0.04-0.12 | |||
Myxomatous Sarcomas | Both sexes | 5 | 0.01 | 0.01 | 0.00-0.03 | ||
Male | 3 | 0.01 | 0.02 | 0.00-0.04 | ----- | ----- | |
Female | 2 | 0.01 | 0.01 | 0.00-0.02 | |||
Myxosarcom | Both sexes | 5 | 0.01 | 0.01 | 0.00-0.03 | ||
Male | 3 | 0.01 | 0.02 | 0.00-0.04 | ----- | ----- | |
Female | 2 | 0.01 | 0.01 | 0.00-0.02 | |||
Lipomatous Sarcomas | Both sexes | 370 | 0.82 | 0.92 | 0.83-1.02 | ||
Male | 203 | 0.89 | 1.01 | 0.87-1.15 | 1.21 | 0.98-1.49 | |
Female | 167 | 0.75 | 0.83 | 0.70-0.96 | |||
Liposarcoma/fibroliposarcoma | Both sexes | 77 | 0.17 | 0.19 | 0.15-0.24 | ||
Male | 39 | 0.17 | 0.20 | 0.14-0.27 | 1.09 | 0.69-1.72 | |
Female | 38 | 0.17 | 0.18 | 0.12-0.24 | |||
Liposarcoma, well differentiated | Both sexes | 50 | 0.11 | 0.13 | 0.09-0.17 | ||
Male | 24 | 0.10 | 0.12 | 0.07-0.17 | 0.92 | 0.52-1.63 | |
Female | 26 | 0.12 | 0.13 | 0.08-0.19 | |||
Myxoid Liposarcoma | Both sexes | 163 | 0.36 | 0.39 | 0.33-0.45 | ||
Male | 93 | 0.41 | 0.44 | 0.35-0.53 | 1.28 | 0.93-1.76 | |
Female | 70 | 0.31 | 0.34 | 0.26-0.42 | |||
Round cell liposarcoma | Both sexes | 19 | 0.04 | 0.04 | 0.02-0.06 | ||
Male | 12 | 0.05 | 0.06 | 0.02-0.09 | 1.86 | 0.72-4.81 | |
Female | 7 | 0.03 | 0.03 | 0.01-0.05 | |||
Pleomorphic liposarcoma | Both sexes | 40 | 0.09 | 0.11 | 0.08-0.15 | ||
Male | 22 | 0.10 | 0.12 | 0.07-0.18 | 1.23 | 0.68-2.42 | |
Female | 18 | 0.08 | 0.10 | 0.05-0.14 | |||
Mixed liposarcoma | Both sexes | 11 | 0.02 | 0.03 | 0.01-0.04 | ||
Male | 8 | 0.03 | 0.04 | 0.01-0.06 | 2.30 | 0.64-8.23 | |
Female | 3 | 0.01 | 0.02 | 0.00-0.04 | |||
Carcinosarcoma | Both sexes | 1 | <0.01 | <0.01 | ------ | ||
Male | 0 | <0.01 | <0.01 | ------ | ------ | ------ | |
Female | 1 | <0.01 | <0.01 | ------ | |||
Mixed mesenchymal sarcoma | Both sexes | 6 | 0.01 | 0.02 | 0.00-0.03 | ||
Male | 4 | 0.02 | 0.02 | 0.00-0.04 | ------ | ------ | |
Female | 2 | 0.01 | 0.01 | 0.00-0.02 | |||
Synovial Like Sarcomas | Both sexes | 353 | 0.78 | 0.79 | 0.71-0.88 | ||
Male | 205 | 0.90 | 0.92 | 0.79-1.06 | 1.40** | 1.13-1.74 | |
Female | 148 | 0.66 | 0.66 | 0.55-0.77 | |||
Synovial sarcoma, NOS | Both sexes | 184 | 0.41 | 0.42 | 0.35-0.48 | ||
Male | 106 | 0.45 | 0.48 | 0.39-0.58 | 1.38** | 1.02-1.86 | |
Female | 78 | 0.35 | 0.35 | 0.27-0.43 | |||
Synovial sarcoma, spindle cell | Both sexes | 79 | 0.17 | 0.17 | 0.13-0.21 | ||
Male | 49 | 0.21 | 0.22 | 0.16-0.29 | 1.72** | 1.08-2.75 | |
Female | 30 | 0.13 | 0.13 | 0.08-0.18 | |||
Synovial sarcoma, epithelioid cell | Both sexes | 4 | 0.01 | 0.01 | 0.00-0.02 | ||
Male | 1 | <0.01 | <0.01 | 0.00-0.01 | ------ | ------ | |
Female | 3 | 0.01 | 0.01 | 0.00-0.03 | |||
Synovial sarcoma, biphasic | Both sexes | 60 | 0.13 | 0.13 | 0.10-0.16 | ||
Male | 33 | 0.14 | 0.14 | 0.09-0.19 | 1.19 | 0.71-2.01 | |
Female | 27 | 0.12 | 0.12 | 0.07-0.16 | |||
Clear cell sarcoma of tendons and aponeuroses, melanoma | Both sexes | 26 | 0.06 | 0.06 | 0.04-0.08 | ||
Male | 16 | 0.07 | 0.07 | 0.04-0.11 | 1.51 | 0.67-3.39 | |
Female | 10 | 0.04 | 0.05 | 0.02-0.08 | |||
Blood Vessels Sarcomas | Both sexes | 61 | 0.13 | 0.16 | 0.12-0.21 | ||
Male | 38 | 0.17 | 0.21 | 0.14-0.28 | 1.72** | 1.02-2.91 | |
Female | 23 | 0.10 | 0.12 | 0.07-0.17 | |||
Haemangiosarcoma | Both sexes | 22 | 0.05 | 0.06 | 0.03-0.09 | ||
Male | 8 | 0.03 | 0.04 | 0.01-0.08 | 0.57 | 0.24-1.38 | |
Female | 14 | 0.06 | 0.08 | 0.04-0.12 | |||
Hemangioendothelial sarcoma | Both sexes | 3 | 0.01 | 0.01 | 0.00-0.02 | ||
Male | 2 | 0.01 | 0.01 | 0.00-0.02 | ------ | ------ | |
Female | 1 | 0.00 | <0.001 | ------ | |||
Kaposi sarcoma | Both sexes | 29 | 0.06 | 0.08 | 0.05-0.11 | ||
Male | 24 | 0.10 | 0.13 | 0.08-0.19 | 5.32** | 2.15-13.15 | |
Female | 5 | 0.02 | 0.03 | 0.00-0.05 | |||
Malignant Haemangiopericytoma | Both sexes | 7 | 0.02 | 0.02 | 0.00-0.03 | ||
Male | 4 | 0.02 | 0.02 | 0.00-0.04 | 1.43 | 0.31-6.60 | |
Female | 3 | 0.01 | 0.01 | 0.00-0.03 | |||
Lymphatic Vessels Sarcomas | Both sexes | 2 | <0.001 | 0.01 | 0.00-0.01 | ||
Male | 1 | <0.001 | 0.01 | 0.00-0.02 | ------ | ------ | |
Female | 2 | 0.01 | 0.01 | 0.0-0.03 | |||
Lymphangiosarcoma | Both sexes | 2 | <0.001 | 0.01 | 0.00-0.01 | ||
Male | 1 | <0.001 | 0.01 | 0.00-0.02 | ------ | ------ | |
Female | 2 | 0.01 | 0.01 | 0.0-0.03 | |||
Giant Cell Tumors-Malignant | Both sexes | 44 | 0.10 | 0.10 | 0.07-0.14 | ||
Male | 23 | 0.10 | 0.11 | 0.06-0.15 | 1.03 | 0.56-1.88 | |
Female | 21 | 0.09 | 0.10 | 0.06-0.15 | |||
Malignant giant cell tumor of soft parts | Both sexes | 19 | 0.04 | 0.04 | 0.02-0.06 | ||
Male | 14 | 0.06 | 0.06 | 0.03-0.10 | 2.83** | 1.04-7.72 | |
Female | 5 | 0.02 | 0.02 | 0.00-0.04 | |||
Malignant tenosynovial giant cell tumor | Both sexes | 25 | 0.06 | 0.06 | 0.04-0.09 | ||
Male | 9 | 0.04 | 0.04 | 0.01-0.07 | 0.52 | 0.23-1.19 | |
Female | 16 | 0.07 | 0.08 | 0.04-0.12 | |||
Nerve Sheath Tumors-Malignant | Both sexes | 96 | 0.21 | 0.22 | 0.18-0.27 | ||
Male | 66 | 0.29 | 0.30 | 0.22-0.37 | 2.09** | 1.36-3.21 | |
Female | 30 | 0.13 | 0.14 | 0.09-0.20 | |||
Malignant peripheral nerve sheath tumor | Both sexes | 91 | 0.20 | 0.21 | 0.17-0.25 | ||
Male | 63 | 0.28 | 0.28 | 0.21-0.36 | 2.10** | 1.35-3.26 | |
Female | 28 | 0.13 | 0.14 | 0.08-0.19 | |||
malignant schwannoma, Neurilemmosarcoma | Both sexes | 3 | 0.01 | 0.01 | 0.00-0.02 | ||
Male | 1 | <0.001 | <0.001 | ------ | ------ | ------ | |
Female | 2 | 0.01 | 0.01 | 0.00-0.02 | |||
Malignant peripheral nerve sheath tumor | Both sexes | 2 | <0.001 | <0.001 | ------ | ||
Male | 2 | 0.01 | 0.01 | 0.00-0.02 | ------ | ------ | |
Female | 0 | <0.001 | <0.001 | ------ | |||
Granular cell and Alveolar Soft Tissue Sarcoma | Both sexes | 21 | 0.05 | 0.04 | 0.02-0.06 | ||
Male | 10 | 0.04 | 0.04 | 0.01-0.06 | 0.82 | 0.34-1.97 | |
Female | 11 | 0.05 | 0.05 | 0.02-0.08 | |||
Alveolar soft part sarcoma | Both sexes | 21 | 0.05 | 0.04 | 0.02-0.06 | ||
Male | 10 | 0.04 | 0.04 | 0.01-0.06 | 0.82 | 0.34-1.97 | |
Female | 11 | 0.05 | 0.05 | 0.02-0.08 | |||
Ewing tumor and Askin tumor of soft tissue | Both sexes | 68 | 0.15 | 0.14 | 0.11-0.17 | ||
Male | 42 | 0.18 | 0.17 | 0.12-0.22 | 1.44 | 0.88-2.35 | |
Female | 26 | 0.12 | 0.12 | 0.07-0.16 |
ASIR = age-standardized incidence rate, CI = confidence interval, NOS = not otherwise specified
SRR = male-to-female standardized incidence rate (ASIR) ratio
*ASRs were age-standardized to the new world health organizing (WHO) standard population
** Indicates statistical significance at the 0.05 level