Surgical Management of Retroperitoneal Soft Tissue Sarcomas: Role of Curative Resection

Fausto Rosa, Guido Costamagna, Sergio Alfieri, Claudio Fiorillo, Antonio Pio Tortorelli, Alejandro Martin Sanchez, Giovanni Doglietto

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Retroperitoneal sarcomas are a rare group of malignant soft tissue tumors with a generally poor prognosis. However, factors affecting the recurrence and long-term survival are not well understood. The aim of this study was to assess clinical, pathological, and treatment-related factors affecting prognosis in patients with retroperitoneal sarcomas. The hospital records of 107 patients who underwent surgical exploration at our unit for primary or recurrent retroperitoneal sarcomas between 1984 and 2013 were reviewed. Of these patients, 92 had a primary tumor and 15 had a recurrent neoplasm. Study end points included factors affecting overall and recurrence-free survival for the 92 patients with primary disease. Mean follow-up was 79.7 ± 56.3 months. Only the patients undergoing surgery for primary sarcoma were included in this study. Overall 5-year survival was 71 per cent. Disease-free 5-year survival was 65 per cent. Only tumor grade affects overall and disease-free survival. This study confirmed the importance of an aggressive surgical management for retroperitoneal sarcomas to offer these patients the best chance of cure. In our series, only the tumor grade seems to be associated with worse outcome and higher rate of recurrence, regardless of the size of the tumor
Original languageEnglish
Pages (from-to)128-133
Number of pages6
JournalTHE AMERICAN SURGEON
Volume82
Publication statusPublished - 2016

Keywords

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Grading
  • Neoplasm Recurrence, Local
  • Retroperitoneal Neoplasms
  • Retrospective Studies
  • Sarcoma
  • Survival Analysis
  • Treatment Outcome
  • Young Adult

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