2025
Outcome of patients with curative-intent treatment for primary pulmonary sarcoma: Results from an international multicenter retrospective study
COLLAUD, Stephane; Theresa STORK; Dagmar ADÁMKOVÁ; Clemens AIGNER; Ivan BRAVIO et al.Základní údaje
Originální název
Outcome of patients with curative-intent treatment for primary pulmonary sarcoma: Results from an international multicenter retrospective study
Autoři
COLLAUD, Stephane; Theresa STORK; Dagmar ADÁMKOVÁ; Clemens AIGNER; Ivan BRAVIO; Antonella BRUNELLO; Luigi CERBONE; Hugo CLERMIDY; De Cock LORE; Silvia GASPERONI; Nicolas GIRARD; Anna MARIUK-JAREMA; Rolf LEFERING; Enrico MELIS; Gloria MARQUINA; Filomena MAZZEO; Iurii MYKOLIUK; Maria A PANTALEO; Nicolas PENEL; Hans-Ulrich SCHILDHAUS; Sabino STRIPPOLI; Bruno VINCENZI; Sarah WATSON; Jean-Yves BLAY a Sebastian BAUER
Vydání
JTCVS OPEN, AMSTERDAM, ELSEVIER, 2025, 2666-2736
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30204 Oncology
Stát vydavatele
Nizozemské království
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 1.900 v roce 2024
Označené pro přenos do RIV
Ano
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
primary pulmonary sarcoma; surgery; EURACAN; chemotherapy; radiotherapy; outcome; soft-tissue sarcoma
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 3. 3. 2026 12:29, Mgr. Tereza Miškechová
Anotace
V originále
Objective: To evaluate outcome and prognostic factors of patients with primary pulmonary sarcoma (PPS) who underwent curative-intent surgery within multimodality treatment. Methods: An international, multicenter, retrospective study including patients with PPS was performed through a network of sarcoma experts. Data on demographics, staging, treatment, and outcomes were retrieved. Overall survival was calculated from the date of diagnosis. Prognostic factors were assessed using uni-and multivariate analysis. Results: Eighteen centers from 9 countries contributed, for a total of 173 patients. One hundred fifteen patients (66%) underwent curative-intent surgery within multimodality treatment. There were 58 male patients (50%). Twenty-two patients (20%) had metastases, mainly to lung (n = 7, 30%) and pleura (n = 9, 39%). Thirty-three patients (30%) underwent preoperative chemotherapy. Extent of lung resection was sublobar (n = 11, 10%), lobar (n = 58, 54%), or bilobar/pneumonectomy (n = 39, 36%). Median tumor size was 85 mm. Sixty-nine patients had grade 3 tumors (71%). Resection was complete in 85 patients (75%). Lymphadenectomy was performed in 70 patients (63%), with nodal involvement in 10 (14%). Thirty-seven (37%) patients received adjuvant chemotherapy, and 27 (27%) patients received adjuvant radiotherapy. Overall survival was 49% and 31% at 5 and 10 years, respectively. Median follow-up was 33 months. Male gender (P = .003), age older than 60 years (P = .021), presence of metastasis (P = . 002), tumor size >40 mm (P = . 046), and incomplete resections (P = . 008) were independent prognostic factors for poor survival. Conclusions: In patients with curative-intent multimodal treatment for PPS, an encouraging 5-year survival rate of 49% can be achieved in expert centers. Independent prognostic factors may aid in selecting patients for curative treatment. (JTCVS Open 2025;28:565-73)