Head and neck soft tissue sarcomas

Prognostic factors and outcome in a series of patients treated at a single institution

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24 Citations (Scopus)

Abstract

Background: Head and neck soft tissue sarcomas (STS) represent a rare disease. Patients and methods: One hundred and sixty-seven patients underwent surgery at our institution with an eradicating intent between 1990 and 2010. Local recurrence (LR), distant metastasis (DM) and disease-specific mortality (DSM) incidence were studied along with clinicopathological prognostic factors. Results: Ten-year crude cumulative incidence (CCI) of LR, DM and DSM were 19%, 11% and 26%, respectively (median follow-up 66 months). Independent prognostic factors for DSM were tumor size (P <0.001) and grade (P = 0.032), while surgical margins obtained a border-line significance (0.070); LR was affected by the tumor size (P = 0.001), while DM only by grade (P = 0.047). The median survival after LR and DM were 14 months and 7 months, respectively. Tumors sited in the paranasal sinus and supraclavicular region had the worst survival. Conclusions: Head and neck represent a very critical anatomical site for STS. Achievement of local disease control appears to be crucial, since even LR could be a life-threatening event.

Original languageEnglish
Pages (from-to)2181-2189
Number of pages9
JournalAnnals of Oncology
Volume24
Issue number8
DOIs
Publication statusPublished - Aug 2013

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Sarcoma
Neck
Head
Recurrence
Neoplasm Metastasis
Mortality
Neoplasms
Survival
Paranasal Sinuses
Incidence
Rare Diseases

Keywords

  • Head and neck
  • Prognosis
  • Sarcoma
  • Soft tissue sarcoma
  • Surgery

ASJC Scopus subject areas

  • Oncology
  • Hematology

Cite this

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title = "Head and neck soft tissue sarcomas: Prognostic factors and outcome in a series of patients treated at a single institution",
abstract = "Background: Head and neck soft tissue sarcomas (STS) represent a rare disease. Patients and methods: One hundred and sixty-seven patients underwent surgery at our institution with an eradicating intent between 1990 and 2010. Local recurrence (LR), distant metastasis (DM) and disease-specific mortality (DSM) incidence were studied along with clinicopathological prognostic factors. Results: Ten-year crude cumulative incidence (CCI) of LR, DM and DSM were 19{\%}, 11{\%} and 26{\%}, respectively (median follow-up 66 months). Independent prognostic factors for DSM were tumor size (P <0.001) and grade (P = 0.032), while surgical margins obtained a border-line significance (0.070); LR was affected by the tumor size (P = 0.001), while DM only by grade (P = 0.047). The median survival after LR and DM were 14 months and 7 months, respectively. Tumors sited in the paranasal sinus and supraclavicular region had the worst survival. Conclusions: Head and neck represent a very critical anatomical site for STS. Achievement of local disease control appears to be crucial, since even LR could be a life-threatening event.",
keywords = "Head and neck, Prognosis, Sarcoma, Soft tissue sarcoma, Surgery",
author = "D. Mattavelli and R. Miceli and S. Radaelli and F. Mattavelli and G. Cant{\`u} and M. Barisella and P. Quattrone and S. Stacchiotti and C. Sangalli and Casali, {P. G.} and A. Gronchi and M. Fiore",
year = "2013",
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TY - JOUR

T1 - Head and neck soft tissue sarcomas

T2 - Prognostic factors and outcome in a series of patients treated at a single institution

AU - Mattavelli, D.

AU - Miceli, R.

AU - Radaelli, S.

AU - Mattavelli, F.

AU - Cantù, G.

AU - Barisella, M.

AU - Quattrone, P.

AU - Stacchiotti, S.

AU - Sangalli, C.

AU - Casali, P. G.

AU - Gronchi, A.

AU - Fiore, M.

PY - 2013/8

Y1 - 2013/8

N2 - Background: Head and neck soft tissue sarcomas (STS) represent a rare disease. Patients and methods: One hundred and sixty-seven patients underwent surgery at our institution with an eradicating intent between 1990 and 2010. Local recurrence (LR), distant metastasis (DM) and disease-specific mortality (DSM) incidence were studied along with clinicopathological prognostic factors. Results: Ten-year crude cumulative incidence (CCI) of LR, DM and DSM were 19%, 11% and 26%, respectively (median follow-up 66 months). Independent prognostic factors for DSM were tumor size (P <0.001) and grade (P = 0.032), while surgical margins obtained a border-line significance (0.070); LR was affected by the tumor size (P = 0.001), while DM only by grade (P = 0.047). The median survival after LR and DM were 14 months and 7 months, respectively. Tumors sited in the paranasal sinus and supraclavicular region had the worst survival. Conclusions: Head and neck represent a very critical anatomical site for STS. Achievement of local disease control appears to be crucial, since even LR could be a life-threatening event.

AB - Background: Head and neck soft tissue sarcomas (STS) represent a rare disease. Patients and methods: One hundred and sixty-seven patients underwent surgery at our institution with an eradicating intent between 1990 and 2010. Local recurrence (LR), distant metastasis (DM) and disease-specific mortality (DSM) incidence were studied along with clinicopathological prognostic factors. Results: Ten-year crude cumulative incidence (CCI) of LR, DM and DSM were 19%, 11% and 26%, respectively (median follow-up 66 months). Independent prognostic factors for DSM were tumor size (P <0.001) and grade (P = 0.032), while surgical margins obtained a border-line significance (0.070); LR was affected by the tumor size (P = 0.001), while DM only by grade (P = 0.047). The median survival after LR and DM were 14 months and 7 months, respectively. Tumors sited in the paranasal sinus and supraclavicular region had the worst survival. Conclusions: Head and neck represent a very critical anatomical site for STS. Achievement of local disease control appears to be crucial, since even LR could be a life-threatening event.

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