論文

査読有り 国際誌
2020年3月13日

Prediction of Soft Tissue Sarcoma from Clinical Characteristics and Laboratory Data.

Cancers
  • Taketsugu Fujibuchi
  • ,
  • Joji Miyawaki
  • ,
  • Teruki Kidani
  • ,
  • Hiroshi Imai
  • ,
  • Hiromasa Miura

12
3
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.3390/cancers12030679

The accurate diagnosis of soft tissue tumors may be difficult. Simple clinical characteristics or laboratory data that can predict tumor malignancy can be useful tools for diagnosing soft tissue tumors. Between 2003 and 2018, 588 patients with primary soft tissue tumors were retrospectively reviewed. Their clinical characteristics and laboratory data were evaluated to determine their association with the diagnosis of benign, intermediate, or malignant tumor. Multivariable analysis revealed that tumor size ≥ 5.6 cm (odds ratio (OR), 6.15; p < 0.001), white blood cell (WBC) count ≥ 5700/µL (OR, 2.49; p = 0.002), hemoglobin (Hb) count ≤ 12.4 g/dL (OR, 2.56; p = 0.004), C-reactive protein (CRP) level ≥ 0.17 mg/dL (OR, 2.64; p < 0.001), and lactate dehydrogenase (LDH) level ≥ 240 IU/L (OR, 4.94; p < 0.001) were significant predictive factors for sarcoma. The sensitivity and specificity in the presence of three or more predictive factors for detecting malignant tumors were 0.58 and 0.90 respectively, and it was an appropriate threshold with the maximum Youden's index of 0.49. Simple clinical and laboratory data were useful tools for predicting whether the tumor is malignant. Patients with soft tissue tumors that meet any three or more predictive factors should be referred to a specialist.

リンク情報
DOI
https://doi.org/10.3390/cancers12030679
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32183216
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7140089
ID情報
  • DOI : 10.3390/cancers12030679
  • PubMed ID : 32183216
  • PubMed Central 記事ID : PMC7140089

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