論文

国際誌
2021年1月

Clinical features of multiply recurrent retroperitoneal liposarcoma: A single-center experience.

Asian journal of surgery
  • Noriyuki Masaki
  • ,
  • Mizuki Onozawa
  • ,
  • Takamitsu Inoue
  • ,
  • Masahiro Kurobe
  • ,
  • Koji Kawai
  • ,
  • Jun Miyazaki

44
1
開始ページ
380
終了ページ
385
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.asjsur.2020.10.015

BACKGROUND: To elucidate the clinicopathological features of multiply recurrent retroperitoneal liposarcoma referred to a tertiary center. METHODS: We retrospectively analyzed the clinical data of 40 patients with pathologically proven primary retroperitoneal liposarcoma treated between January 2015 and June 2019. RESULTS: The initial pathology was well-differentiated liposarcoma (WDLS) in 23 patients, dedifferentiated liposarcoma (DDLS) in 15 patients, and myxoid liposarcoma in two patients. Before and after referral to our hospital, the patients underwent 142 surgeries (median number of surgeries: 3) for initial and recurrent tumors. Of these, 35 (87.5%) patients underwent surgeries for recurrent tumors. In 11 (47.8%) of the 23 patients with initial WDLS, pathological progression (PP) to DDLS was observed in recurrent tumors at the median interval of 7.8 years. In eight patients (72.7%), the PP occurred at the first recurrence. In contrast, all 15 patients with DDLS recurred as DDLS. Distant metastases developed in eight patients (34.8%) with WDLS and five patients (29.4%) with DDLS/myxoid subtype. All eight WDLS patients who developed metastasis were alive with disease at the median interval of 3.6 years, whereas four of the five patients with primary diagnosis of DDLS/myxoid subtype died at the median interval of 5.6 months from the development of metastasis. The 5-year overall survival of the patients with initial WDLS and those with DDLS/myxoid subtype were 100% and 67.4% (p = 0.0006), respectively. CONCLUSIONS: The prognosis of the initial-WDLS patients was favorable despite multiple recurrences. In WDLS patients, if distant metastases develop, it is possible to remain alive with disease for years.

リンク情報
DOI
https://doi.org/10.1016/j.asjsur.2020.10.015
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33191070

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