Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Retrospective Analysis of 498 Primary Soft Tissue Sarcomas in a Single Turkish Centre

  • Duman, Berna Bozkurt (Department of Oncology, Medical Faculty, Cukurova University) ;
  • Gunaldi, Meral (Department of Oncology, Medical Faculty, Cukurova University) ;
  • Ercolak, Vehbi (Department of Oncology, Medical Faculty, Cukurova University) ;
  • Afsar, Cigdem Usul (Department of Oncology, Medical Faculty, Cukurova University) ;
  • Sahin, Berksoy (Department of Oncology, Medical Faculty, Cukurova University) ;
  • Erkisi, I. Melek Koksal (Department of Oncology, Medical Faculty, Cukurova University) ;
  • Kara, Oguz (Department of Oncology, Medical Faculty, Cukurova University) ;
  • Paydas, Semra (Department of Oncology, Medical Faculty, Cukurova University) ;
  • Gonlusen, Gulfiliz (Department of Pathology, Medical Faculty, Cukurova University) ;
  • Sertdemir, Yasar (Department of Bioistatistics, Medical Faculty, Cukurova University)
  • Published : 2012.08.31
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Abstract

Background: Soft tissue sarcomas (STS) must be managed with a team involving pathologists, radiologists, surgeons, radiation therapists and medical oncologists. Treatment modalities and demographic charasteristics of Turkish STS were analysed in the current study. Material-Methods: Primary adult STS followed between 1999-2010 in Cukurova University Medical Faculty Department of Medical Oncology were analzied retrospectively Results: Of the total of 498 patients, 238 were male and 260 female. The most seen adult sarcomas were leomyosarcoma (23%). Localization of disease was upper extremity (8.8%), lower extremity (24.7%), head-neck 8.2%, thoracic 8%, retroperitoneal 5.6%, uterine 12.4%, abdominal 10%, pelvic region 3.6 and other regions 10%. Some 13.1% were early stage, 10.2% locally advanced, 8.2% metastatic and 12.2% recurrent disease. Patients were treated with neoadjuvant/adjuvant (12%) or palliative chemotherapy (7.2%) and 11.4% patients did not receive chemotherapy. Surgery was performed as radical or conservative. The most preferred regimen was MAID combination chemotherapy in the rate of 17.6%. The most common metastatic site was lung (18.1%). The overall survival was 45 months (95%CI 30-59), 36 months in men and 55 months in women, with no statistically significant difference (p=0.5). The survival rates were not different between the group of adjuvant and palliative chemotherapy (respectively 28 versus 18 months) (p=0.06), but radical surgery at 37 months was better than 22 months for conservative surgery (p=0.0001). No differences were evident for localization (p=0.152). Locally advanced group had higher overall survival rates (72 months) than other stages (p=0.0001). Conclusion: STS can be treated successfully with surgery, chemotherapy and radiotherapy. The survival rates of Turkish people were higher in locally advanced group; these results show the importance of multimodality treatment approach and radical surgery.

Keywords

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