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KMID : 1164620190520050360
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Korean Journal of Thoracic and Cardiovascular Surgery
2019 Volume.52 No. 5 p.360 ~ p.367
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Primary Chest Wall Sarcoma: Surgical Outcomes and Prognostic Factors
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Park Il-Kun
Shin Su-Min
Kim Hong-Kwan
Choi Yong-Soo
Kim Jhin-Gook
Zo Jae-Ill
Shim Young-Mog
Cho Jong-Ho
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Abstract
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Background: Primary chest wall sarcoma is a rare disease with limited reports of surgical resection.
Methods: This retrospective review included 41 patients with primary chest wall sarcoma who underwent chest wall resection and reconstruction from 2001 to 2015. The clinical, histologic, and surgical variables were collected and analyzed by univariate and multivariate Cox regression analyses for overall survival (OS) and recurrence-free survival (RFS).
Results: The OS rates at 5 and 10 years were 73% and 61%, respectively. The RFS rate at 10 years was 57.1%. Multivariate Cox regression analysis revealed old age (hazard ratio [HR], 5.16; 95% confidence interval [CI], 1.71?15.48) as a significant risk factor for death. A surgical resection margin distance of less than 1.5 cm (HR, 15.759; 95% CI, 1.78?139.46) and histologic grade III (HR, 28.36; 95% CI, 2.76?290.87) were independent risk factors for recurrence.
Conclusion: Long-term OS and RFS after the surgical resection of primary chest wall sarcoma were clinically acceptable.
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KEYWORD
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Sarcoma, Chest wall, Undifferentiated pleomorphic sarcoma
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