ID | 65809 |
フルテキストURL | |
著者 |
Kunisada, Toshiyuki
Department of Orthopedic Surgery, Okayama University Hospital
Kaken ID
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Nakahara, Ryuichi
Department of Orthopedic Surgery, Okayama University Hospital
Katayama, Haruyoshi
Department of Orthopedic Surgery, Okayama University Hospital
Itano, Takuto
Department of Orthopedic Surgery, Okayama University Hospital
Ozaki, Toshifumi
Department of Orthopedic Surgery, Okayama University Hospital
Kaken ID
publons
researchmap
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抄録 | Purpose Soft tissue sarcomas (STS) of the forearm are rare. We aim to assess their oncological and functional outcomes.
Methods We retrospectively evaluated 34 patients who underwent surgical excision for forearm STS at our institution between 1993 and 2020. We analyzed postoperative Musculoskeletal Tumor Society rating scale (MSTS) and local recurrence-free survival (LRFS), metastasis-free survival, and overall survival (OS) rates. The significance of the following variables was determined: age, sex, histology, tumor size, Federation Nationale des Centres de Lutte contre le Cancer grade, American Joint Committee on Cancer stage, surgical margin, unplanned excision, metastases upon initial presentation, receipt of chemotherapy, and radiotherapy (RT). Results The postoperative median MSTS score was 28. Bone resection or major nerve palsy was the only factor that influenced MSTS scores. The median MSTS scores in patients with or without bone resection or major nerve palsy were 24 and 29, respectively (P < 0.001). The 5-year LRFS rates was 87%. Univariate analysis revealed that the histological diagnosis of myxofibrosarcoma was the only factor that influenced LRFS (P = 0.047). The 5-year MFS rates was 71%. In univariate analysis, no factors were associated with MFS. The 5-year OS rates was 79%. Age was the only factor that influenced OS (P = 0.01). Conclusion In the treatment of forearm STS, reconstruction of the skin and tendon can compensate for function, while bone resection and major nerve disturbance cannot. Careful follow-up is important, especially in patients with myxofibrosarcoma, due to its likelihood of local recurrence. |
キーワード | Soft tissue sarcomas
Forearm
Function
Prognosis
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備考 | The version of record of this article, first published in Journal of Orthopaedic Surgery and Research, is available online at Publisher’s website: http://dx.doi.org/10.1186/s13018-023-04088-7
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発行日 | 2023-08-14
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出版物タイトル |
Journal of Orthopaedic Surgery and Research
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巻 | 18巻
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号 | 1号
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出版者 | BMC
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開始ページ | 599
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ISSN | 1749-799X
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資料タイプ |
学術雑誌論文
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言語 |
英語
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OAI-PMH Set |
岡山大学
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著作権者 | © The Author(s) 2023.
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論文のバージョン | publisher
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PubMed ID | |
DOI | |
Web of Science KeyUT | |
関連URL | isVersionOf https://doi.org/10.1186/s13018-023-04088-7
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ライセンス | https://creativecommons.org/licenses/by/4.0/
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Citation | Nakata, E., Fujiwara, T., Kunisada, T. et al. Results of resection of forearm soft tissue sarcoma. J Orthop Surg Res 18, 599 (2023). https://doi.org/10.1186/s13018-023-04088-7
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