Therapeutic outcome and prognostic factors in sinonasal rhabdomyosarcoma: a single-institution case series.

Abstract:

BACKGROUND:The purpose of this study was to explore the demographics, multimodality therapeutic outcomes*** and prognostic factors in sinonasal rhabdomyosarcoma (SNRMS). METHODS:We conducted a retrospective analysis of 40 patients who underwent treatment of SNRMS from March 2007 to March 2018. The Kaplan-Meier method and the log-rank test were used to assess survival rates. The Cox regression model was used for multivariate survival analysis. RESULTS:In total, 25 males and 15 females were included in the study; the median age was 33 years (range, 2-67 years). All patients underwent surgical resection, and surgery prior to or after adjuvant therapy (chemotherapy and radiotherapy) was performed in 91.4% of the patients. The overall 1-, 3- and 5-year survival rates were 77.0%, 46.5% and 46.5%, respectively, during a mean follow-up time of 27.9 (range, 2-128) months in all patients. The log-rank test showed Intergroup Rhabdomyosarcoma Study (IRS) group and infiltration of the skull base influenced overall survival (p = 0.001; p = 0.022). Advanced IRS stage, lymph node metastasis and tumor size ≥ 5 cm were also associated with an unfavorable outcome on overall survival (p = 0.01; p = 0.035; p = 0.02). The results of multivariate regression analysis showed patients with IRS group I were associated with better prognosis outcome on overall survival. CONCLUSION:Patients with SNRMS have poor 5-year overall survival, and IRS group is the independent prognostic factor for overall survival.

authors

Li W,Lu H,Wang D

doi

10.1007/s00432-019-03009-8

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

2793-2802

issue

11

eissn

0171-5216

issn

1432-1335

pii

10.1007/s00432-019-03009-8

journal_volume

145

pub_type

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