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The staging of soft-tissue sarcomas

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Summary

We have assessed the ability of the American Joint Committee System, the Hajdu and the Surgical Staging System to separate different prognostic groups of patients with soft-tissue sarcoma. There were 122 patients with nonmetastatic tumours of the locomotor system. All were operated on with a wide, or radical, surgical margin. None of the staging systems could identify more than two groups with significantly different overall survival. A plea is made for the use of statistical multivariate analysis of prognostic factors when constructing staging systems for soft-tissue sarcoma.

Résumé

Les auteurs ont cherché à déterminer la valeur pronostique des trois systèmes de classification des sarcomes des tissus mous, à savoir le système de l'American Joint Committee, celui de Hajdu et celui du Surgical Staging. Cent vingt-deux patients porteurs de tels sarcomes, mais sans métatastases, ont été analysés. Tous ont été traités par exérèse large, passant en tissus sains. Aucun système n'a permis d'identifier plus de deux groupes de malades ayant des taux de survie différents. On recommande de pratiquer une analyse statistique multivariée des facteurs pronostiques avant de construire un système de classification des sarcomes des tissus mous.

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Correspondence to B. Rööser.

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Rööser, B., Attewell, R. & Rydholm, A. The staging of soft-tissue sarcomas. International Orthopaedics 11, 339–343 (1987). https://doi.org/10.1007/BF00271311

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Key words

  • Sarcoma
  • Soft tissue
  • Staging