Evidence map›Paper›PMID 33907967›Full record

ArticleJournal of neuro-oncology2021

Long-term outcomes of grade I/II skull base chondrosarcoma: an insight into the role of surgery and upfront radiotherapy.

Hirotaka Hasegawa, Kunal Vakharia, Christopher S Graffeo, Matthew L Carlson, Bruce E Pollock, Paul D Brown, Avital Perry, Jamie J Van Gompel, Colin L W Driscoll, Michael J Link

Abstract read
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In one paragraph

Article in Journal of neuro-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Surgical management of chondrosarcomas of the skull-base and temporal bone.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Article
  3. Review
  4. Review
  5. Proton Therapy for Skull Base Chondrosarcoma.Journal of neurological surgery reports · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Hirotaka HasegawaDepartments of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.
Kunal VakhariaDepartments of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.
Christopher S GraffeoDepartments of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.
Matthew L CarlsonDepartments of Otorhinolaryngology, Mayo Clinic, Rochester, MN, USA.
Bruce E PollockDepartments of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.
Paul D BrownDepartments of Radiation Oncology, Mayo Clinic, Rochester, MN, USA.
Avital PerryDepartments of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.
Jamie J Van GompelDepartments of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.
Colin L W DriscollDepartments of Otorhinolaryngology, Mayo Clinic, Rochester, MN, USA.
Michael J LinkDepartments of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA. Link.michael@mayo.edu.
Mayo Clinic in Florida · USMayo Clinic · USMayo Clinic in Arizona · USWinnMed · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo clarify the need for post-operative radiation treatment in skull base chondrosarcomas (SBCs).

methodsA retrospective analysis of patients with grade I or II SBC. Patients were divided according to post-surgical treatment strategies: (A) planned upfront radiotherapy and (B) watchful waiting. Tumor control and survival were compared between the treatment groups. The median follow-up after resection was 105 months (range, 9-376).

resultsThirty-two patients (Grade 1, n = 16; Grade 2, n = 16) were included. The most frequent location was petroclival (21, 64%). A gross total resection (GTR) was achieved in 11 patients (34%). Fourteen (44%) underwent upfront radiotherapy (group A) whereas 18 (56%) were followed with serial MRI alone (group B). The tumor control rate for the entire group was 77% and 69% at 10- and 15-year, respectively. Upfront radiotherapy (P = 0.25), extent of resection (P = 0.11) or tumor grade (P = 0.83) did not affect tumor control. The majority of Group B patients with recurrent tumors (5/7) obtained tumor control with repeat resection (n = 2), salvage radiotherapy (n = 2), or a combination of both (n = 1). The 10-year disease-specific survival was 95% with no difference between the group A and B (P = 0.50).

conclusionFor patients with grade I/II SBC, a reasonable strategy is deferral of radiotherapy after maximum safe resection until tumor progression or recurrence. At that time, most patients can be successfully managed with salvage radiotherapy or surgery. Late recurrences may occur, and life-long follow-up is advisable.

Indexed as

ChondrosarcomaSkull Base NeoplasmsFollow-Up StudiesHumansNeoplasm StagingRetrospective StudiesSkull BaseTreatment OutcomeChondrosarcomaMicrosurgeryProton beamRadiosurgeryRadiotherapySkull base tumorSurgical outcome

Identifiers

PMID33907967
OpenAlexW3158934835

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.