Evidence map›Paper›PMID 34545273›Full record

ArticleSarcoma2021

Localized Angiosarcoma, Not One Disease: A Retrospective Single-Center Study on Prognosis Depending on the Primary Site and Etiology.

Inna Schott, Sven-Thorsten Liffers, Farhad Farzaliyev, Johanna Falkenhorst, Hans-Ulrich Steinau, Jürgen-Walter Treckmann, Lars Erik Podleska, Christoph Pöttgen, Hans-Ulrich Schildhaus, Marit Ahrens and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Sarcoma, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Histology-Tailored Approach to Soft Tissue Sarcoma.Annals of surgical oncology · 2024
    Review
  2. Article
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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

15 authors at 3 institutions in 1 country.

Inna SchottDepartment of Medical Oncology, Sarcoma Center, West German Cancer Center, University Hospital Essen, Essen, Germany.
Sven-Thorsten LiffersBridge Institute of Experimental Tumor Therapy, West German Cancer Center, University Hospital Essen, Essen, Germany.
Farhad FarzaliyevDepartment of Orthopedic Oncology, West German Cancer Center, University Hospital Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-4727-5699
Johanna FalkenhorstDepartment of Medical Oncology, Sarcoma Center, West German Cancer Center, University Hospital Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-4738-7121
Hans-Ulrich SteinauDepartment of General, Visceral and Transplantion Surgery, Sarcoma Center, West German Cancer Center, University Hospital Essen, Essen, Germany.
Jürgen-Walter TreckmannDepartment of General, Visceral and Transplantion Surgery, Sarcoma Center, West German Cancer Center, University Hospital Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-9817-9365
Lars Erik PodleskaDepartment of Orthopedic Oncology, West German Cancer Center, University Hospital Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-1011-7822
Christoph PöttgenDepartment of Radiotherapy, West German Cancer Center, University Hospital Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-9224-9318
Hans-Ulrich SchildhausInstitute of Pathology, West German Cancer Center, University Hospital Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-9856-7050
Marit AhrensMedical Clinic II, University Hospital Frankfurt, Frankfurt am Main, Germany.ORCID https://orcid.org/0000-0003-4313-0895
Uta DirksenPediatrics III Pediatric Hematology, Oncology, Immunology, Cardiology, Pulmonology, West German Cancer Center, University Hospital Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-5435-7860
Fatma-Zehra MuratDepartment of Medical Oncology, Sarcoma Center, West German Cancer Center, University Hospital Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-2480-1166
Jens T SivekeDepartment of Medical Oncology, Sarcoma Center, West German Cancer Center, University Hospital Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-8772-4778
Sebastian BauerDepartment of Medical Oncology, Sarcoma Center, West German Cancer Center, University Hospital Essen, Essen, Germany.ORCID https://orcid.org/0000-0001-5949-8120
Rainer HamacherDepartment of Medical Oncology, Sarcoma Center, West German Cancer Center, University Hospital Essen, Essen, Germany.ORCID https://orcid.org/0000-0001-9655-1226
Essen University Hospital · DEGerman Cancer Research Center · DEGoethe University Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAngiosarcomas are rare and heterogeneous tumors with poor prognosis. The clinical subtypes are classified depending on the primary site and etiology.

methodsWe conducted a retrospective, monocentric study of 136 patients with localized AS between May 1985 and November 2018. Overall survival (OS), local recurrence-free survival (LRFS), and metastasis-free survival (MFS) were estimated using the Kaplan-Meier method. To identify prognostic factors, univariate and multivariate analyses were performed based on Cox regressions.

resultsThe median age was 67 years (19-72.8 years). Primary sites were cutaneous (27.2%), breast (38.2%), and deep soft tissue (34.6%). The majority was primary angiosarcomas (55.9%) followed by postradiation (40.4%) and chronic lymphedema angiosarcomas (2.9%). Prognosis significantly differed depending on the primary site and etiology. Shortest median OS and MFS were observed in deep soft tissue angiosarcomas, whereas cutaneous angiosarcomas, angiosarcomas of the breast, and radiation-associated angiosarcomas displayed worse median LRFS. Univariate analyses showed better OS for tumor size <10 cm (

conclusionsDifferent behaviors and prognoses depending on the primary site and etiology should be considered for the treatment of this heterogeneous disease. In cutaneous angiosarcomas of the head/neck and postradiation angiosarcomas of the breast, local recurrence seems to have a crucial impact on OS. Therefore, improved local therapies and local tumor staging may have to be implemented. However, in deep soft tissue angiosarcomas, distant recurrence seems to have a major influence on prognosis, which indicates a benefit of additional perioperative chemotherapy.

Identifiers

PMID34545273
PMCPMC8449723
OpenAlexW3199656929

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.