Evidence map›Paper›PMID 34876901›Full record

ArticleJournal of oncology2021

Oncological Outcomes in Patients with Appendicular Myxofibrosarcomas: A Retrospective Study.

Yonghoon Lee, Michael P Guertin, Spencer Summers, Sheila A Conway, Mothasem Al Maaieh, Raphael Yechieli, Jonathan Trent, Andrew E Rosenberg, Juan Pretell-Mazzini

Open access · hybridAbstract read
In one paragraph

Article in Journal of oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Yonghoon LeeMiller School of Medicine, University of Miami, Miami, FL 33136, USA.ORCID https://orcid.org/0000-0001-9005-8262
Michael P GuertinMiller School of Medicine, University of Miami, Miami, FL 33136, USA.
Spencer SummersOrthopedic Surgery Resident, Department of Orthopedic Surgery, Jackson Memorial Hospital, Miami, FL, USA.
Sheila A ConwayMusculoskeletal Oncology Division, Department of Orthopedics, Miller School of Medicine, University of Miami, Miami, FL 33136, USA.
Mothasem Al MaaiehDirector of Spine Tumors, University of Miami, Miami, FL 33136, USA.
Raphael YechieliUniversity of Miami, Jackson Memorial Hospital, Miami, FL, USA.
Jonathan TrentUniversity of Miami, Jackson Memorial Hospital, Miami, FL, USA.
Andrew E RosenbergDirector of Anatomic Pathology, Director of Bone & Soft Tissue Pathology, Department of Pathology, Miller School of Medicine, University of Miami, Miami, FL 33136, USA.
Juan Pretell-MazziniDirector of Clinical Research Musculoskeletal Oncology Division, Musculoskeletal Oncology Division, Department of Orthopedics, Miller School of Medicine, University of Miami, Miami, FL, USA.
University of Miami · USJackson Memorial Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyxofibrosarcoma (MFS) is notorious for its infiltrative growth pattern, making wide excisions difficult to achieve. Our objective was to assess the impact of surgical margins and other factors that affected rates of local recurrence (LR), distant metastasis (DM), and overall survival (OS) of individuals undergoing resection for MFS.

methodsWe retrospectively reviewed the medical records of 209 patients with appendicular soft tissue sarcomas between January 2012 and June 2018. Of these, 29 patients (14%) were diagnosed with myxofibrosarcoma. These patients underwent a total of 33 resections. The pathological analyses were conducted by an experienced musculoskeletal (MSK) pathologist. Demographics data, operative details, adjuvant therapy, and oncological outcomes were assessed.

resultsOf the 29 patients (33 resections), the overall LR rate was 24% (7/29) and the 2-year LR rate was 17% (5/29). Factors associated with negative oncological outcomes were as follows: tumor size ≤10 cm (2-year local recurrence-free rates (LRFRs), 65%; 95% CI, 44-86%;

conclusionMyxofibrosarcomas showed high LR rates after treatment. Close margins (≤0.1 cm) should be considered as a risk factor for LR, and LR is associated with negative overall survival. Neoadjuvant therapy in terms of combined chemotherapy and radiation therapy associates with decreased LR rates. If intraoperative assessment of margins is to be done, it should be performed by an experienced MSK pathologist.

Identifiers

PMID34876901
PMCPMC8645367
OpenAlexW3215780899

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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.