Evidence map›Paper›PMID 35187970›Full record

ArticleHand (New York, N.Y.)2023

Classic Type of Epithelioid Sarcoma of the Distal Upper Extremity: Clinical and Oncological Characteristics.

Farhad Farzaliyev, Hans-Ulrich Steinau, Andrej Ring, Paula Beck, Jendrik Hardes, Arne Streitbürger, Lars Erik Podleska

Open access · hybridAbstract read
In one paragraph

Article in Hand (New York, N.Y.), 2023. 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
0.9field-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, 6 citations in OpenAlex.

  1. Soft Tissue Masses of the Hand.Seminars in musculoskeletal radiology · 2025
    Review
  2. Article
  3. Review
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

7 authors at 2 institutions in 1 country.

Farhad FarzaliyevDepartment of Trauma, Hand and Reconstructive Surgery/Division Plastic and Reconstructive Surgery, University Hospital Essen, Germany.ORCID 0000-0002-4727-5699
Hans-Ulrich SteinauDepartment of Trauma, Hand and Reconstructive Surgery/Division Plastic and Reconstructive Surgery, University Hospital Essen, Germany.
Andrej RingDepartment of Plastic and Reconstructive Surgery, St. Rochus-Hospital, Castrop-Rauxel, Germany.
Paula BeckDepartment of Trauma, Hand and Reconstructive Surgery/Division Plastic and Reconstructive Surgery, University Hospital Essen, Germany.ORCID 0000-0003-2285-611X
Jendrik HardesDepartment of Tumor Orthopedics and Sarcoma Surgery, University Hospital Essen, Germany.
Arne StreitbürgerDepartment of Tumor Orthopedics and Sarcoma Surgery, University Hospital Essen, Germany.
Lars Erik PodleskaDepartment of Tumor Orthopedics and Sarcoma Surgery, University Hospital Essen, Germany.
Essen University Hospital · DERütgers (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe classic type of epithelioid sarcoma (ES) is a rare, aggressive soft tissue neoplasm that most commonly affects the distal upper extremities of young patients. This study aimed to assess clinical features and provide a long-term report of the oncological outcome.

methodsWe retrospectively analyzed our clinical database for patients with ES of the distal upper extremities.

resultsTwenty-three patients with ES of the distal upper extremity were treated surgically between January 1990 and August 2018. ES affected most commonly the palmar side of young patients. The most common site affected by a sarcoma was the wrist in 47.8% of cases, followed by metacarpals and fingers with 34.8% and 17.4%, respectively. Most of the patients were treated according to the protocols of interdisciplinary tumor boards with multimodal therapy. A local recurrence was observed in 7 patients (30.4%). The 5 - and 10-year recurrence-free survival was 80.4% (95% confidence interval [CI]: 68.6-76.8) and 60.9% (95% CI: 53.5-68.3), respectively. The 5- and 10-years disease-specific survival was 89.9% (95% CI: 87-92.8) and 61.9% (95% CI: 56.5-67.3), respectively. Five patients (21.7%) had metastasis in regional lymph nodes.

conclusionThe classic type of ES represents a group of high-grade sarcomas, which affect the dominantly distal upper extremity. Specific clinical, diagnostic, and oncological characteristics make it difficult to diagnose and therapy. Wide tumor resection as a part of multimodal therapy remains a more viable and common treatment option for patients with ES on distal extremities. High rates of lymph node metastasis are typical for ES.

Indexed as

SarcomaSoft Tissue NeoplasmsCombined Modality TherapyHumansRetrospective StudiesUpper ExtremityWristanatomydiagnosishandoutcomesresearch & health outcomesspecialtysurgerytumorwrist

Identifiers

PMID35187970
PMCPMC10470246
OpenAlexW4212769044

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.