Evidence map›Paper›PMID 40900024›Full record

ArticleJournal of surgical oncology2025

Effect of Surgical Margins on Local Recurrence Patterns of Myxofibrosarcomas: A Retrospective Cohort Study From the Stockholm Sarcoma Centre.

Madeleine N Hoang, Pavlos Doumanidis, Emmy Nyqvist, Jenny Löfgren, Asle C Hesla, Panagiotis Tsagkozis

Abstract read
In one paragraph

Article in Journal of surgical oncology, 2025. 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
–field-weighted citation impact
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.

  1. Review
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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

6 authors.

Madeleine N HoangDepartment of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.
Pavlos DoumanidisDepartment of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.
Emmy NyqvistDepartment of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.
Jenny LöfgrenDepartment of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.
Asle C HeslaDepartment of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.
Panagiotis TsagkozisDepartment of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOne of the most common subgroups of soft tissue sarcomas are myxofibrosarcomas (MFS), which possess an infiltrative and aggressive growth pattern with a tendency for local recurrence (LR). MFS presents significant management challenges due to difficulties in achieving satisfactory surgical margins. The present study describes the LR pattern of MFS and its association with resection margin, re-excision surgery and adjuvant radiotherapy.

methodThis is a registry study conducted at the Sarcoma Centre at Karolinska University Hospital, Stockholm. All patients who underwent surgery with curative aim for MFS in this centre between 2010 and 2023 were included.

resultsLR was documented in 17/87 patients. Surgical margin was predictive of LR but not overall patient survival. The cumulative LR incidence at 3.5 years for intralesional, marginal, and wide margins were 80%, 40% and 10% respectively. RT was not shown to confer any suppressive effect on LR. Amputation was needed in five patients for local disease control.

conclusionMargins are the foremost determinants of LR for MFS. Proactive surgical management should be considered when margins are marginal.

Indexed as

FibrosarcomaMargins of ExcisionNeoplasm Recurrence, LocalAdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMiddle AgedRadiotherapy, AdjuvantRegistriesRetrospective StudiesSurvival RateSwedenmargins of excisionneoplasm recurrence localradiotherapysarcoma

Identifiers

PMID40900024
PMCPMC12514428

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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.