Evidence map›Paper›PMID 41631010›Full record

ArticleJournal of bone oncology2026

Clinicopathological features and survival disparities between axial and appendicular skeletal Angiosarcoma: A SEER-based analysis using competing risk models.

Zhenliang Hao, Xuewei Zhang, Ning Yao, Kai Li, Luxin Lou, Xuan Zheng, Zhiming Guo, Jiabin Chen, Xuzhu Chen

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Article in Journal of bone oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Zhenliang HaoDepartment of Radiology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Xuewei ZhangDepartment of Interventional Radiology, Emergency General Hospital, Beijing, China.
Ning YaoDepartment of Radiology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Kai LiDepartment of Radiology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Luxin LouDepartment of Radiology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Xuan ZhengDepartment of Radiology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Zhiming GuoDepartment of Radiology, The Ninth Medical Center, Chinese PLA General Hospital, Beijing, China.
Jiabin ChenDepartment of Radiology, Yibin Traditional Chinese Medicine Hospital, Yibin, China.
Xuzhu ChenDepartment of Radiology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Primary angiosarcoma of bone (ASB) is a rare and aggressive primary bone tumor. The prognostic significance of anatomical location (axial vs. appendicular skeleton) remains poorly defined. This study aimed to compare clinicopathological features and survival outcomes between these two groups. Methods: Patients diagnosed with primary ASB (1975-2019) were identified from the Surveillance, Epidemiology, and End Results (SEER) database. Tumors were categorized as axial (spine, pelvis, ribs, skull) or appendicular (extremities). Overall survival was analyzed using Kaplan-Meier and Cox models. Cancer-specific mortality (CSM) was evaluated with Fine-Gray competing risk regression to calculate subdistribution hazard ratios (SHR). Results: Among 458 patients, 162 (35.4%) had axial and 296 (64.6%) had appendicular tumors. Axial patients were older (median 63 vs. 46 years, p < 0.001), had higher distant metastasis at diagnosis (43.2% vs. 29.1%, p = 0.002), and underwent surgery less frequently (37.0% vs. 81.1%, p < 0.001). The 5-year overall survival was significantly worse for axial tumors (16.8% vs. 38.2%, p < 0.001). The 5-year cumulative incidence of CSM was 69.5% for axial versus 50.8% for appendicular tumors (p < 0.001). Multivariate analysis confirmed axial location as an independent predictor of higher CSM (SHR 1.62, 95% CI: 1.25-2.10, p < 0.001) , independent of the year of diagnosis. Conclusions: Axial tumors represent a distinct high-risk subgroup characterized by limited surgical resectability and inferior survival. Anatomical location should be considered a critical stratification factor in clinical management and future trials.Abbreviations:

Indexed as

Axial skeletonBone angiosarcomaCompeting risk modelPrognosisSEER databaseSurvival analysis

Identifiers

PMID41631010
PMCPMC12860631

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