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Examination of national lymph node evaluation practices for adult extremity soft tissue sarcoma.

Publication ,  Journal Article
Sherman, KL; Kinnier, CV; Farina, DA; Wayne, JD; Laskin, WB; Agulnik, M; Attar, S; Hayes, JP; Peabody, T; Bilimoria, KY
Published in: J Surg Oncol
November 2014

BACKGROUND AND OBJECTIVES: Lymph node evaluation recommendations for extremity soft tissue sarcoma (ESTS) are absent from national guidelines. Our objectives were (1) to assess rates and predictors of nodal evaluation, and (2) to assess rates and predictors of nodal metastases. METHODS: ESTS patients from the National Cancer Data Base (2000-2009) were assessed, and regression models were used to identify factors associated with nodal evaluation and metastases. RESULTS: Of 27,536 ESTS patients, 1,924 (7%) underwent nodal evaluation, and of these, 290 (15%) had nodal metastases. Nodal evaluation was most frequently performed for rhabdomyosarcoma (15.6%), angiosarcoma (10.0%), clear cell sarcoma (39.3%), epithelioid sarcoma (28.1%), and synovial sarcoma (9.3%). On multivariable analysis, factors associated with nodal evaluation included histologic subtype, tumor size, and grade. Nodal metastasis rates were highest among patients with rhabdomyosarcoma (32.1%), angiosarcoma (24.1%), clear cell sarcoma (27.7%), and epithelioid sarcoma (31.8%). On multivariable analysis, factors associated with nodal metastases included histologic subtype, tumor size, and grade. CONCLUSIONS: Nodal evaluation rates are highest among certain expected subtypes but are generally low. However, nodal metastasis rates for many histologic subtypes in patients selected for lymph node evaluation may be higher than previously reported. Multi-institutional studies should address nodal evaluation for ESTS.

Duke Scholars

Published In

J Surg Oncol

DOI

EISSN

1096-9098

Publication Date

November 2014

Volume

110

Issue

6

Start / End Page

682 / 688

Location

United States

Related Subject Headings

  • United States
  • Soft Tissue Neoplasms
  • Sarcoma
  • Practice Patterns, Physicians'
  • Oncology & Carcinogenesis
  • Neoplasm Grading
  • Multivariate Analysis
  • Middle Aged
  • Male
  • Lymphatic Metastasis
 

Citation

APA
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ICMJE
MLA
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Sherman, K. L., Kinnier, C. V., Farina, D. A., Wayne, J. D., Laskin, W. B., Agulnik, M., … Bilimoria, K. Y. (2014). Examination of national lymph node evaluation practices for adult extremity soft tissue sarcoma. J Surg Oncol, 110(6), 682–688. https://doi.org/10.1002/jso.23687
Sherman, Karen L., Christine V. Kinnier, Domenico A. Farina, Jeffrey D. Wayne, William B. Laskin, Mark Agulnik, Samer Attar, John P. Hayes, Terrance Peabody, and Karl Y. Bilimoria. “Examination of national lymph node evaluation practices for adult extremity soft tissue sarcoma.J Surg Oncol 110, no. 6 (November 2014): 682–88. https://doi.org/10.1002/jso.23687.
Sherman KL, Kinnier CV, Farina DA, Wayne JD, Laskin WB, Agulnik M, et al. Examination of national lymph node evaluation practices for adult extremity soft tissue sarcoma. J Surg Oncol. 2014 Nov;110(6):682–8.
Sherman, Karen L., et al. “Examination of national lymph node evaluation practices for adult extremity soft tissue sarcoma.J Surg Oncol, vol. 110, no. 6, Nov. 2014, pp. 682–88. Pubmed, doi:10.1002/jso.23687.
Sherman KL, Kinnier CV, Farina DA, Wayne JD, Laskin WB, Agulnik M, Attar S, Hayes JP, Peabody T, Bilimoria KY. Examination of national lymph node evaluation practices for adult extremity soft tissue sarcoma. J Surg Oncol. 2014 Nov;110(6):682–688.
Journal cover image

Published In

J Surg Oncol

DOI

EISSN

1096-9098

Publication Date

November 2014

Volume

110

Issue

6

Start / End Page

682 / 688

Location

United States

Related Subject Headings

  • United States
  • Soft Tissue Neoplasms
  • Sarcoma
  • Practice Patterns, Physicians'
  • Oncology & Carcinogenesis
  • Neoplasm Grading
  • Multivariate Analysis
  • Middle Aged
  • Male
  • Lymphatic Metastasis