Tumor oxygenation predicts for the likelihood of distant metastases in human soft tissue sarcoma.
This study was performed to explore the relationship between tumor oxygenation and treatment outcome in human soft tissue sarcoma. Twenty-two patients with nonmestastatic, high-grade, soft tissue sarcomas underwent preoperative irradiation and hyperthermia and pretreatment measurement of tumor oxygenation. The 18-month actuarial disease-free survival was 70% for patients with tumor median oxygen pressure (pO2) values of >10 mm Hg but only 35% for those with median pO2 values of <10 mm Hg (P=0.01). There were eight treatment failures; the first site of recurrence was lung in all patients. Median pO2 was 7.5 mm Hg for metastasizing tumors versus 20 mm Hg for nonmetastasizing tumors (P=0.03). Potential mechanisms and implications for clinical trial design are discussed.
Duke Scholars
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Related Subject Headings
- Soft Tissue Neoplasms
- Sarcoma
- Predictive Value of Tests
- Oncology & Carcinogenesis
- Neoplasm Metastasis
- Humans
- Cell Hypoxia
- 3211 Oncology and carcinogenesis
- 3101 Biochemistry and cell biology
- 1112 Oncology and Carcinogenesis
Citation
Published In
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Soft Tissue Neoplasms
- Sarcoma
- Predictive Value of Tests
- Oncology & Carcinogenesis
- Neoplasm Metastasis
- Humans
- Cell Hypoxia
- 3211 Oncology and carcinogenesis
- 3101 Biochemistry and cell biology
- 1112 Oncology and Carcinogenesis