In:
Journal of Surgical Oncology, Wiley, Vol. 112, No. 8 ( 2015-12), p. 853-860
Abstract:
The objectives of this study were to present changes in referral patterns, treatment and survival in patients with high‐grade malignant bone sarcoma in Sweden and Norway based on data in the Scandinavian Sarcoma Group (SSG) Central Register. Method Data on 1,437 patients with diagnosis 1986–2010 was analyzed. Results Osteosarcoma was the most frequentl diagnosis (45%), followed by Ewing sarcoma (21%) and chondrosarcoma (17%). Thirty‐one percent of Swedish and 41% of Norwegian patients had tumors in the axial skeleton. Eighty‐six percent of extremity tumors and 66% of axial tumors were referred to a sarcoma center prior to unplanned surgery or biopsy. During the past decade, limb salvage surgery has risen from under 50% to over 80%. Five‐year overall survival in non‐metastatic osteosarcoma was 70% for extremity tumors, and 35% for axial tumors. No improvement in osteosarcoma survival was observed during the last decade. Five‐year survival in Ewing sarcoma improved from 50% to 69%. Conclusion Referral patterns in bone sarcomas have improved. However, greater efforts should be dedicated to improving referral of patients with possible tumors in the axial skeleton to multidisciplinary teams (MDTs). Overall survival of patients with high‐grade malignant bone sarcomas in Sweden and Norway is in line with other reports. J. Surg. Oncol. 2015;112:853–860 . © 2015 Wiley Periodicals, Inc.
Type of Medium:
Online Resource
ISSN:
0022-4790
,
1096-9098
Language:
English
Publisher:
Wiley
Publication Date:
2015
detail.hit.zdb_id:
1475314-5
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