Ewing's sarcoma of the femur: Prognosis in 69 patients treated by the CESS group
1997; Taylor & Francis; Volume: 68; Issue: 1 Linguagem: Inglês
10.3109/17453679709003970
ISSN0001-6470
AutoresToshifumi Ozaki, Axel Hillmann, Christiane Hoffmann, Christian Rübe, Barbara Dockhorn‐Dworniczak, S. Blasius, Jürgen Dunst, Jörn Treuner, H. Jürgens, Winfried Winkelmann,
Tópico(s)Cardiac tumors and thrombi
ResumoWe reviewed the treatment outcome of 69 patients with Ewing's sarcoma of the femur. The patients received chemotherapy according to the CESS 81 (n 14), CESS 86 (n 43), and CESS 91P (n 12) protocols. The 10-year relapse-free survival rates were 36%, 65%, and 65% (p = 0.01). 68 patients received local treatment. The primary tumor was treated by surgery without radiotherapy in 28 patients; 1 developed a local recurrence and 7 metastases. 10 patients received radiotherapy alone; 4 developed metastases and 4 local recurrences and metastases. 30 cases had a combination of surgery and radiotherapy; 7 developed metastases and 1 a local recurrence and metastasis. The survival of patients after radiotherapy alone was worse than that of patients after surgery with/without radiotherapy (p = 0.005). Pathological fractures (n 16) did not influence the prognosis.
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