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Fride N, Nachbor KM, Nelson AT, Snook K, Shaker RM, Mavrommatis S, Seaver CD, Semanko L, Bedi M, Keeler E, Dusenbery KE, Retzlaff AA. Assessing Sarcoma Awareness Among the General Population in Minnesota: A Cross-Sectional Survey Study from the Minnesota State Fair in 2015 and 2022. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2024:10.1007/s13187-024-02485-y. [PMID: 39158629 DOI: 10.1007/s13187-024-02485-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/07/2024] [Indexed: 08/20/2024]
Abstract
Sarcomas are commonly misdiagnosed, and treatment delays negatively impact patient outcomes. The purpose of this study is to explore patient threshold for and timeline to medical evaluation, to identify providers most likely to be contacted first, and to assess general sarcoma knowledge in Minnesota's general population. Voluntary participants were recruited at the 2015 and 2022 Minnesota State Fair to complete a three-part survey. Part 1 assessed evaluation timeline and provider choice, part 2 evaluated sarcoma knowledge via a ten-question survey, and part 3 documented demographics. Responses were electronically recorded, and results were tabulated. Overall, 2124 participants completed some or all of the survey. Part 1: Participants indicated they would seek more urgent treatment for a painful mass compared to a non-painful mass (p < 0.001). The majority (77%) of participants indicated a family medicine physician would be their first contact for painful and non-painful masses. Part 2: There was no difference in overall score (percent correct) when comparing results from 2015 (mean = 40%) to 2022 (mean = 42%) (p = 0.183). Overall, 16% (349/2117) of participants had no correct responses. Individuals who self-identified as Hispanic or Latino ethnicity and a non-White race performed worse (p < 0.001). In general, scores improved with increased education and those with a graduate or professional degree had an estimated 2.515-point increase in score compared to participants with some high school education or high school diploma/general education diploma (p < 0.001). Participants with a healthcare background scored better (p < 0.001). Pain is a driving factor for patient-initiated evaluation, and primary care providers are the most likely first contact for patients. General sarcoma awareness remains low, even among those with advanced degrees and healthcare experience. Ongoing educational efforts are warranted for both the general public and healthcare communities in Minnesota.
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Affiliation(s)
- Nea Fride
- Department of Pathology and Laboratory Medicine, University of Wisconsin-Madison, Madison, WI, USA
| | - Kristine M Nachbor
- Department of Ophthalmology and Visual Science, University of Michigan, Ann Arbor, MI, USA
| | - Alexander T Nelson
- Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - Kirsten Snook
- Department of Pediatrics, University of Colorado, Aurora, CO, USA
| | - Rami M Shaker
- Department of Medicine, UnityPoint Health, University of Iowa, Des Moines, IA, USA
| | | | | | | | - Manpreet Bedi
- Department of Radiation Oncology, Cancer Center - Froedtert Hospital, Milwaukee, WI, USA
| | | | - Kathryn E Dusenbery
- Rein in Sarcoma, Fridley, MN, USA
- Department of Radiation Oncology, University of Minnesota, Minneapolis, MN, USA
| | - Amber A Retzlaff
- Department of Radiation Oncology, Abbott Northwestern Hospital, 800 E 28th Street, Minneapolis, MN, 55407, USA.
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Akbari ME, Fararouei M, Kabiri LA, Karami M, Gheibi Z, Nikeghbalian Z, Maki A, Bashirpour MA, Moradian F, Ghelichi-Ghojogh M. Bone and Soft Tissue Sarcoma Epidemiology in Iranian Elderly Population; an Analysis of the Iranian National Registry for Cancer (2009-2014 Years). IRANIAN JOURNAL OF PUBLIC HEALTH 2024; 53:1670-1680. [PMID: 39086408 PMCID: PMC11287597 DOI: 10.18502/ijph.v53i7.16061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Accepted: 08/04/2023] [Indexed: 08/02/2024]
Abstract
Background We aimed to investigate the patterns of incidence and prevalence of bone sarcoma (BS) and soft tissue sarcoma (STS), morphology as well as geographical distribution in the elderly in Iran. Methods By the primary site of the tumor and the morphological types, whole cases of cancer were classified. Then, the WHO classification (2018) and the third revision of the standard International Classification of Diseases for Oncology (ICD-O-3) were used to assign a code to them. The estimated incidence rates were obtained as the frequency of the newly-diagnosed cases within one year divided by the calculated population of the mid-year Iranian residents as estimated by the Iranian Bureau of Statistics. The age-standardized incidence rates were also estimated for both bone and soft tissue sarcoma. Results The annual crude incidence rates of sarcomas in males (0.80 per 100,000) were more than in females (0.55 per 100,000) in all years. The total combined crude incidence in 2014 years was obtained at 0.67 per 100,000 people. In terms of disease grade majority of the patients were of grade 3 (11.5 %). In terms of tumor location, the Lower extremity was 16.8%, the Visceral (including gastrointestinal & uterus) 15.8%, the Thoracic 12.8%, and the Pelvic & abdominal wall 9.7%. Conclusion Even though such sarcoma is more prevalent in elderly men, its incidence was also observed in lower-aged female groups. In addition, the incidence rate of BS was lower in comparison with that of STS, and the patients often exhibited an unknown degree of sarcoma.
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Affiliation(s)
| | - Mohammad Fararouei
- HIV/ADIS Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Leila Asef Kabiri
- Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Maryam Karami
- Department of Reproductive Health Midwifery, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Zahra Gheibi
- Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zahra Nikeghbalian
- Department of Reproductive Health Midwifery, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Afsaneh Maki
- Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | | | - Farid Moradian
- Department of Surgery, School of Medicine, Alborz University of Medical Sciences, Alborz, Iran
| | - Mousa Ghelichi-Ghojogh
- Neonatal and Children’s Research Center, Department of Biostatistics and Epidemiology, School of Health, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran
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Cosci I, Del Fiore P, Mocellin S, Ferlin A. Gender Differences in Soft Tissue and Bone Sarcoma: A Narrative Review. Cancers (Basel) 2023; 16:201. [PMID: 38201628 PMCID: PMC10778120 DOI: 10.3390/cancers16010201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2023] [Revised: 12/28/2023] [Accepted: 12/28/2023] [Indexed: 01/12/2024] Open
Abstract
Sarcomas, uncommon malignancies, stem from mesenchymal tissues, distinct from epithelial tissues, originating in the embryonic mesodermal layer. These sarcomas have been categorized as either bone or soft tissue sarcomas, depending on their originating tissue. The majority of sarcomas occur sporadically with their etiology being unknown, but there are several, well-established genetic predisposition syndromes and some environmental exposures associated with specific sarcomas. Recently, many studies have shown that sarcomas, in analogy with colorectal, skin, head and neck, esophageal, lung, and liver carcinomas, also have a male sex predilection. Significant gender differences have already been observed in childhood sarcomas. Among the tumors strongly associated with the male sex, childhood sarcomas have been identified as being particularly sensitive to the biological differences between the sexes, with special regard to soft tissue sarcomas. As the biological mechanisms underlying the sex differences in the incidence of soft tissue sarcomas remain largely unexplored, this review aims to highlight the factors underlying these differences to inform prevention and treatment.
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Affiliation(s)
- Ilaria Cosci
- Veneto Institute of Oncology IOV-IRCCS, 35128 Padova, Italy;
| | - Paolo Del Fiore
- Soft-Tissue, Peritoneum and Melanoma Surgical Oncology Unit, Veneto Institute of Oncology IOV-IRCCS, 35128 Padua, Italy;
| | - Simone Mocellin
- Soft-Tissue, Peritoneum and Melanoma Surgical Oncology Unit, Veneto Institute of Oncology IOV-IRCCS, 35128 Padua, Italy;
- Department of Surgical, Oncological and Gastroenterological Sciences (DISCOG), University of Padua, 35128 Padova, Italy
| | - Alberto Ferlin
- Unit of Andrology and Reproductive Medicine, University Hospital of Padova, 35128 Padova, Italy;
- Department of Medicine, University of Padova, 35128 Padova, Italy
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Pappa C, Smyth SL, Soleymani Majd H. Late presentation during the COVID-19 pandemic of severe procidentia: a high-grade poorly differentiated sarcoma of unknown origin. BMJ Case Rep 2022; 15:15/2/e246710. [PMID: 35140084 PMCID: PMC8830161 DOI: 10.1136/bcr-2021-246710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
High-grade poorly differentiated sarcomas of unknown primary origin constitute a rare entity and are characterised by wide histopathological diversity and atypical presentations. We present such an unusual case attending with severe procidentia in a 68-year-old postmenopausal female. On review of the literature, there are no similar cases reported. Herein, we present this case as in view of its rare clinical appearance combined with the advanced and histologically uncertain nature of the tumour, which raised significant challenges regarding diagnosis and surgical management in considerations of oncological hygiene and risk of tumour spillage. This was further potentiated by delay in diagnosis and treatment due to the COVID-19 pandemic.
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Affiliation(s)
- Christina Pappa
- Department of Gynaecology Oncology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
| | - Sarah Louise Smyth
- Department of Gynaecology Oncology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
| | - Hooman Soleymani Majd
- Department of Gynaecology Oncology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
- Nuffield Department of Women's Reproductive Health, Medical Siences Division, Oxford University, Oxford, UK
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Renier M, Busson A, Boulanger M, Piel C, Pons R, Tual S, Amadéo B, Meryet‐Figuiere M, Marcotullio E, Clin B, Baldi I, Lebailly P, Arveux P, Bara S, Bouvier AM, Busquet T, Colonna M, Coureau G, Delanoé M, Grosclaude P, Guizard AV, Herbrecht P, Laplante JJ, Lapotre‐Ledoux B, Launoy G, Lenoir D, Marrer E, Marcotullio E, Maynadié M, Molinié F, Monnereau A, Paumier A, Jarriges J, Thibaudier JM, Troussard X, Velten M, Wavelet E, Woronoff AS. Agricultural exposure and risk of soft tissue sarcomas and gastrointestinal stromal sarcoma in the
AGRIculture
and
CANcer
(
AGRICAN
) cohort. Int J Cancer 2022; 150:1792-1803. [DOI: 10.1002/ijc.33936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Revised: 12/22/2021] [Accepted: 01/04/2022] [Indexed: 11/10/2022]
Affiliation(s)
- Marine Renier
- INSERM, UMR 1086 ANTICIPE, INSERM Caen France
- Université de Caen Normandie Caen France
| | - Amandine Busson
- INSERM, UMR 1086 ANTICIPE, INSERM Caen France
- Université de Caen Normandie Caen France
| | - Mathilde Boulanger
- INSERM, UMR 1086 ANTICIPE, INSERM Caen France
- Université de Caen Normandie Caen France
- Centre de Lutte Contre le Cancer François Baclesse Caen France
| | - Clément Piel
- Université de Bordeaux, Inserm, Bordeaux Population Health Research Center, team EPICENE, U1219 Bordeaux France
| | - Romain Pons
- INSERM, UMR 1086 ANTICIPE, INSERM Caen France
- Université de Caen Normandie Caen France
- Centre de Lutte Contre le Cancer François Baclesse Caen France
| | - Séverine Tual
- INSERM, UMR 1086 ANTICIPE, INSERM Caen France
- Université de Caen Normandie Caen France
- Centre de Lutte Contre le Cancer François Baclesse Caen France
| | - Brice Amadéo
- Université de Bordeaux, Inserm, Bordeaux Population Health Research Center, team EPICENE, U1219 Bordeaux France
- FRANCIM, Réseau national du registre des cancers Toulouse France
| | - Matthieu Meryet‐Figuiere
- INSERM, UMR 1086 ANTICIPE, INSERM Caen France
- Université de Caen Normandie Caen France
- Centre de Lutte Contre le Cancer François Baclesse Caen France
| | - Elisabeth Marcotullio
- Caisse Centrale de la Mutualité Sociale Agricole, Echelon National Santé sécurité au travail Bagnolet France
| | - Bénédicte Clin
- INSERM, UMR 1086 ANTICIPE, INSERM Caen France
- Université de Caen Normandie Caen France
- CHU de Caen Service de Pathologie Professionnelle Caen France
| | - Isabelle Baldi
- Université de Bordeaux, Inserm, Bordeaux Population Health Research Center, team EPICENE, U1219 Bordeaux France
- CHU de Bordeaux, Pôle de Santé Publique Service de Médecine du Travail et Pathologies professionnelles Bordeaux France
| | - Pierre Lebailly
- INSERM, UMR 1086 ANTICIPE, INSERM Caen France
- Université de Caen Normandie Caen France
- Centre de Lutte Contre le Cancer François Baclesse Caen France
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Sarcomas Epidemiology in Iran: Analysis of Data from Iranian National Cancer Registry between 2009 and 2014. INTERNATIONAL JOURNAL OF CANCER MANAGEMENT 2021. [DOI: 10.5812/ijcm.110504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/09/2022]
Abstract
Background: Sarcomas are a wide group of tumors with a mesenchymal origin, accounting for 1% of all adult malignancies. Objectives: This study examined the incidence rates and distribution patterns of morphological subtypes and primary sites of soft tissue and bone sarcomas in a 6-years period in the total population of Iran. Methods: The data was retrieved from the Iranian National Cancer Registry (INCR). A total of 14630 patients were identified with either bone or soft tissue sarcoma during 2009 - 2014. The morphological and topographical classifications were based on the ICD-O-3 and World Health Organization (WHO) guidelines. The crude and age-standardized incidence rates (ASIR) were calculated. Results: The combined crude incidence was calculated 3.2/100,000, and for STS and BS was 2.7 and 0.5 per 100,000 individuals, respectively, increasing with the age. Among the patients, 16.47 and 83.53% of cases had BS and STS, respectively with male predilection. The ASIR calculated 2.8 and 2.6 for STS and 0.51 and 0.37 for BS in males and females, respectively. Sarcoma, osteosarcoma, leiomyosarcoma, liposarcoma, and spindle cell sarcoma were the most common morphologies. The connective tissue of the lower limb, long bone of the lower limb, skin, and uterus were the most frequent primary tumor sites. The majority of tumors were of unknown/undifferentiated grade (grade 9), then grade 3, 1, 2, 4, and score 0 had the highest frequencies, respectively. The highest ASIR of sarcoma was detected in Khuzestan, Kohgiloyeh and Boyer-Ahmad, Isfahan, Tehran, Fars, and Khorasan Razavi provinces. Analysis of the incidence trends showed a slight increase over the study period. Conclusions: These findings can help better diagnose and management of sarcoma patients throughout Iran.
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Lindblad G, Prater S, Chaniotakis SE, Banks J. Inoperable Left Renal Vein Leiomyosarcoma Refractory to Chemotherapy Invades Inferior Vena Cava and Right Atrium: A Case Report. Cureus 2021; 13:e13182. [PMID: 33717726 PMCID: PMC7939540 DOI: 10.7759/cureus.13182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Mesenchymal stem cells differentiate into a plethora of cell types. These differentiated cell types include osteoblasts, chondrocytes, myocytes, and adipocytes. Sarcomas occur secondary to malignant transformation of these mesenchymal, pluripotent stem cells. Involuntary smooth muscle is responsible for the make up of hollow organs and vasculature in our body and is regulated by our autonomic nervous system, hormones, as well as chemical and local mediators. Cancer involving smooth muscle cells is designated as leiomyosarcoma (LMS). LMS can arise from any location in the body where smooth muscle is present and is frequently reported in the abdomen and pelvis, as well as the trunk, extremities, and throughout the retroperitoneum.
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Affiliation(s)
| | | | | | - James Banks
- Radiology, Aventura Hospital and Medical Center, Aventura, USA
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Nordio L, Fattori S, Giudice C. Fibrosarcoma of the eyelid in two sibling Czech wolfdogs. Open Vet J 2017; 7:95-99. [PMID: 28616389 PMCID: PMC5440613 DOI: 10.4314/ovj.v7i2.3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2016] [Accepted: 04/12/2017] [Indexed: 11/17/2022] Open
Abstract
Most canine tumors of the eyelid are tumors generally encountered in the skin. They are most commonly of epithelial origin and benign. In this report, we describe the cases of two sibling Czech wolfdogs presented, one year apart, with a subcutaneous mass involving the left eyelid. Both lesions were histologically consistent with a diagnosis of subcutaneous fibrosarcoma. Immunohistochemical analyses of the tumors revealed a mild positivity for vimentin and negativity for GFAP, desmin, αSMA, myoglobin, S100, PNL2 and calponin, excluding all differential diagnosis (i.e. peripheral nerve sheath tumor, melanoma, perivascular sarcoma, myofibroblastic sarcoma, rhabdomyosarcoma). To the best of authors’ knowledge, this is the first report of canine eyelid fibrosarcoma. Since this rare tumor has been observed in two full siblings, we could speculate the existence of some genetic predisposition to sarcoma, however the present data did not allow any definite conclusion on the etiopathogenesis or genetic basis of these tumors.
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Affiliation(s)
- Laura Nordio
- Department of Veterinary Medicine, Università di Milano, via Celoria 10, 20133, Milano (MI), Italy
| | - Sabina Fattori
- Studio veterinario associato di Fattori Sabina e Gasparini Emanuele, Via Gabrielli Gabrielangelo 85, 61032, Fano (PU), Italy
| | - Chiara Giudice
- Department of Veterinary Medicine, Università di Milano, via Celoria 10, 20133, Milano (MI), Italy
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