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Wu AM, Li G, Zheng JW, Chen CH, Chen D, Qiao ZG, Zhao JG, Wang B, Fu WL, Sheng SR, Wu YS, Tian NF, Lin ZK, Xu H. Chondrosarcoma in a paediatric population: a study of 247 cases. J Child Orthop 2019; 13:89-99. [PMID: 30838081 PMCID: PMC6376431 DOI: 10.1302/1863-2548.13.180109] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
PURPOSE The aims of present study are to clarify the follow questions: 1) what constitutes paediatric chondrosarcoma?; 2) what are the effects of the demographic and tumour characteristics on survival in patients with paediatric chondrosarcoma?; 3) which prognostic factors of paediatric chondrosarcoma differ from those of the adult population, which have been reported previously? METHODS Paediatric patients who were diagnosed with chondrosarcoma were searched for using the case listing session protocol of the National Cancer Institute's Surveillance, Epidemiology, and End Results 18 databases (1973 to 2014). The extracted demographic information includes: age, race, gender, year of diagnosis, tumour sites, tumour histological subtype, grade, stage and treatment. RESULTS A total of 247 paediatric chondrosarcoma patients were extracted and included in our present study. We find that the paediatric patients have significantly better survival rates than the adult patients. The year of diagnosis, tumour sites, tumour histological subtype, grade, stage and surgery received are independent prognostic factors for the survival rate of paediatric chondrosarcoma patients, but race, gender and age are not. CONCLUSION The paediatric chondrosarcoma patients have better survival rates than the adults. Paediatric patients with a diagnosis at an early age, tumour site at the vertebral column and pelvis/sacrococcyx, myxoid variants, high grade, distant stage and who did not have surgery have a poorer prognosis than patients with a diagnosis at a later age, tumour site at limbs, head and base, chondrosarcoma not otherwise specified, lower grade, localized stage and who received surgery. LEVEL OF EVIDENCE II -Prognostic Study.
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Affiliation(s)
- A.-M. Wu
- Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, The Second School of Medicine Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - G Li
- Clinical Medical College of Guizhou Medical University, Guiyang, Guizhou, China
| | - J.-W. Zheng
- Statistics, Clinical Research Centre, The Eye Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - C.-H. Chen
- Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, The Second School of Medicine Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - D Chen
- Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, The Second School of Medicine Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Z.-G. Qiao
- Department of Orthopaedic Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - J.-G. Zhao
- Department of Orthopaedic Surgery, Tianjin Hospital, Tianjin, China
| | - B Wang
- Department of Orthopaedic Surgery, The Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China
| | - W.-L. Fu
- Department of Orthopaedic Surgery, West China Hospital, Sichuan University, Chengdu, China
| | - S.-R. Sheng
- Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, The Second School of Medicine Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Y.-S. Wu
- Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, The Second School of Medicine Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - N.-F. Tian
- Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, The Second School of Medicine Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Z.-K. Lin
- Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, The Second School of Medicine Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - H Xu
- Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, The Second School of Medicine Wenzhou Medical University, Wenzhou, Zhejiang, China, Correspondence should be sent to H. Xu, MD PhD, Department of Orthopaedic Surgery, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Second Medical School of Wenzhou Medical University, 109# Xueyuan Road, Wenzhou, Zhejiang, 325027, China. E-mail:
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