1. Efficacy of surgery in the management of multiple recurrences of retroperitoneal dedifferentiated liposarcoma
- Author
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Yoshiki Yamada, Toru Wakamatsu, Yoshinori Imura, Hironari Tamiya, Toshinari Yagi, Rie Suzuki, Akitomo Inoue, Haruna Takami, Sho Nakai, Hidetatsu Outani, Shigeki Kakunaga, and Satoshi Takenaka
- Subjects
Retroperitoneal dedifferentiated liposarcoma ,SUVmax values ,Recurrent cases ,Surgery ,RD1-811 ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Abstract Background Retroperitoneal dedifferentiated liposarcoma is associated with a high risk of recurrence; however, treatment strategies that are more effective than surgery remain to be established. This study aimed to determine the optimal number of surgeries that would be effective for patients with recurrent disease. Furthermore, the improvement in prognosis was evaluated according to the malignancy level. Methods The effect of each type of surgery on the prognosis of 118 patients with retroperitoneal dedifferentiated liposarcoma treated at the Osaka International Cancer Institute between 1997 and 2022 was investigated. Among the 118 patients, 103 underwent initial surgery, while 54 and 30 patients underwent second and third surgeries, respectively. The overall and disease-free survival rates of each group were compared using the Kaplan–Meier method, and the log-rank test was used to determine statistical significance in univariate analysis. 18F-Fluorodeoxyglucose Positron Emission Tomography (FDG-PET) was used to assess malignancy. Maximum standardized uptake values (SUVmax) of ≥ 4 and
- Published
- 2024
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