Localized vagina/uterus rhabdomyosarcoma (VU RMS): Results of a pooled analysis from four international cooperative groups.

2015 ◽  
Vol 33 (15_suppl) ◽  
pp. 10063-10063
Author(s):  
Veronique Minard-Colin ◽  
James Robert Anderson ◽  
Gianni Bisogno ◽  
Dominique Schwob ◽  
David A. Rodeberg ◽  
...  
2011 ◽  
Vol 29 (15_suppl) ◽  
pp. 9529-9529 ◽  
Author(s):  
J. H. Merks ◽  
G. L. De Salvo ◽  
C. Bergeron ◽  
G. Bisogno ◽  
A. Rey ◽  
...  

2018 ◽  
Vol 36 (35) ◽  
pp. 3466-3476 ◽  
Author(s):  
David O. Walterhouse ◽  
Donald A. Barkauskas ◽  
David Hall ◽  
Andrea Ferrari ◽  
Gian Luca De Salvo ◽  
...  

Purpose Treatment recommendations for localized paratesticular rhabdomyosarcoma (PT RMS) differ in North America and Europe. We conducted a pooled analysis to identify demographic features and treatment choices that affect outcome. Patients and Methods We retrospectively analyzed the effect of nine demographic variables and four treatment choices on event-free survival (EFS) and overall survival (OS) from 12 studies conducted by five cooperative groups. Results Eight hundred forty-two patients with localized PT RMS who enrolled from 1988 to 2013 were included. Patients age ≥ 10 years were more likely than younger patients to have tumors that were > 5 cm, enlarged nodes (N1), or pathologically involved nodes ( P ≤ .05 each). With a median follow-up of 7.5 years, Kaplan-Meier estimates for 5-year EFS and OS were 87.7% and 94.8%, respectively. Of demographic variables, cooperative group, era of enrollment, age category, tumor size, Intergroup Rhabdomyosarcoma Study group, and T stage affected EFS ( P ≤ .05 each). Surgical assessment of regional nodes, which was performed in 23.5% of patients—usually in those age ≥ 10 years or with suspicious or N1 nodes—was the only treatment variable associated with EFS by univariable and multivariable analyses ( P ≤ .05 each) in patients age ≥ 1 year. A variable selection procedure on a proportional hazards regression model selected era of enrollment, age, tumor size, and surgical assessment of regional nodes as significant ( P ≤ .05 each) in the EFS model, and era of enrollment, age, tumor size, and histology ( P ≤ .05 each) in the OS model. Conclusion Localized PT RMS has a favorable prognosis. Age ≥ 10 years at diagnosis and tumor size larger than 5 cm are unfavorable prognostic features. Surgical assessment of regional nodes is important in patients age ≥ 10 years and in those with N1 nodes as it affects EFS.


2014 ◽  
Vol 25 (1) ◽  
pp. 231-236 ◽  
Author(s):  
J.H.M. Merks ◽  
G.L. De Salvo ◽  
C. Bergeron ◽  
G. Bisogno ◽  
A. De Paoli ◽  
...  

2015 ◽  
Vol 62 (12) ◽  
pp. 2125-2131 ◽  
Author(s):  
Odile Oberlin ◽  
Annie Rey ◽  
Kenneth L.B. Brown ◽  
Gianni Bisogno ◽  
Ewa Koscielniak ◽  
...  

2018 ◽  
Vol 65 (9) ◽  
pp. e27096 ◽  
Author(s):  
Veronique Minard-Colin ◽  
David Walterhouse ◽  
Gianni Bisogno ◽  
Helene Martelli ◽  
James Anderson ◽  
...  

2008 ◽  
Vol 26 (14) ◽  
pp. 2384-2389 ◽  
Author(s):  
Odile Oberlin ◽  
Annie Rey ◽  
Elizabeth Lyden ◽  
Gianni Bisogno ◽  
Michael C.G. Stevens ◽  
...  

Purpose To identify risk factors associated with outcome in children with metastatic rhabdomyosarcoma in a large cohort of patients Patients and Methods Pooled data were obtained from 788 patients treated in nine studies performed by European and American cooperative groups. Clinical factors, including age, histology, site of primary, and site(s) and number of sites of metastatic disease, were correlated with event-free survival (EFS) and overall survival (OS). Results Seven hundred eighty-eight patients were eligible for analysis. The 3-year OS and EFS were 34% (SE, 1.7) and 27% (SE, 1.6), respectively. By univariate analysis, 3-year EFS was significantly and adversely influenced by age, alveolar histology, location of primary tumor in unfavorable site (defined as extremity and “other” sites), presence of three or more sites of metastatic disease, and the presence of bone or bone marrow involvement. By multivariate analysis, EFS was strongly correlated to all factors except histology. Relative risks were 1.6 for age younger than 1 year or at least 10 years, 1.4 for unfavorable site of primary tumor, 1.4 for bone or bone marrow involvement, 1.4 for three or more metastatic sites. EFS was 50% for patients without any of these four adverse factors and was respectively 42%, 18%, 12%, and 5% in patients with one, two, three, or four factors (P < .0001). Conclusion This analysis identified subsets of patients with metastatic rhabdomyosaroma with different outcomes to current therapy and offers a strategy to define patient candidates for experimental approaches to treatment.


2010 ◽  
Vol 28 (15_suppl) ◽  
pp. 9505-9505
Author(s):  
O. Oberlin ◽  
A. Rey ◽  
K. L. Brown ◽  
G. Bisogno ◽  
E. Koscielniak ◽  
...  

2004 ◽  
Vol 171 (4S) ◽  
pp. 410-410
Author(s):  
Christian Seitz ◽  
Bob Djavan ◽  
Michael Dobrovits ◽  
Matthias Waldert ◽  
Saeid Alavi ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document