Korean J Clin Oncol.  2018 Jun;14(1):30-36. 10.14216/kjco.18005.

Distribution and survival of primary sarcoma in Korea: A single center analysis of 2017 cases

Affiliations
  • 1Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. kmhyj111@gmail.com
  • 2Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 3Department of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 4Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 5Department of Diagnostic Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

PURPOSE
Distribution and survival of sarcoma in Korea are not well described, after the changing of sarcoma classification on 2013. The researchers investigated the distribution and survival in single center 2017 cases of sarcoma.
METHODS
Patients with primary sarcoma, who underwent surgery, were investigated. All cases were collected during a 20 year period (1995-2015) from Samsung Medical Center in Korea. Histopathologic types were classified by World Health Organization (WHO) classification (2013). And overall survival rates were analyzed.
RESULTS
Between 1995 and 2015, 2017 patients were collected. The most frequent type of sarcoma was gastrointestinal tumor (15%), followed by liposarcoma (12%), leiomyosarcoma (9%), dermatofibrosarcoma (6%), giant cell sarcoma (6%). The most common primary site of sarcoma was the intra-abdominal area (45%, including visceral area). Extremities accounted for 26% of all cases. Sixteen percent of sarcoma were located in retroperitoneal area. The overall survival rate was 70.4% (median follow-up time, 36.8 months; range, 0.1-261.3 months). The best prognosis was dermatofibrosarcoma (100%, 5-year survival rate). The worst prognosis was angiosarcoma (39.3%). Survival analysis by the primary site demonstrated favor prognosis in extremities than head & neck, chest lesion.
CONCLUSION
The researchers reported Korean sarcoma characteristics with using the new WHO classification.

Keyword

Sarcoma; Epidemiology; Korea

MeSH Terms

Classification
Dermatofibrosarcoma
Epidemiology
Extremities
Follow-Up Studies
Giant Cells
Head
Hemangiosarcoma
Humans
Korea*
Leiomyosarcoma
Liposarcoma
Neck
Prognosis
Sarcoma*
Survival Rate
Thorax
World Health Organization
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