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A Mouse Model of Incompletely Resected Soft Tissue Sarcoma for Testing Neoadjuvant Therapies

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Published on: July 28, 2020

Does postoperative infection after soft tissue sarcoma resection affect oncologic outcomes?

Nicole K Behnke¹, Vignesh K Alamanda, Yanna Song

¹Division of Orthopaedic Surgery, University of Alabama at Birmingham Medical Center, Birmingham, Alabama.

Journal of Surgical Oncology

|November 29, 2013

Summary

Postoperative infection did not impact survival, metastasis, or recurrence in soft tissue sarcoma patients. This study found no protective or detrimental effect of infection following surgical resection.

Keywords:

infection metastasis recurrence sarcoma

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Area of Science:

Oncology
Surgical Oncology
Infectious Disease

Background:

Previous research suggested a survival benefit from postoperative infection in osteosarcoma.
The impact of infection on soft tissue sarcoma (STS) outcomes remains unclear.

Purpose of the Study:

To investigate the effect of postoperative infection on metastasis, recurrence, and survival in patients undergoing soft tissue sarcoma resection.
To determine if infection after STS surgery confers a similar survival benefit as observed in osteosarcoma.

Main Methods:

Retrospective review of 396 patients treated for soft tissue sarcoma between 2000 and 2008.
Comparison of oncologic outcomes between 56 patients with postoperative infection and 340 patients without infection.
Analysis included hazard ratios and cumulative risk, controlling for patient and tumor characteristics.

Main Results:

No significant difference in survival, local recurrence, or metastasis was observed between infected and non-infected patient groups.
Patient demographics, tumor characteristics, and adjuvant therapy use were similar between groups.
Positive margin status was the only significant predictor of local recurrence; increased tumor size correlated with higher metastasis and mortality risk.

Conclusions:

Postoperative infection does not appear to confer a protective effect or increase adverse oncologic outcomes after soft tissue sarcoma resection.
Infection status is not a significant prognostic factor for survival, recurrence, or metastasis in this patient cohort.