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Risk factors for metastasis at presentation with conventional chondrosarcoma: a population-based study
Kehan Song1, Xiao Shi2, Xin Liang3
1Department of Orthopaedics, Huashan Hospital, Fudan University, No.12 Wulumuqizhong Road, Shanghai, 200040, China.
Older age, axial or craniofacial tumor location, higher grade, and larger tumor size increase metastasis risk in conventional chondrosarcoma patients at diagnosis.
Area of Science:
- Oncology
- Orthopedic Oncology
- Cancer Research
Background:
- Conventional chondrosarcoma is a rare bone malignancy.
- Metastasis at diagnosis significantly impacts patient prognosis and treatment strategies.
Purpose of the Study:
- To identify risk factors associated with metastasis at the time of diagnosis for conventional chondrosarcoma.
- To inform early detection and risk stratification for patients with this rare cancer.
Main Methods:
- Utilized data from the Surveillance, Epidemiology, and End Results (SEER) database (1983-2014).
- Included 2,349 patients diagnosed with conventional chondrosarcoma.
- Employed univariate and multivariate logistic regression analyses to identify risk factors.
Main Results:
- Older age (≥60 years), axial or craniofacial tumor location, higher tumor grade (II or III), and larger tumor size (>10 cm) were significantly associated with increased risk of metastasis.
- Specific odds ratios (OR) and confidence intervals (CI) were calculated for each risk factor.
Conclusions:
- Conventional chondrosarcoma patients presenting with older age, axial/craniofacial location, higher grade, or larger tumor size face a greater likelihood of metastasis at diagnosis.
- These factors are critical for assessing metastatic potential and guiding clinical management.
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