Dataset Information

Feasibility and long-term outcomes of surgery for primary thoracic synovial sarcoma.

ABSTRACT:

Objectives

Primary thoracic synovial sarcoma (SS) is a rare, high-grade, malignancy. Involvement of vital organs is frequent and may decrease the benefits of surgical resection. We reviewed our practice at a highly experienced thoracic-surgery centre to assess early- and long-term outcomes after surgery.

Methods

We conducted a retrospective, observational, single-centre study of patients undergoing curative-intent surgery for primary thoracic SS between 1 January 2000 and 31 January 2021 as part of a multidisciplinary management. We assessed demographics, medical history, histopathology and follow-up information.

Results

We enrolled 20 patients (13 males) with a median age of 40 years old and a median tumour size of 11 cm. Neoadjuvant chemotherapy was administered to 13 patients. Surgery consisted in extrapleural pneumonectomy (n = 7), extrapleural lobectomy (n = 5), chest wall resection (n = 4) or tumour resection (n = 4). R0 resection was achieved in 16 (80%) patients. Adjuvant therapy was given to 13 patients. 6 patients developed postoperative complications. The median hospital stay was 11.5 days. Overall survival at 2 and 5 years was 51% and 22%, respectively; median overall survival was 25 months and median disease-free survival was 8.5 months. Relapses occurred in 15 patients. By univariate analysis, incomplete resection was the only significant predictor of survival (P = 0.01).

Conclusions

Primary thoracic SS is an aggressive disease. Surgery included in a multimodal treatment may contribute to achieving a good outcome, providing that an R0 resection is obtained. Given the considerable technical challenges of surgery, patient selection and referral to an experienced centre are crucial to minimize morbidity and mortality.

SUBMITTER: Pieropan S

PROVIDER: S-EPMC9492245 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

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Publications

Feasibility and long-term outcomes of surgery for primary thoracic synovial sarcoma.

Pieropan Sara S Mercier Olaf O Mitilian Delphine D Pradère Pauline P Fabre Dominique D Ion Daniela Iolanda DI Mir Olivier O Galbardi Barbara B Thomas De Montpreville Vincent V Fadel Elie E

Interactive cardiovascular and thoracic surgery 20220901 4

<h4>Objectives</h4>Primary thoracic synovial sarcoma (SS) is a rare, high-grade, malignancy. Involvement of vital organs is frequent and may decrease the benefits of surgical resection. We reviewed our practice at a highly experienced thoracic-surgery centre to assess early- and long-term outcomes after surgery.<h4>Methods</h4>We conducted a retrospective, observational, single-centre study of patients undergoing curative-intent surgery for primary thoracic SS between 1 January 2000 and 31 Janua ...[more]

PMID: 36066443

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Dataset Information

Feasibility and long-term outcomes of surgery for primary thoracic synovial sarcoma.

Objectives

Methods

Results

Conclusions

Publications

Feasibility and long-term outcomes of surgery for primary thoracic synovial sarcoma.

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