Research Article

Prognostic Factors in Dedifferentiated Chondrosarcoma: A Retrospective Analysis of a Large Series Treated at a Single Institution

Table 4

Significant prognostic factors for local relapse-free survival and metastasis-free survival in patients with nonmetastatic dedifferentiated chondrosarcoma by univariate and multivariate analyses.

VariableUnivariateMultivariate
Median (months)95% CIHR95% CI

Local relapse-free survival61.7
 Pathological fracture0.008NS
  NoNot reached
  Yes11.00–25.5
 Lymphovascular invasion0.024NS
  NoNot reached
  Yes11.00–22.3
  NA61.70–142.4
 Surgical margin0.002
  R0Not reached1.000.004
  R1/R210.21.2–19.17.512.51–22.46<0.001
  No surgery61.71.980.25–15.990.520

Metastasis-free survival18.16.2–30.0
 Pathological fracture0.017NS
  No31.60–82.3
  Yes6.43.1–9.7
 Size of dedifferentiated component0.0170.044
  MicroscopicNot reached1.00
  Macroscopic9.06.4–11.67.781.06–57.17

CI, confidence interval; HR, hazard ratio; NS, not significant.