Research Article

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

Table 5

Studies on the survivorship of dedifferentiated chondrosarcoma cohort since 2000.

AuthorsYearNo.Mean age (range)M : F5-year OSComments

van Maldegem et al. [22]201934NA17 : 17NA4 centers, unresectable DDCS, positive factor: doxorubicin monotherapy
Nemecek et al. [9]20183362.2 (22–90)16 : 1713.6%1977–2015, single center, negative factor: CRP
Lex et al. [23]20183155.6 (33–76)19 : 12NA1995–2016, pelvic DDCS, positive factor: wide surgical margin
Dhinsa et al. [24]20182164 (35–80)NANA2000–2010, DDCS with osteosarcoma as predominant component, positive factor: chemotherapy
Strotman et al. [7]201715965.2 ± 14.783 : 7618%2001–2011, SEER database positive factor: chest wall tumor, negative factor: size > 8 cm, metastases, no surgical resection
Liu et al. [20]20172350.4 (32–73)12 : 1117.4%2008–2015, single center, negative factors: axial bone location, lung metastasis, inadequate surgical margin, incorrect diagnosis before surgery, and pathological fractures
Albergo et al. [25]201517NANA6%1970–2012, single center, femoral DDCS negative factor: pathological fracture
Kawaguchi et al. [8]20144158 (26–86)27 : 1415%1986–2010, single center, positive factor: ifosfamide-based adjuvant chemotherapy combined with surgical resection
Italiano et al. [26]201342NANANA1988–2011, 15 centers, advanced DDCS had higher response to chemotherapy than conventional chondrosarcoma
Yokota et al. [18]2012958.6 (37–86)4 : 50%1996–2010, single center
Staals et al. [27]20071846 (22–74)12 : 629%1970–2002, single center, DDCS that arises in osteochondroma, positive factor: wide surgical resection with adjuvant chemotherapy
Grimer et al. [6]2007337Median 59 (15–89)179 : 15824%1975–2005, 9 centers, negative factors: pathological fracture, pelvic location, increasing age, inadequate margins of excision
Staals et al. [3]200612359.2 (24–83)66 : 5724%1969–2003, single center, negative factors: metastasis, MFH, high percentage of dedifferentiated component
Bruns et al. [1]20051359.8 (36–72)7 : 68%1990–2003, single center, surgery recommended
Dickey et al. [17]2004376624 : 187%1986–2000, single center
Mitchell et al. [5]20002255 (17–81)15 : 718%1977–1998, single center, positive factors: chemotherapy, wide excision margins

CRP, C-reactive protein; DDCS, dedifferentiated chondrosarcoma; MFH, malignant fibrous histiocytoma; NA, not available; OS, overall survival; SEER, the Surveillance, Epidemiology, and End Results database.