Research Article

Predictors of Recurrence and Patterns of Initial Failure in Localized Ewing Sarcoma: A Contemporary 20-Year Experience

Table 1

Patient, tumor, and treatment characteristics of localized Ewing sarcoma cohort.

No relapseRelapse

Number of patients7321

Age at diagnosisMedian age15.8 years21.1 years
<10 y19 (26%)1 (5%)
10–21 y24 (33%)9 (43%)
>21 y30 (41%)11 (52%)

Primary tumor siteAppendicular18 (25%)6 (29%)
Axial38 (52%)11 (52%)
Extraosseous17 (23%)4 (19%)

Primary tumor sizeMedian size6.4 cm8.5 cm
Mean size7.1 cm9.5 cm
≤5 cm25 (34%)5 (24%)
5.1–9.9 cm31 (42%)6 (29%)
≥10 cm14 (19%)8 (38%)
Unknown3 (4%)2 (10%)

Definitive treatmentSurgery alone42 (58%)9 (43%)
RT alone13 (18%)5 (24%)
Surgery + RT18 (25%)7 (33%)

Percent necrosis≥95%27 (37%)2 (10%)
<95%14 (19%)10 (48%)
Unknown or N/A32 (44%)9 (43%)