Frequency distribution of risk factors in various types of soft tissue sarcomas

Document Type : Original Article(s)

Authors

1 Professor, Department of Pathology, School of Medicine, Infectious Diseases and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

2 School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

10.48305/jims.v43.i831.1133

Abstract

Background: Soft tissue sarcomas (STSs) are rare neoplasms that account for approximately 1 to 2 % of all adult malignancies. In this regard, this study aimed to assess the frequency distribution of risk factors in various types of STSs.
Methods: This analytical descriptive study was conducted on medical reports of patients with definitive diagnosis of STSs in Department of pathology of Alzahra hospital. Data including age, gender, previous history of radiation, previous history of receiving high-dose radiation during treatment cancer, recurrence of disease, history of first-degree family members, exposure to chemicals components, primary location, and type of STSs were extracted from medical reports and interview. Chi square test was used for analysis of data.
Findings: Among 100 patients, 46 patients were men and 54 patients were women. The most frequency of STSs in men and women was myxoid liposarcoma and leiomyosarcoma with frequency 9 and 8, respectively. The most frequency of STSs and primary locations was liposarcoma (n = 16) and retroperitoneum (n = 24). High grade of STSs was seen in 64 % of patients. No significant difference was seen among STSs in terms, gender, history of radiation, genetic disease, immunodeficiency disease, exposure to chemicals components, and trauma (P > 0.05). Significant difference was seen among the types of STSs in terms of age, primary location, grade and recurrence of disease (P < 0.05).
Conclusion: According to these finding, the most frequency of STSs types was liposarcoma. In addition, the types of STSs were influenced by age, and involved primary location. Moreover, the types of STSs may affect grade and recurrence of disease. However, it seems that the types of STSs were not dependent to gender, history of radiation, genetic disease, immunodeficiency disease, exposure to chemicals components and trauma.

Highlights

Azar Baradaran: Google Scholar

Keywords

Main Subjects


  1. Slump J, Bastiaannet E, Halka A, Hoekstra HJ, Ferguson PC, Wunder JS, et al. Risk factors for postoperative wound complications after extremity soft tissue sarcoma resection: A systematic review and meta-analyses. J Plast Reconstr Aesthet Surg 2019; 72(9): 1449-64.
  2. Ferrari A, Bisogno G, Macaluso A, Michela Casanova M, D'Angelo P, et al. Soft-tissue sarcomas in children and adolescents with neurofibromatosis type 1. Cancer 2007;109(7): 1402-16.
  3. Rouhani P, Fletcher CDM, Devesa SS, Toro JR. Cutaneous soft tissue sarcoma incidence patterns in the US: an analysis of 12,114 cases. Cancer 2008; 113(3): 616-27.
  4. Toro JR, Travis LB, Wu HJ, Zhu K, Fletcher CD, Devesa SS. Incidence patterns of soft tissue sarcomas, regardless of primary site, in the surveillance, epidemiology and end results program, 1978–2001: an analysis of 26,758 cases. Int J Cancer 2006; 119(12): 2922-30.
  5. Joshi D, Anderson JR, Paidas C, Breneman J, Parham DM, Crist W, Soft Tissue Sarcoma Committee of the Children's Oncology Group. Age is an independent prognostic factor in rhabdomyosarcoma: a report from the Soft Tissue Sarcoma Committee of the Children's Oncology Group. Pediatr Blood Cancer 2004; 42(1): 64-73.
  6. American Cancer Society. cancer.org Available from: https://acscmsstorage.blob.core.windows.net/cmsfiles/cacb8494.pdf
  7. Zambon P, Ricci P, Bovo E, Casula A, Gattolin M, Fiore AR, et al. Sarcoma risk and dioxin emissions from incinerators and industrial plants: a population-based case-control study (Italy). Environ Health 2007; 6: 19.
  8. Coindre JM. Grading of soft tissue sarcomas: review and update. Arch Pathol Lab Med 2006; 130(10): 1448-53.
  9. Penel N, Glabbeke MV, Mathoulin-Pelissier S, Judson I, Sleijfer S, Bui B, et al. Performance status is the most powerful risk factor for early death among patients with advanced soft tissue sarcoma. Br J Cancer 2011; 104(10): 1544-50.
  10. Ruocco E, Tornesello ML, Gambardella A, Wolf R, Buonaguro FM. Kaposi’s sarcoma: etiology and pathogenesis, inducing factors, causal associations, and treatments: facts and controversies. Clin Dermatol 2013; 31(4): 413-422.
  11. Hui JYC. Epidemiology and etiology of sarcomas. Surg Clin North Am 2016; 96(5): 901-14.
  12. Bar Y, Merimsky O. Soft-tissue sarcoma following traumatic injury: case report and review of the literature. Front Oncol 2017; 7: 134.
  13. Camboni M, Hammond S, Martin LT, Martin PT. Induction of a regenerative microenvironment in skeletal muscle is sufficient to induce embryonal rhabdomyosarcoma in p53‐deficient mice. J Pathol 2012; 226(1): 40-9.
  14. Burningham Z, Hashibe M, Spector L, Schiffman JD. The epidemiology of sarcoma. Clin Sarcoma Res 2012; 2(1): 14.
  15. Merletti F, Richiardi L, Bertoni F, Ahrens W, Buemi A, Costa-Santos C, et al. Occupational factors and risk of adult bone sarcomas: a multicentric case-control study in Europe. Int J Cancer 2006. 118(3): 721-8.
  16. Dezub BJ. Acquired immunodeficiency syndrome-related Kaposi's sarcoma: clinical features, staging. Semin Oncol 2000; 27(4): 424-30.
  17. Bhatia K, Shiels MS, Berg A, Engels EA. Sarcomas other than Kaposi sarcoma occurring in immunodeficiency: interpretations from a systematic literature review. Curr Opin Oncol 2012; 24(5): 537-46.
  18. Grandadam M, Dupin N, Calvez V, Gorin I, Blum L, Kernbaum S, et al. Exacerbations of Clinical Symptoms in Human Immunodeficiency Virus Typ 1Infected Patients with Multicentric Castleman's Disease Are Associated with a High Increase in Kaposi's Sarcoma Herpesvirus DNA Load in Peripheral Blood Mononuclear Cells. J Infect Dis 1997; 175(5): 1198-20
  19. Zhang Y, ChaoJJ, Liu XF, Qin SK. Type I neurofibromatosis with spindle cell sarcoma: A case report. World Journal of Clinical Cases 2019; 7(19): 3104-10.
  20. Uzoaru I, Podbielski FJ, Chou P, Raffensperger JG, Gonzalez-Crussi F. Familial adenomatous polyposis coli and clear cell sarcoma of the kidney. Pediatr Pathol 1993; 13(2): 133-41.
  21. Mack TM. Sarcomas and other malignancies of soft tissue, retroperitoneum, peritoneum, pleura, heart, mediastinum, and spleen. Cancer 1995; 75(1 Suppl): 211-44.
  22. de Gonzalez AB, Kutsenko A, Rajaraman P. Sarcoma risk after radiation exposure. Sarcoma risk after radiation exposure 2012; (1): 18.
  23. Potter DA, Kinsella T, Glatstein E, Wesley R, White DE, Seipp CA, et al. High‐grade soft tissue sarcomas of the extremities. Cancer 1986; 58(1): 190-205.
  24. Prosnitz LR, Maguire P, Anderson JM, Scully SP, Harrelson JM, Jones EL, et al. The treatment of high-grade soft tissue sarcomas with preoperative thermoradiotherapy. Int J Radiat Oncol Biol Phys 1999; 45(4): 941-9.