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Benavent MP, Viñuela ER, Nagore E, Monteagudo C, Aguerralde M, Cano DM, Llombart B, Guillén CS, Canales IP, Requena C, Sanmartín O. [[Translated article]]Lymphovascular Invasion and High Mitotic Count Are Associated With Increased Risk of Recurrence in Pleomorphic Dermal Sarcoma. Actas Dermosifiliogr 2023:S0001-7310(23)00479-9. [PMID: 37302481 DOI: 10.1016/j.ad.2023.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Accepted: 04/02/2023] [Indexed: 06/13/2023] Open
Abstract
BACKGROUND AND OBJECTIVE Atypical fibroxanthoma and pleomorphic dermal sarcoma (PDS) are rare mesenchymal tumors. Due to the low incidence of PDS and a historically confusing nomenclature, little is known about the true aggressiveness of this tumor. The aim of this study was to investigate clinical and histologic risk factors for recurrence in PDS. MATERIAL AND METHODS Retrospective, observational, bicentric study of 31 PDSs diagnosed and treated at Hospital Clínico Universitario de Valencia and Instituto Valenciano de Oncología in Valencia, Spain, between 2005 and 2020. We described the clinical and histologic features of these tumors and performed univariate analysis and multivariate Cox regression analysis. RESULTS In the univariate analysis, tumor recurrence (P < .001), necrosis (P = .020), lymphovascular invasion (P = .037), perineural invasion (P = .041), and mitotic count (< 18 vs ≥ 18 mitoses per 10 high-power fields) (P = .093) were associated with worse disease-free survival. In the multivariate Cox regression analysis, mitotic count and lymphovascular invasion retained their significance as predictors of worse disease-free survival (P < .05). CONCLUSIONS PDS is an aggressive tumor in which a high mitotic count (≥ 18) and lymphovascular invasion are associated with a higher risk of recurrence and worse disease-free survival. Necrosis and perineural invasion are also probably linked to increased tumor aggressiveness.
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Affiliation(s)
- M Pons Benavent
- Servicio de Dermatología, Hospital Virgen de Los Lírios, Alcoy (Alicante), España
| | - E Ríos Viñuela
- Servicio de Dermatología, Hospital Universitario Fundación Jiménez Díaz, Madrid, España.
| | - E Nagore
- Servicio de Dermatología, Fundación Instituto Valenciano de Oncología, Valencia, España
| | - C Monteagudo
- Servicio de Anatomía Patológica, Hospital Clínico Universitario, Valencia, España
| | - M Aguerralde
- Servicio de Dermatología, Fundación Instituto Valenciano de Oncología, Valencia, España
| | - D Mata Cano
- Servicio de Anatomía Patológica, Hospital de Tortosa Verge de la Cinta, Tortosa (Tarragona), España
| | - B Llombart
- Servicio de Dermatología, Fundación Instituto Valenciano de Oncología, Valencia, España
| | - C Serra Guillén
- Servicio de Dermatología, Fundación Instituto Valenciano de Oncología, Valencia, España
| | - I Pinazo Canales
- Servicio de Dermatología, Hospital Clínico Universitario, Valencia, España
| | - C Requena
- Servicio de Dermatología, Fundación Instituto Valenciano de Oncología, Valencia, España
| | - O Sanmartín
- Servicio de Dermatología, Fundación Instituto Valenciano de Oncología, Valencia, España
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Pons Benavent M, Ríos-Viñuela E, Nagore E, Monteagudo C, Aguerralde M, Mata Cano D, Llombart B, Serra-Guillén C, Pinazo Canales I, Requena C, Sanmartín O. Lymphovascular Invasion and High Mitotic Count Are Associated With Increased Risk of Recurrence in Pleomorphic Dermal Sarcoma. Actas Dermosifiliogr 2023:S0001-7310(23)00301-0. [PMID: 37088288 DOI: 10.1016/j.ad.2023.04.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 03/22/2023] [Accepted: 04/02/2023] [Indexed: 04/25/2023] Open
Abstract
BACKGROUND AND OBJECTIVE Atypical fibroxanthoma and pleomorphic dermal sarcoma (PDS) are rare mesenchymal tumors. Due to the low incidence of PDS and a historically confusing nomenclature, little is known about the true aggressiveness of this tumor. The aim of this study was to investigate clinical and histologic risk factors for recurrence in PDS. MATERIAL AND METHODS Retrospective, observational, bicentric study of 31 PDSs diagnosed and treated at Hospital Clínico Universitario de Valencia and Instituto Valenciano de Oncología in Valencia, Spain, between 2005 and 2020. We described the clinical and histologic features of these tumors and performed univariate analysis and multivariate Cox regression analysis. RESULTS In the univariate analysis, tumor recurrence (P < .001), necrosis (P = .020), lymphovascular invasion (P = .037), perineural invasion (P = .041), and mitotic count (< 18 vs ≥ 18 mitoses per 10 high-power fields) (P = .093) were associated with worse disease-free survival. In the multivariate Cox regression analysis, mitotic count and lymphovascular invasion retained their significance as predictors of worse disease-free survival (P < .05). CONCLUSIONS PDS is an aggressive tumor in which a high mitotic count (≥ 18) and lymphovascular invasion are associated with a higher risk of recurrence and worse disease-free survival. Necrosis and perineural invasion are also probably linked to increased tumor aggressiveness.
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Affiliation(s)
- M Pons Benavent
- Servicio de Dermatología, Hospital Virgen de Los Lírios, Alcoy (Alicante), España
| | - E Ríos-Viñuela
- Servicio de Dermatología, Hospital Universitario Fundación Jiménez Díaz, Madrid, España.
| | - E Nagore
- Servicio de Dermatología, Fundación Instituto Valenciano de Oncología, Valencia, España
| | - C Monteagudo
- Servicio de Anatomía Patológica, Hospital Clínico Universitario, Valencia, España
| | - M Aguerralde
- Servicio de Dermatología, Fundación Instituto Valenciano de Oncología, Valencia, España
| | - D Mata Cano
- Servicio de Anatomía Patológica, Hospital de Tortosa Verge de la Cinta, Tortosa (Tarragona), España
| | - B Llombart
- Servicio de Dermatología, Fundación Instituto Valenciano de Oncología, Valencia, España
| | - C Serra-Guillén
- Servicio de Dermatología, Fundación Instituto Valenciano de Oncología, Valencia, España
| | - I Pinazo Canales
- Servicio de Dermatología, Hospital Clínico Universitario, Valencia, España
| | - C Requena
- Servicio de Dermatología, Fundación Instituto Valenciano de Oncología, Valencia, España
| | - O Sanmartín
- Servicio de Dermatología, Fundación Instituto Valenciano de Oncología, Valencia, España
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Pons Benavent M, Porcar Saura S, Bou Boluda L. [Translated article] RF-Adverse Skin Reaction to Apalutamide: An Emerging Effect. Actas Dermosifiliogr 2023; 114:T336-T338. [PMID: 36806633 DOI: 10.1016/j.ad.2021.10.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Accepted: 10/11/2021] [Indexed: 02/19/2023] Open
Affiliation(s)
- M Pons Benavent
- Servicio de Dermatología, Hospital Clínico Universitario de Valencia, Blasco Ibéñez 17, Valencia 46010, Spain.
| | - S Porcar Saura
- Servicio de Dermatología, Hospital Clínico Universitario de Valencia, Blasco Ibéñez 17, Valencia 46010, Spain
| | - L Bou Boluda
- Servicio de Dermatología, Hospital Arnau de Vilanova, San Clemente 12, Valencia 46015, Spain
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Porcar Saura S, Eixarch Dualde A, Pons Benavent M, Guillén Climent S. [Translated article] Linear Atrophy and Cutaneous Hypopigmentation After an Intralesional Corticosteroid Injection: A Rare Adverse Effect. Actas Dermo-Sifiliográficas 2022; 113:T1001-T1002. [DOI: 10.1016/j.ad.2022.10.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2020] [Accepted: 01/11/2021] [Indexed: 11/30/2022] Open
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Pons Benavent M, Porcar Saura S, Bou Boluda L. RF-Adverse Skin Reaction to Apalutamide: An Emerging Effect. Actas Dermosifiliogr 2022; 114:336-338. [PMID: 36206808 DOI: 10.1016/j.ad.2021.10.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Revised: 09/07/2021] [Accepted: 10/11/2021] [Indexed: 11/05/2022] Open
Affiliation(s)
- M Pons Benavent
- Servicio de Dermatología, Hospital Clínico Universitario de Valencia, Valencia, España.
| | - S Porcar Saura
- Servicio de Dermatología, Hospital Clínico Universitario de Valencia, Valencia, España
| | - L Bou Boluda
- Servicio de Dermatología, Hospital Arnau de Vilanova, Valencia, España
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Pons Benavent M, Silva Díaz E, Guillén Climent S, Monteagudo Castro C. Scrotal Erythema: First Sign of a Cutaneous Drug Reaction to Pazopanib. Actas Dermo-Sifiliográficas (English Edition) 2021. [DOI: 10.1016/j.adengl.2021.01.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
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Pons Benavent M, Silva Díaz E, Guillén Climent S, Monteagudo Castro C. Scrotal Erythema: First Sign of a Cutaneous Drug Reaction to Pazopanib. Actas Dermosifiliogr (Engl Ed) 2020; 112:277-279. [PMID: 33127419 DOI: 10.1016/j.ad.2019.07.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2019] [Revised: 06/14/2019] [Accepted: 07/16/2019] [Indexed: 11/25/2022] Open
Affiliation(s)
- M Pons Benavent
- Servicio de Dermatología, Hospital Clínico Universitario de Valencia, Valencia, España.
| | - E Silva Díaz
- Servicio de Dermatología, Hospital Clínico Universitario de Valencia, Valencia, España
| | - S Guillén Climent
- Servicio de Dermatología, Hospital Clínico Universitario de Valencia, Valencia, España
| | - C Monteagudo Castro
- Servicio de Anatomía Patológica, Hospital Clínico Universitario de Valencia , Valencia, España
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Guillen-Climent S, García-Vázquez A, Pons Benavent M, Porcar Saura S, Pinazo Canales I, Monteagudo C. Painful cutaneous lesions on the hand palm after Takotsubo cardiomyopathy and coronary angiography. Clin Exp Dermatol 2020; 46:387-390. [PMID: 33091167 DOI: 10.1111/ced.14475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/08/2020] [Indexed: 11/30/2022]
Affiliation(s)
- S Guillen-Climent
- Departments, Department of, Dermatology, Clinical University Hospital of Valencia, Valencia, Spain
| | - A García-Vázquez
- Departments, Department of, Dermatology, Clinical University Hospital of Valencia, Valencia, Spain
| | - M Pons Benavent
- Departments, Department of, Dermatology, Clinical University Hospital of Valencia, Valencia, Spain
| | - S Porcar Saura
- Departments, Department of, Dermatology, Clinical University Hospital of Valencia, Valencia, Spain
| | - I Pinazo Canales
- Departments, Department of, Dermatology, Clinical University Hospital of Valencia, Valencia, Spain
| | - C Monteagudo
- Department, Pathology, Clinical University Hospital of Valencia, Valencia, Spain.,Department of Pathology, University of Valencia, Valencia, Spain
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Porcar Saura S, Pons Benavent M, Guillén Climent S, García Vázquez A. Attitudes of Patients With Skin Tumors During the COVID-19 Pandemic. Actas Dermosifiliogr (Engl Ed) 2020; 112:195-198. [PMID: 32905789 PMCID: PMC7474904 DOI: 10.1016/j.ad.2020.08.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Revised: 08/14/2020] [Accepted: 08/22/2020] [Indexed: 12/21/2022] Open
Affiliation(s)
- S Porcar Saura
- Servicio de Dermatología. Hospital Clínico Universitario de Valencia, Universidad de Valencia, Valencia, España.
| | - M Pons Benavent
- Servicio de Dermatología. Hospital Clínico Universitario de Valencia, Universidad de Valencia, Valencia, España
| | - S Guillén Climent
- Servicio de Dermatología. Hospital Clínico Universitario de Valencia, Universidad de Valencia, Valencia, España
| | - A García Vázquez
- Servicio de Dermatología. Hospital Clínico Universitario de Valencia, Universidad de Valencia, Valencia, España
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