Borrego-Paredes E, Prada-Chamorro E, Chacón-Cartaya S, Santos-Rodas A, Gallo-Ayala JM, Hernández-Beneit JM. Ewing sarcoma, analysis of survival at 6 years with multidisciplinary therapy.
Rev Esp Cir Ortop Traumatol (Engl Ed) 2019;
63:86-94. [PMID:
30642764 DOI:
10.1016/j.recot.2018.10.006]
[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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2017] [Revised: 04/06/2018] [Accepted: 10/14/2018] [Indexed: 11/19/2022] Open
Abstract
PURPOSE
The purpose of this study is to present our series of Ewing sarcoma cases and the survival data obtained in the medium term, using a multidisciplinary therapy protocol.
MATERIAL, METHODS AND RESULTS
Forty-one Ewing sarcomas were diagnosed, treated and followed-up in our hospital between 2004 and 2009 with an average age of 18.29 years. Seventy-eight percent were to Ewing sarcoma of the bone, the femur being the most frequent location. Sixty-eight percent had a localized stage at the time of diagnosis. At the end of follow-up, 40% of the patients did not survive, most died within the first 5 years of follow-up.
DISCUSSION
In Spain, Ewing sarcoma is the most common primary malignant bone tumour in childhood, ahead of osteosarcoma. Its survival rate has increased greatly in the last 40 years, improvement attributable mainly to the aggressive use of chemotherapy and to multidisciplinary treatment, but its prognosis remains very poor, especially for those with metastasis at diagnosis, the main adverse prognostic factor. Because of its high mortality, many authors consider it a disseminated disease from the beginning, with non- detectable micrometastasis that condition final survival.
CONCLUSIONS
Early diagnosis and multidisciplinary therapy in referral centres are the best strategies currently available to us to provide these patients the maximum possibilities of cure of this disease.
Collapse