Upper-extremity sarcomas in the United States: analysis of the surveillance, epidemiology, and end results database, 1973-1998

The Journal of Hand Surgery
Amy K AldermanKevin C Chung

Abstract

Upper-extremity soft-tissue sarcomas are a rare disease with unclear epidemiology and evolving treatment strategies. Our purpose is to evaluate the incidence of upper-extremity soft-tissue sarcomas and the use of adjuvant radiotherapy in this patient population. Using the Surveillance, Epidemiology, and End Results (SEER) database, a national population-based database, we identified all cases of primary upper-extremity sarcoma reported to the 9 national SEER registries in the Untied States from 1973 to 1998. Of the 1,286 upper-extremity soft-tissue sarcomas the average incidence rate is 2.2 cases/million/y, which has not changed significantly from 1973 to 1998. Caucasians' average incidence rate is significantly higher than African Americans' (incidence rate ratio [IRR] = 1.3, p =.02); and men are at a significantly higher risk compared with women (IRR = 1.3, p <.01). The use of adjuvant radiotherapy has increased significantly from 17% in 1973 to 47% in 1998 (p <.01). African-Americans, compared with Caucasians, are significantly less likely to receive adjuvant radiotherapy (odds ratio [OR] =.5, p =.01). The incidence of upper-extremity sarcomas has not changed significantly over the past 3 decades; however, the disease differ...Continue Reading

Citations

Sep 15, 2012·World Journal of Surgical Oncology·Irfan QadirMuhammad Sharoz Rabbani
Mar 6, 2007·The Journal of Hand Surgery·John T Anderson, George L Lucas
Apr 29, 2006·European Journal of Cancer Care·H Ohtsuka, S Nagamatsu
Nov 2, 2006·The Journal of the American Academy of Orthopaedic Surgeons·Ann-Marie PlateMartin A Posner
Feb 6, 2016·Annals of Plastic Surgery·Victor Zhang ZhuAlexander Francis Au
Oct 3, 2007·The Journal of the American Academy of Orthopaedic Surgeons·Mark C Gebhardt
Aug 6, 2020·Cancers·Anna M CzarneckaPiotr Rutkowski
Nov 13, 2020·Journal of Plastic Surgery and Hand Surgery·Jonathan PersitzErez Avisar
Mar 30, 2019·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Jonathan LansSantiago A Lozano-Calderon
Feb 27, 2008·Clinics in Plastic Surgery·Amy K Alderman, Kevin C Chung

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