Skip to main content

Table 4 Univariate and multivariate analyses of survival after SCS in patients with uterine sarcoma

From: Prognostic factors of patients with recurrent uterine malignancies undergoing secondary cytoreductive surgery

 

Progression-free survival

Overall survival

 

Univariate

Multivariate

Univariate

Multivariate

 

HR (95%CI)

P value

HR (95%CI)

P value

HR (95%CI)

P value

HR (95%CI)

P value

Age at recurrence (years)

 

0.004

 

0.345

 

0.006

 

0.006

 < 60

1

 

1

 

1

 

1

 

 ≥ 60

4.265 (1.572–11.574)

 

2.153 (0.438–10.577)

3.511 (1.424–8.656)

 

3.868 (1.469–10.185)

 

ECOG performance status before SCR

 

0.031

 

0.237

 

0.069

  

 0

1

 

1

 

1

   

 1–2

3.232 (1.113–9.388)

 

3.000 (0.485–18.550)

2.521 (0.932–6.821)

   

FIGO stage at initial diagnosis

 

0.362

   

0.533

  

 I/II

1

   

1

   

 III/IV

1.575 (0.593–4.183)

   

1.408 (0.481–4.122)

   

Histology

        

 Uterine leiomyosarcoma

1

   

1

   

 Low-grade ESS

0.566 (0.246–1.299)

0.179

  

0.610 (0.250–1.491)

0.279

  

 High-grade ESS

1.493 (0.430–5.185)

0.528

  

1.454 (0.415–5.095)

0.559

  

 Other

0.645 (0.187–2.222)

0.487

  

0.615 (0.140–2.693)

0.518

  

Clinical symptoms at recurrence

 

0.776

   

0.814

  

 No

1

   

1

   

 Symptomatic

0.905 (0.456–1.797)

   

0.915 (0.435–1.924)

   

Size of largest tumor (cm)

 

0.774

   

0.643

  

 ≤ 6

1

   

1

   

 > 6

0.904 (0.455–1.798)

   

0.839 (0.398–1.767)

   

Number of recurrent tumors

 

0.016

 

0.532

 

0.036

 

0.925

 One

1

 

1

 

1

 

1

 

 Several

2.523 (1.187–5.362)

 

1.333 (0.541–3.287)

 

2.471 (1.063–5.742)

 

0.947 (0.308–2.910)

 

DFI before SCS (months)

 

0.090

   

0.034

 

0.024

 < 12

1

   

1

 

1

 

 ≥ 12

0.540 (0.265–1.101)

   

0.414 (0.183–0.934)

 

0.341 (0.134–0.870)

 

Retroperitoneal lymph node metastasis

 

0.820

   

0.616

  

 No

1

   

1

   

 Yes

1.182 (0.280–5.001)

   

0.599 (0.081–4.429)

   

Distant metastasis

 

0.601

   

0.842

  

 No

1

   

1

   

 Yes

0.728 (0.221–2.394)

   

1.131 (0.339–3.775)

   

Peritoneal dissemination

 

0.004

 

0.007

 

0.021

 

0.006

 No

1

 

1

 

1

 

1

 

 Yes

2.926 (1.404–6.096)

 

3.118 (1.356–7.169)

 

2.458 (1.144–5.282)

 

3.672 (1.441–9.361)

 

Ascites

 

0.498

   

0.534

  

 None

1

   

1

   

 Yes

0.662 (0.201–2.184)

   

0.633 (0.150–2.675)

   

Residual disease

 

0.002

 

0.026

 

0.017

 

0.789

 None

1

 

1

 

1

 

1

 

 > 0

3.239 (1.563–6.711)

 

2.662 (1.122–6.319)

 

2.531 (1.182–5.421)

 

1.138 (0.443–2.924)

 

Adjuvant therapy after SCS

        

 None

1

   

1

   

 Chemotherapy only

0.753 (0.347–1.634)

0.472

  

0.652 (0.284–1.495)

0.312

  

 Radiotherapy only

0.832 (0.180–3.849)

0.814

  

0.444 (0.056–3.512)

0.441

  

 CCRT

0.338 (0.043–2.677)

0.304

  

0.562 (0.071–4.458)

0.586

  

 Hormonal therapy

0.312 (0.040–2.467)

0.270

  

0.402 (0.051–3.191)

0.389

  

 Other

14.008 (1.211-162.075)

0.035

  

2.497 (0.297–21.022)

0.400

  
  1. SCS, Secondary cytoreductive surgery; ECOG, Eastern Cooperative Oncology Group; FIGO, International Federation of Gynecology and Obstetrics; HR, hazard ratio; CI, confidence intervals; ESS, endometrial stromal sarcoma; DFI, Disease-free interval; CCRT, Combined chemoradiotherapy