[Clinical features and prognosis in 20 children with rhabdomyosarcoma]. / 20ä¾æ¨ªçº¹èèç¤æ£å¿ç临åºç¹ç¹åé¢ååæ.
Zhongguo Dang Dai Er Ke Za Zhi
; 24(9): 1036-1041, 2022.
Article
em Zh
| MEDLINE
| ID: mdl-36111723
ABSTRACT
OBJECTIVES:
To study the clinical features of children with rhabdomyosarcoma (RMS) and the influencing factors for prognosis.METHODS:
A retrospective analysis was performed on the clinical and follow-up data of 20 children with RMS who were admitted to the Department of Pediatric Hematology, Xiangya Hospital of Central South University, from June 2014 to September 2020.RESULTS:
The most common clinical symptoms of the 20 children with RMS at the first visit were painless mass (13/20, 65%), exophthalmos (4/20, 20%), and abdominal pain (3/20, 15%). According to the staging criteria of Intergroup Rhabdomyosarcoma Study Group (IRSG), there was 1 child (5%) with stage I RMS, 4 (20%) with stage II RMS, 9 (45%) with stage III RMS, and 6 (30%) with stage IV RMS. The median follow-up time was 19 months for the 20 children (range 3-93 months), with a 2-year overall survival (OS) rate of 79.5% (95%CI 20.1-24.3) and a 2-year event-free survival (EFS) rate of 72.0% (95%CI 19.5-23.9). Pleomorphic RMS was associated with the reduced 2-year OS rate (P<0.05), and distant metastasis, IRSG stage IV RMS, and high-risk RMS were associated with the reduced 2-year EFS rate (P<0.05).CONCLUSIONS:
RMS has no specific clinical symptoms at the first visit, with painless mass as the most common symptom. Distant metastasis, IRSG stage, and risk degree may be associated with the prognosis of children with RMS.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Rabdomiossarcoma
/
Rabdomiossarcoma Embrionário
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Child
/
Humans
Idioma:
Zh
Revista:
Zhongguo Dang Dai Er Ke Za Zhi
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
China