The Journal of Bone and Joint Surgery, Vol 70, Issue 6 862-870, Copyright © 1988 by Journal of Bone and Joint Surgery, Inc
Epithelioid sarcoma. An analysis of fifty-one cases
GD Bos, DJ Pritchard, HM Reiman, JH Dobyns, DM Ilstrup and GC Landon
Department of Orthopedics, Mayo Clinic, Rochester.
Analysis of the cases of fifty-one consecutive patients who had an
epithelioid sarcoma revealed the five-year rate of survival to be
approximately 70 per cent and the ten-year rate, approximately 50 per cent.
The five-year rate of survival was about 40 per cent for the male patients
and about 80 per cent for the female patients. If the primary tumor was
more than three centimeters in diameter or was deeply situated, the
patients had a reduced life-span, as did the patients in whom the tumor was
focally necrotic. More male than female patients had necrosis of the tumor,
as seen on the pathological specimens. No significant difference in
life-span was noted among the patients in whom the resection had a
marginal, wide, or radical surgical margin. The data indicate that wide or
radical resection should be done as soon as epithelioid sarcoma is
diagnosed.
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