1994
DOI: 10.3109/17453679409000913
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Local recurrence of soft tissue sarcoma a risk factor for late metastases: 379 patients followed for 0.5-20 years

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Cited by 30 publications
(16 citation statements)
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References 25 publications
(18 reference statements)
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“…Probably each increase of size increases the risk for metastatic spread. Trovik et al [11] found that the relative risk for metastatic disease increased by 1.5 per 5 cm increment of tumor size. Suit et al [12] studied 6 groups of size and found an increasing risk of metastases with increasing size.…”
Section: Discussionmentioning
confidence: 99%
“…Probably each increase of size increases the risk for metastatic spread. Trovik et al [11] found that the relative risk for metastatic disease increased by 1.5 per 5 cm increment of tumor size. Suit et al [12] studied 6 groups of size and found an increasing risk of metastases with increasing size.…”
Section: Discussionmentioning
confidence: 99%
“…As a prognostic factor, tumor size represents a continuum of increasing risk ( Figure 1). Trovik et al found that the relative risk of metastasis increased by 1.5% per 5 cm increment of tumor size [173]. The importance of size may also be histotype-specific; whereas in leiomyosarcoma, MFH and synovial sarcoma tumor size is a strong prognostic factor for metastasis this is not the case in liposarcoma [55,177].…”
Section: Tumor Sizementioning
confidence: 99%
“…Before the introduction of chemotherapy, 80-90% of children with osteosarcoma and Ewing's sarcoma died of metastatic disease, despite radical amputation; metastatic spread had occurred long before the primary tumor was diagnosed. That a local recurrence in rare cases is responsible for metastatic spread cannot, of course, be excluded; dedifferentation of a low-grade tumor into a highly malignant tumor may occur, especially after repeated local recurrences (Trovik and Bauer 1994). This phenomenen is well known in retroperitoneal liposarcoma but seems to be rare in extremity sarcomas.…”
Section: Association Between Local Recurrence and Metastasesmentioning
confidence: 99%