Recurrence Rates and Risk Factors for Primary Giant Cell Tumors around the Knee: A Multicentre Retrospective Study in China

Giant cell tumors of the bone (GCTBs) are commonly diagnosed in Asian populations, usually around the knee. Herein, we aimed to determine the clinical characteristics, local recurrence rates, and relevant risk factors of primary GCTB around the knee. Univariate and multivariate survival analyses wer...

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Veröffentlicht in:Scientific reports 2016-11, Vol.6 (1), p.36332-36332, Article 36332
Hauptverfasser: Hu, Pan, Zhao, Liming, Zhang, Huilin, Yu, Xiuchun, Wang, Zhen, Ye, Zhaoming, Wu, Sujia, Guo, Shibing, Zhang, Guochuan, Wang, Jinghua, Ning, Xianjia, Hu, Yongcheng, Zhang, Yingze
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container_title Scientific reports
container_volume 6
creator Hu, Pan
Zhao, Liming
Zhang, Huilin
Yu, Xiuchun
Wang, Zhen
Ye, Zhaoming
Wu, Sujia
Guo, Shibing
Zhang, Guochuan
Wang, Jinghua
Ning, Xianjia
Hu, Yongcheng
Zhang, Yingze
description Giant cell tumors of the bone (GCTBs) are commonly diagnosed in Asian populations, usually around the knee. Herein, we aimed to determine the clinical characteristics, local recurrence rates, and relevant risk factors of primary GCTB around the knee. Univariate and multivariate survival analyses were used to identify the risk factors for local recurrence. Four hundred ten patients with primary GCTB around the knee, treated between March 2000 and June 2014, were recruited from 7 institutions in China. The overall local recurrence rate was 23.4%, but was higher in patients aged 20–39 years (28.5%; P = 0.039). The local recurrence rate was the highest in patients treated with intralesional curettage (53.4%), and the lowest in those treated with resection (4.9%). We found a higher risk of tumor recurrence in the proximal fibula compared to the distal femur (hazard ratio: 28.52, 95% confidence interval: 5.88–138.39; P 
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Herein, we aimed to determine the clinical characteristics, local recurrence rates, and relevant risk factors of primary GCTB around the knee. Univariate and multivariate survival analyses were used to identify the risk factors for local recurrence. Four hundred ten patients with primary GCTB around the knee, treated between March 2000 and June 2014, were recruited from 7 institutions in China. The overall local recurrence rate was 23.4%, but was higher in patients aged 20–39 years (28.5%; P = 0.039). The local recurrence rate was the highest in patients treated with intralesional curettage (53.4%), and the lowest in those treated with resection (4.9%). We found a higher risk of tumor recurrence in the proximal fibula compared to the distal femur (hazard ratio: 28.52, 95% confidence interval: 5.88–138.39; P &lt; 0.0001), and in patients treated with curettage compared to those treated with resection (hazard ratio: 12.07, 95% confidence interval: 4.99–29.18; P &lt; 0.0001). 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Thus, the tumor location must be considered when selecting the optimal surgical treatment approach to reduce the risk of local recurrence and preserve joint function, especially in young patients.</description><subject>631/67/1344</subject><subject>692/4028/546</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Bone Neoplasms - epidemiology</subject><subject>Bone Neoplasms - pathology</subject><subject>Bone Neoplasms - surgery</subject><subject>Bone tumors</subject><subject>China</subject><subject>Confidence intervals</subject><subject>Curettage</subject><subject>Female</subject><subject>Femur</subject><subject>Fibula</subject><subject>Fibula - pathology</subject><subject>Fibula - surgery</subject><subject>Giant Cell Tumor of Bone - epidemiology</subject><subject>Giant Cell Tumor of Bone - pathology</subject><subject>Giant Cell Tumor of Bone - surgery</subject><subject>Health risk assessment</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Knee</subject><subject>Knee - pathology</subject><subject>Knee - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>multidisciplinary</subject><subject>Neoplasm Recurrence, Local - epidemiology</subject><subject>Neoplasm Recurrence, Local - surgery</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Science</subject><subject>Tumors</subject><subject>Young Adult</subject><issn>2045-2322</issn><issn>2045-2322</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNplkV1rFDEUhoNYbKm98A9IwBsV1iY52dmMF4Wy2CqtKGu9DpnMmW7qbLLmo1D886ZuXbaamwTeJ-_5eAl5wdk7zkAdp4hraADEE3IgmJxOBAjxdOe9T45SumH1TEUrefuM7IuZEjNQ8oD8WqAtMaK3SBcmY6LG93Th0g96ZmwOMdEhRPo1upWJd_TcGZ_pHMeRXpXVvWpiKPVHXiK98Ijv6Sn9XMbsLPocqyfmGNIabXa3SL_l0t9R5-l86bx5TvYGMyY8ergPyfezD1fzj5PLL-ef5qeXEytB5YkaOt4xYZhlIHo2ExJlL1TTG8Zw6KGZgumYNIKzzthO9Z2wjbKsmymJDFo4JCcb33XpVtj_6cyMer2ZSQfj9GPFu6W-Drd6yhmXbVMNXj8YxPCzYMp65ZKtSzAeQ0maK2h53a1gFX31D3oTSvR1vEq1LQBwAZV6s6FsXU4NcNg2w5m-T1VvU63sy93ut-TfDCvwdgOkKvlrjDsl_3P7DXpjrK0</recordid><startdate>20161109</startdate><enddate>20161109</enddate><creator>Hu, Pan</creator><creator>Zhao, Liming</creator><creator>Zhang, Huilin</creator><creator>Yu, Xiuchun</creator><creator>Wang, Zhen</creator><creator>Ye, Zhaoming</creator><creator>Wu, Sujia</creator><creator>Guo, Shibing</creator><creator>Zhang, Guochuan</creator><creator>Wang, Jinghua</creator><creator>Ning, Xianjia</creator><creator>Hu, Yongcheng</creator><creator>Zhang, Yingze</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88I</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20161109</creationdate><title>Recurrence Rates and Risk Factors for Primary Giant Cell Tumors around the Knee: A Multicentre Retrospective Study in China</title><author>Hu, Pan ; 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Herein, we aimed to determine the clinical characteristics, local recurrence rates, and relevant risk factors of primary GCTB around the knee. Univariate and multivariate survival analyses were used to identify the risk factors for local recurrence. Four hundred ten patients with primary GCTB around the knee, treated between March 2000 and June 2014, were recruited from 7 institutions in China. The overall local recurrence rate was 23.4%, but was higher in patients aged 20–39 years (28.5%; P = 0.039). The local recurrence rate was the highest in patients treated with intralesional curettage (53.4%), and the lowest in those treated with resection (4.9%). We found a higher risk of tumor recurrence in the proximal fibula compared to the distal femur (hazard ratio: 28.52, 95% confidence interval: 5.88–138.39; P &lt; 0.0001), and in patients treated with curettage compared to those treated with resection (hazard ratio: 12.07, 95% confidence interval: 4.99–29.18; P &lt; 0.0001). Thus, the tumor location must be considered when selecting the optimal surgical treatment approach to reduce the risk of local recurrence and preserve joint function, especially in young patients.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>27827384</pmid><doi>10.1038/srep36332</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects 631/67/1344
692/4028/546
Adolescent
Adult
Age Distribution
Aged
Bone Neoplasms - epidemiology
Bone Neoplasms - pathology
Bone Neoplasms - surgery
Bone tumors
China
Confidence intervals
Curettage
Female
Femur
Fibula
Fibula - pathology
Fibula - surgery
Giant Cell Tumor of Bone - epidemiology
Giant Cell Tumor of Bone - pathology
Giant Cell Tumor of Bone - surgery
Health risk assessment
Humanities and Social Sciences
Humans
Knee
Knee - pathology
Knee - surgery
Male
Middle Aged
multidisciplinary
Neoplasm Recurrence, Local - epidemiology
Neoplasm Recurrence, Local - surgery
Retrospective Studies
Risk Factors
Science
Tumors
Young Adult
title Recurrence Rates and Risk Factors for Primary Giant Cell Tumors around the Knee: A Multicentre Retrospective Study in China
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