Localized Ewing tumor of bone: final results of the cooperative Ewing's Sarcoma Study CESS 86.
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Localized Ewing tumor of bone: final results of the cooperative Ewing's Sarcoma Study CESS 86. / Paulussen, M; Ahrens, S; Dunst, J; Winkelmann, W; Exner, G U; Kotz, R; Amann, G; Dockhorn-Dworniczak, B; Harms, D; Müller-Weihrich, S; Welte, K; Kornhuber, B; Janka-Schaub, Gritta; Göbel, U; Treuner, J; Voûte, P A; Zoubek, A; Gadner, H; Jürgens, H.
In: J CLIN ONCOL, Vol. 19, No. 6, 6, 2001, p. 1818-1829.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Localized Ewing tumor of bone: final results of the cooperative Ewing's Sarcoma Study CESS 86.
AU - Paulussen, M
AU - Ahrens, S
AU - Dunst, J
AU - Winkelmann, W
AU - Exner, G U
AU - Kotz, R
AU - Amann, G
AU - Dockhorn-Dworniczak, B
AU - Harms, D
AU - Müller-Weihrich, S
AU - Welte, K
AU - Kornhuber, B
AU - Janka-Schaub, Gritta
AU - Göbel, U
AU - Treuner, J
AU - Voûte, P A
AU - Zoubek, A
AU - Gadner, H
AU - Jürgens, H
PY - 2001
Y1 - 2001
N2 - PURPOSE: Cooperative Ewing's Sarcoma Study (CESS) 86 aimed at improving event-free survival (EFS) in patients with high-risk localized Ewing tumor of bone. PATIENTS AND METHODS: We analyzed 301 patients recruited from January 1986 to July 1991 (60% male; median age 15 years). Tumors of volume >100 mL and/or at central-axis sites qualified patients for "high risk" (HR, n = 241), and small extremity lesions for "standard risk" (SR, n = 52). Standard-risk patients received 12 courses of vincristine, cyclophosphamide, and doxorubicin alternating with actinomycin D (VACA); HR patients received ifosfamide instead of cyclophosphamide (VAIA). Tumor sites were pelvis (27%), other central axis (28%), femur (19%), or other extremity (26%). The initial tumor volume was or =100 mL in 67%. Local therapy was surgery (23%), surgery plus radiotherapy (49%), or radiotherapy alone (28%). Event-free survival rates were estimated by Kaplan-Meier analyses, comparisons were done by log-rank test, and risk factors were analyzed by Cox models. RESULTS: On May 1, 1999 (median time under study, 133 months), the 10-year EFS was 0.52. Event-free survival did not differ between SR-VACA (0.52) and HR-VAIA (0.51, P =.92). Tumor volume of >200 mL (EFS, 0.36 v 0.63 for smaller tumors; P =.0001) and poor histologic response (EFS, 0.38 v 0.64 for good responders; P =.0007) had negative impacts on EFS. In multivariate analyses, small tumor volumes of
AB - PURPOSE: Cooperative Ewing's Sarcoma Study (CESS) 86 aimed at improving event-free survival (EFS) in patients with high-risk localized Ewing tumor of bone. PATIENTS AND METHODS: We analyzed 301 patients recruited from January 1986 to July 1991 (60% male; median age 15 years). Tumors of volume >100 mL and/or at central-axis sites qualified patients for "high risk" (HR, n = 241), and small extremity lesions for "standard risk" (SR, n = 52). Standard-risk patients received 12 courses of vincristine, cyclophosphamide, and doxorubicin alternating with actinomycin D (VACA); HR patients received ifosfamide instead of cyclophosphamide (VAIA). Tumor sites were pelvis (27%), other central axis (28%), femur (19%), or other extremity (26%). The initial tumor volume was or =100 mL in 67%. Local therapy was surgery (23%), surgery plus radiotherapy (49%), or radiotherapy alone (28%). Event-free survival rates were estimated by Kaplan-Meier analyses, comparisons were done by log-rank test, and risk factors were analyzed by Cox models. RESULTS: On May 1, 1999 (median time under study, 133 months), the 10-year EFS was 0.52. Event-free survival did not differ between SR-VACA (0.52) and HR-VAIA (0.51, P =.92). Tumor volume of >200 mL (EFS, 0.36 v 0.63 for smaller tumors; P =.0001) and poor histologic response (EFS, 0.38 v 0.64 for good responders; P =.0007) had negative impacts on EFS. In multivariate analyses, small tumor volumes of
M3 - SCORING: Zeitschriftenaufsatz
VL - 19
SP - 1818
EP - 1829
JO - J CLIN ONCOL
JF - J CLIN ONCOL
SN - 0732-183X
IS - 6
M1 - 6
ER -