International multicenter retrospective study on pleomorphic rhabdomyosarcoma (P-RMS), a PUSH platform study: outcome of primary localized disease


Por: Giani, C, Baldi, GG, Ljevar, S, Denu, RA, Andelkovic, V, Han, I, Brunello, A, Napolitano, A, Bhadri, VA, Scanferla, R, Garcia, AS, Abreu, MH, Campos, F, Ogura, K, Wong, DD, Bae, S, Marquina, G, Mazzocca, A, Yang, V, Nakazawa, MS, Kim, HS, Chiusole, B, Thway, K, Antonescu, C, Bellan, E, Bovée, JVMG, Davis, JL, Tos, APD, Di Blasi, E, Lazar, AJ, Sbaraglia, M, Schaefer, IM, Taverna, S, Chen, TWW, Miceli, R, Gronchi, A, Stacchiotti, S

Publicada: 1 feb 2026 Ahead of Print: 1 ene 2026
Resumen:
Background The purpose of this study was to report the outcome of primary localized pleomorphic rhabdomyosarcoma (P-RMS). Patients and methods Patients with primary localized P-RMS, aged >40 years, and surgically treated with curative intent from January 2013 to December 2023 were enrolled from 25 institutions across 12 countries. Pathological inclusion criteria were predefined by expert pathologists per established World Health Organization guidelines. Primary endpoint was overall survival (OS). Secondary endpoints were disease-free survival (DFS), crude cumulative incidence (CCI) of local recurrence (LR), CCI of distant metastases (DM), post-relapse OS, and post-metastasis OS. Results A total of 93 patients were eligible and included in the present study. At a median follow-up of 39.8 months (interquartile range 22.83-85.69 months), 32/93 (34%) patients died and 53/93 (57%) recurred. The corresponding 5-year OS and DFS were 57.7% [95% confidence interval (CI) 46.7% to 71.2%] and 35.8% (95% CI 26.3% to 48.9%), respectively. Younger age, R0 surgical margins, and administration of radiotherapy were positive prognostic factors in multivariable analysis for DFS. LR and DM were developed in 14/93 (15%) and 39/93 (42%) patients, respectively. The corresponding 3-year CCI-LR and DM were 16% (95% CI 8.9% to 25%) and 44% (95% CI 33% to 55%). Post-metastasis median OS was 14.3 months (95% CI 9.4 months-not reached). Conclusions While P-RMS is known to be an aggressive histologic sarcoma subtype, one-third of patients with primary localized disease may be cured. The contribution of chemotherapy and radiotherapy to the cure rate remains unclear. Post-metastatic outcomes mirror those observed in other sarcomas.

Filiaciones:
Giani, C:
 Fdn IRCCS Ist Nazl Tumori, Dept Med Oncol, Via Giacomo Venezian 1, I-20133 Milan, Italy

Baldi, GG:
 Hosp Prato, Azienda USL Toscana Ctr, Dept Med Oncol, Prato, Italy

Ljevar, S:
 Fdn IRCCS Ist Nazl Tumori, Unit Biostat Clin Res, Milan, Italy

Denu, RA:
 Univ Texas MD Anderson Canc Ctr, Dept Sarcoma Med Oncol, Houston, TX USA

Andelkovic, V:
 Princess Alexandra Hosp, Dept Med Oncol, Brisbane, Australia

Han, I:
 Seoul Natl Univ Hosp, Dept Med Oncol, Seoul, South Korea

Brunello, A:
 Ist Oncol Veneto IOV IRCCS, Dept Oncol, Med Oncol 1 Unit, Padua, Italy

Napolitano, A:
 Royal Marsden NHS & Inst Canc Res, Dept Med Oncol, London, England

Bhadri, VA:
 Chris OBrien Lifehouse, Dept Med Oncol, Sydney, Australia

Scanferla, R:
 AOU Careggi, Dept Orthoped Oncol & Reconstruct Surg, Florence, Italy

Garcia, AS:
 St Pau Hosp, Dept Med Oncol, Barcelona, Spain

Abreu, MH:
 Portuguese Inst Oncol, Dept Med Oncol, Porto, Portugal

Campos, F:
 A C Camargo Canc Ctr, Dept Med Oncol, Sao Paulo, Brazil

Ogura, K:
 Natl Canc Ctr, Dept Musculoskeletal Oncol & Rehabil Med, Tokyo, Japan

Wong, DD:
 Sir Charles Gairdner Hosp, Dept Anat Pathol, PathWest, Perth, Australia

Bae, S:
 Peter MacCallum Canc Ctr, Dept Med Oncol, Melbourne, Australia

Marquina, G:
 UCM, Hosp Clin San Carlos, Dept Med Oncol, Sch Med,IdissC,EURACAN,Referral Ctr, Madrid, Spain

Mazzocca, A:
 Fdn Policlin Univ Campus Biomed, Dept Med Oncol, Rome, Italy

Yang, V:
 Natl Canc Ctr, Dept Med Oncol, Singapore, Singapore

Nakazawa, MS:
 Univ Texas MD Anderson Canc Ctr, Dept Sarcoma Med Oncol, Houston, TX USA

Kim, HS:
 Seoul Natl Univ Hosp, Dept Orthopaed Surg, Seoul, South Korea

Chiusole, B:
 Ist Oncol Veneto IOV IRCCS, Dept Oncol, Med Oncol 1 Unit, Padua, Italy

Thway, K:
 Royal Marsden NHS & Inst Canc Res, Dept Med Oncol, London, England

Antonescu, C:
 Mem Sloan Kettering Canc Ctr, Dept Pathol, New York, NY USA

Bellan, E:
 Azienda Osped Univ Padova, Dept Integrated Diagnost, Padua, Italy

Bovée, JVMG:
 Leiden Univ, Med Ctr, Dept Pathol, Leiden, Netherlands

Davis, JL:
 Indiana Univ Sch Med, Dept Pathol, Indianapolis, IN USA

Tos, APD:
 Azienda Osped Univ Padova, Dept Integrated Diagnost, Padua, Italy

Di Blasi, E:
 Fdn IRCCS Ist Nazl Tumori, Dept Pathol, Milan, Italy

Lazar, AJ:
 Univ Texas MD Anderson Canc Ctr, Dept Pathol, Houston, TX USA

 Univ Texas MD Anderson Canc Ctr, Dept Genom Med, Houston, TX USA

Sbaraglia, M:
 Azienda Osped Univ Padova, Dept Integrated Diagnost, Padua, Italy

Schaefer, IM:
 Harvard Med Sch, Brigham & Womens Hosp, Dept Pathol, Boston, MA USA

Taverna, S:
 Fdn IRCCS Ist Nazl Tumori, Technol Transfer Off, Milan, Italy

Chen, TWW:
 Natl Taiwan Univ Hosp, Dept Oncol, Taipei, Taiwan

Miceli, R:
 Fdn IRCCS Ist Nazl Tumori, Unit Biostat Clin Res, Milan, Italy

Gronchi, A:
 Fdn IRCCS Ist Nazl Tumori, Dept Sarcoma Surg, Milan, Italy

Stacchiotti, S:
 Fdn IRCCS Ist Nazl Tumori, Dept Med Oncol, Via Giacomo Venezian 1, I-20133 Milan, Italy
ISSN: 20597029





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ELSEVIER, RADARWEG 29, 1043 NX AMSTERDAM, NETHERLANDS, Países Bajos
Tipo de documento: Article
Volumen: 11 Número: 2
Páginas:
WOS Id: 001677176900001
ID de PubMed: 41564817
imagen Green Submitted, gold

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