Clinicopathological Features and Prognosis of Primary Mediastinal Malignant Germ Cell Tumors: A Retrospective Single-Institution Analysis

Jiaqi Zhang, Yeye Chen, Lei Liu, Mengxin Zhou, Cheng Huang, Chao Guo, Shanqing Li Department of Thoracic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, People’s Republic of ChinaCorrespondence: Shanqing LiDepartm...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Zhang J, Chen Y, Liu L, Zhou M, Huang C, Guo C, Li S
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2021
Materias:
Acceso en línea:https://doaj.org/article/d5c5eb0a2648492bb2aa92f11ed43250
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:d5c5eb0a2648492bb2aa92f11ed43250
record_format dspace
spelling oai:doaj.org-article:d5c5eb0a2648492bb2aa92f11ed432502021-11-14T19:00:30ZClinicopathological Features and Prognosis of Primary Mediastinal Malignant Germ Cell Tumors: A Retrospective Single-Institution Analysis1179-1322https://doaj.org/article/d5c5eb0a2648492bb2aa92f11ed432502021-11-01T00:00:00Zhttps://www.dovepress.com/clinicopathological-features-and-prognosis-of-primary-mediastinal-mali-peer-reviewed-fulltext-article-CMARhttps://doaj.org/toc/1179-1322Jiaqi Zhang, Yeye Chen, Lei Liu, Mengxin Zhou, Cheng Huang, Chao Guo, Shanqing Li Department of Thoracic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, People’s Republic of ChinaCorrespondence: Shanqing LiDepartment of Thoracic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 1, Shuaifuyuan, Dongcheng District, Beijing, 100730, People’s Republic of ChinaTel +86 13801388072Fax +86 1069152632Email lishanqing@pumch.cnBackground: Given the lack of evidence-supported guidance for therapeutic recommendations of primary mediastinal malignant germ cell tumors (PMMGCTs), our study aimed to investigate the clinicopathological features, treatment strategies, and prognostic factors of PMMGCTs.Methods: We carried out a consecutive retrospective evaluation on a series of patients diagnosed with PMMGCTs in Peking Union Medical College Hospital from January 2000 to August 2020.Results: A total of 58 patients were eligible, consisting of 51 males and seven females. There were 15 patients with seminomas, 39 with nonseminomatous germ cell tumors (NSGCTs), and four with mixed germ cell tumors (GCTs). The 5-year overall survival was 45%, with a median survival time of 32.37 months. Except for the lost follow-up of seven patients, a univariate analysis of overall survival on the remaining patients showed significant differences in pathological type (mixed GCTs were regarded as NSGCTs) (p=0.036), tumor size (> 11cm) (p=0.006), and other sites metastases (OSM) (p=0.001), respectively. Multivariate Cox regression analysis revealed that OSM and surgical resection were independently associated with overall survival in all kinds of PMMGCTs.Conclusion: OSM was an independent risk factor for patients with PMMGCTs. Surgery was proved to contribute to long-term survival. More in-depth clinical evidence is urgently needed to guide the treatment of PMMGCTs.Keywords: primary mediastinal malignant germ cell tumors, surgery, prognosisZhang JChen YLiu LZhou MHuang CGuo CLi SDove Medical Pressarticleprimary mediastinal malignant germ cell tumorssurgeryprognosis Neoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancer Management and Research, Vol Volume 13, Pp 8527-8534 (2021)
institution DOAJ
collection DOAJ
language EN
topic primary mediastinal malignant germ cell tumors
surgery
prognosis 
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle primary mediastinal malignant germ cell tumors
surgery
prognosis 
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Zhang J
Chen Y
Liu L
Zhou M
Huang C
Guo C
Li S
Clinicopathological Features and Prognosis of Primary Mediastinal Malignant Germ Cell Tumors: A Retrospective Single-Institution Analysis
description Jiaqi Zhang, Yeye Chen, Lei Liu, Mengxin Zhou, Cheng Huang, Chao Guo, Shanqing Li Department of Thoracic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, People’s Republic of ChinaCorrespondence: Shanqing LiDepartment of Thoracic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 1, Shuaifuyuan, Dongcheng District, Beijing, 100730, People’s Republic of ChinaTel +86 13801388072Fax +86 1069152632Email lishanqing@pumch.cnBackground: Given the lack of evidence-supported guidance for therapeutic recommendations of primary mediastinal malignant germ cell tumors (PMMGCTs), our study aimed to investigate the clinicopathological features, treatment strategies, and prognostic factors of PMMGCTs.Methods: We carried out a consecutive retrospective evaluation on a series of patients diagnosed with PMMGCTs in Peking Union Medical College Hospital from January 2000 to August 2020.Results: A total of 58 patients were eligible, consisting of 51 males and seven females. There were 15 patients with seminomas, 39 with nonseminomatous germ cell tumors (NSGCTs), and four with mixed germ cell tumors (GCTs). The 5-year overall survival was 45%, with a median survival time of 32.37 months. Except for the lost follow-up of seven patients, a univariate analysis of overall survival on the remaining patients showed significant differences in pathological type (mixed GCTs were regarded as NSGCTs) (p=0.036), tumor size (> 11cm) (p=0.006), and other sites metastases (OSM) (p=0.001), respectively. Multivariate Cox regression analysis revealed that OSM and surgical resection were independently associated with overall survival in all kinds of PMMGCTs.Conclusion: OSM was an independent risk factor for patients with PMMGCTs. Surgery was proved to contribute to long-term survival. More in-depth clinical evidence is urgently needed to guide the treatment of PMMGCTs.Keywords: primary mediastinal malignant germ cell tumors, surgery, prognosis
format article
author Zhang J
Chen Y
Liu L
Zhou M
Huang C
Guo C
Li S
author_facet Zhang J
Chen Y
Liu L
Zhou M
Huang C
Guo C
Li S
author_sort Zhang J
title Clinicopathological Features and Prognosis of Primary Mediastinal Malignant Germ Cell Tumors: A Retrospective Single-Institution Analysis
title_short Clinicopathological Features and Prognosis of Primary Mediastinal Malignant Germ Cell Tumors: A Retrospective Single-Institution Analysis
title_full Clinicopathological Features and Prognosis of Primary Mediastinal Malignant Germ Cell Tumors: A Retrospective Single-Institution Analysis
title_fullStr Clinicopathological Features and Prognosis of Primary Mediastinal Malignant Germ Cell Tumors: A Retrospective Single-Institution Analysis
title_full_unstemmed Clinicopathological Features and Prognosis of Primary Mediastinal Malignant Germ Cell Tumors: A Retrospective Single-Institution Analysis
title_sort clinicopathological features and prognosis of primary mediastinal malignant germ cell tumors: a retrospective single-institution analysis
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/d5c5eb0a2648492bb2aa92f11ed43250
work_keys_str_mv AT zhangj clinicopathologicalfeaturesandprognosisofprimarymediastinalmalignantgermcelltumorsaretrospectivesingleinstitutionanalysis
AT cheny clinicopathologicalfeaturesandprognosisofprimarymediastinalmalignantgermcelltumorsaretrospectivesingleinstitutionanalysis
AT liul clinicopathologicalfeaturesandprognosisofprimarymediastinalmalignantgermcelltumorsaretrospectivesingleinstitutionanalysis
AT zhoum clinicopathologicalfeaturesandprognosisofprimarymediastinalmalignantgermcelltumorsaretrospectivesingleinstitutionanalysis
AT huangc clinicopathologicalfeaturesandprognosisofprimarymediastinalmalignantgermcelltumorsaretrospectivesingleinstitutionanalysis
AT guoc clinicopathologicalfeaturesandprognosisofprimarymediastinalmalignantgermcelltumorsaretrospectivesingleinstitutionanalysis
AT lis clinicopathologicalfeaturesandprognosisofprimarymediastinalmalignantgermcelltumorsaretrospectivesingleinstitutionanalysis
_version_ 1718429012757315584