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Clinical Characteristics and Outcome of Infantile Fibrosarcoma: A Retrospective Single-institution Review

Received: 18 March 2020    Accepted: 9 April 2020    Published: 28 April 2020
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Abstract

Analysis was done to the clinical characteristics and outcome of children with infantile Fibrosarcoma (IFS) who were treated at Children’s Cancer Hospital Egypt (CCHE). A Retrospective chart review of all pathologically confirmed IFS patients treated at CCHE from July 2011 till December 2016. Detailed demographic, pathological, and clinical data of 27 IFS patients were collected, analyzed and correlated with treatment outcome and survival. We enrolled 27 patients with a median age 0.23 years (range 0.03-3.8), 54% were females. Extremities were the commonest primary site (59.3%), followed by head and neck (22.2%). The tumor size was >5cm in 18 patients, <5cm in six and undetermined in three. It was resectable without preoperative chemotherapy in three patients. Twenty one received preoperative VAC (Vincristine, Actinomycin-D and Cyclophosphamide) of those nine cases received second line Ifosphamide and Adriamycin to improve respectability. Overall survival of the whole group of patients was 82.3%. We need to increase sample size and to get facility for proper diagnosis by genetic analysis in such difficult cases for better pathological diagnosis

Published in Cancer Research Journal (Volume 8, Issue 2)
DOI 10.11648/j.crj.20200802.12
Page(s) 26-35
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Infantile Fibrosarcoma, Risk Factors, Survival

References
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  • APA Style

    Enas El Nadi, Mona Moustafa, Gehad Ahmed, Alaa Younes, Mohamed Saad Zaghloul, et al. (2020). Clinical Characteristics and Outcome of Infantile Fibrosarcoma: A Retrospective Single-institution Review. Cancer Research Journal, 8(2), 26-35. https://doi.org/10.11648/j.crj.20200802.12

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    ACS Style

    Enas El Nadi; Mona Moustafa; Gehad Ahmed; Alaa Younes; Mohamed Saad Zaghloul, et al. Clinical Characteristics and Outcome of Infantile Fibrosarcoma: A Retrospective Single-institution Review. Cancer Res. J. 2020, 8(2), 26-35. doi: 10.11648/j.crj.20200802.12

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    AMA Style

    Enas El Nadi, Mona Moustafa, Gehad Ahmed, Alaa Younes, Mohamed Saad Zaghloul, et al. Clinical Characteristics and Outcome of Infantile Fibrosarcoma: A Retrospective Single-institution Review. Cancer Res J. 2020;8(2):26-35. doi: 10.11648/j.crj.20200802.12

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  • @article{10.11648/j.crj.20200802.12,
      author = {Enas El Nadi and Mona Moustafa and Gehad Ahmed and Alaa Younes and Mohamed Saad Zaghloul and Naglaa ElKinaai and Amal Rafaat and Elham Khaled and Sayed Abdel Hamid},
      title = {Clinical Characteristics and Outcome of Infantile Fibrosarcoma: A Retrospective Single-institution Review},
      journal = {Cancer Research Journal},
      volume = {8},
      number = {2},
      pages = {26-35},
      doi = {10.11648/j.crj.20200802.12},
      url = {https://doi.org/10.11648/j.crj.20200802.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.crj.20200802.12},
      abstract = {Analysis was done to the clinical characteristics and outcome of children with infantile Fibrosarcoma (IFS) who were treated at Children’s Cancer Hospital Egypt (CCHE). A Retrospective chart review of all pathologically confirmed IFS patients treated at CCHE from July 2011 till December 2016. Detailed demographic, pathological, and clinical data of 27 IFS patients were collected, analyzed and correlated with treatment outcome and survival. We enrolled 27 patients with a median age 0.23 years (range 0.03-3.8), 54% were females. Extremities were the commonest primary site (59.3%), followed by head and neck (22.2%). The tumor size was >5cm in 18 patients, <5cm in six and undetermined in three. It was resectable without preoperative chemotherapy in three patients. Twenty one received preoperative VAC (Vincristine, Actinomycin-D and Cyclophosphamide) of those nine cases received second line Ifosphamide and Adriamycin to improve respectability. Overall survival of the whole group of patients was 82.3%. We need to increase sample size and to get facility for proper diagnosis by genetic analysis in such difficult cases for better pathological diagnosis},
     year = {2020}
    }
    

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    AU  - Enas El Nadi
    AU  - Mona Moustafa
    AU  - Gehad Ahmed
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    AB  - Analysis was done to the clinical characteristics and outcome of children with infantile Fibrosarcoma (IFS) who were treated at Children’s Cancer Hospital Egypt (CCHE). A Retrospective chart review of all pathologically confirmed IFS patients treated at CCHE from July 2011 till December 2016. Detailed demographic, pathological, and clinical data of 27 IFS patients were collected, analyzed and correlated with treatment outcome and survival. We enrolled 27 patients with a median age 0.23 years (range 0.03-3.8), 54% were females. Extremities were the commonest primary site (59.3%), followed by head and neck (22.2%). The tumor size was >5cm in 18 patients, <5cm in six and undetermined in three. It was resectable without preoperative chemotherapy in three patients. Twenty one received preoperative VAC (Vincristine, Actinomycin-D and Cyclophosphamide) of those nine cases received second line Ifosphamide and Adriamycin to improve respectability. Overall survival of the whole group of patients was 82.3%. We need to increase sample size and to get facility for proper diagnosis by genetic analysis in such difficult cases for better pathological diagnosis
    VL  - 8
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Author Information
  • Department of Clinical Oncology, Faculty of Medicine, Beni - Suef University, Beni-Suef, Egypt; Department of Pediatric Oncology, Children Cancer Hospital of Egypt (CCHE) Cairo, Egypt

  • Department of Pediatric Oncology, Children Cancer Hospital of Egypt (CCHE) Cairo, Egypt

  • Department of Surgery, Faculty of Medicine, Helwan University, Helwan, Egypt; Department of Surgical Oncology, Children Cancer Hospital of Egypt (CCHE) Cairo, Egypt

  • Department of Surgical Oncology, Children Cancer Hospital of Egypt (CCHE) Cairo, Egypt; Department of Surgical Oncology, National Cancer Institute, Cairo University, Cairo, Egypt

  • Department of Radiotherapy, National Cancer Institute, Cairo University, Cairo, Egypt; Department of Radiotherapy, Children Cancer Hospital of Egypt (CCHE) Cairo, Egypt

  • Department of Surgical Pathology, National Cancer Institute, Cairo University, Cairo, Egypt; Department of Surgical Pathology, Children Cancer Hospital of Egypt (CCHE) Cairo, Egypt

  • Department of Radiodiagnosis, National Cancer Institute, Cairo University, Cairo, Egypt; Department of Radiodiagnosis, Children Cancer Hospital of Egypt (CCHE), Cairo, Egypt

  • Department of Clinical Research Children Cancer Hospital of Egypt (CCHE), Cairo, Egypt

  • Department of Pediatric Oncology, Children Cancer Hospital of Egypt (CCHE) Cairo, Egypt; Department of Pediatric Hematology/Oncology, National Cancer Institute, Cairo University, Cairo, Egypt

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