Tumor resection may improve survival in patients with soft tissue sarcoma aged 75 years and older

Abstract

Background/Aim: This study aimed to analyze the decision-making process of treatment and the clinical outcomes of patients with STS aged 75 years and older. Patients and Methods: Overall, 72 patients were reviewed. The mean and median ages were 82 and 81 years, respectively. Results: Of the 72 patients, 17 did not undergo surgical resection. Age was related to the decision to pursue surgical treatment. Resection was performed in 55 patients. The 5-year overall survival was 51.8%. Patients with an American Society of Anesthesiologists physical status (ASA-PS) score of 3 had a worse survival. Twenty-five patients developed metastasis. The median survival time after metastasis in 12 patients who received metastasectomy and/or lung radiofrequency ablation was superior (18.2 months) to that of the remaining 13 patients without any treatment (3.2 months). Conclusion: Surgical treatment should be considered in elderly patients if their physical condition is not poor. ASA-PS score may be a tool to indicate physical condition.