Background: Sarculator is a validated nomogram designed to predict overall survival (OS) in extremity soft tissue sarcoma (STS). Inflammation plays a critical role in cancer development and progression. There were no reports which investigated the relationship between Sarculator and inflammation. Methods: A total of 217 patients with extremity STS were included. The Sarculator-predicted 10-year probability of OS (pr-OS) was stratified into two subgroups: lower risk (10-year pr-OS ≥ 60%) and higher risk (10-year pr-OS < 60%). The modified Glasgow prognostic score (mGPS) varied from 0 to 2. Results: Out of the 217 patients, 67 were classified as higher risk, while 150 were lower risk. A total of 181 patients had an mGPS of 0, and 36 had a score of 1 or 2. The 5-year OS was 83.3%. When patients were divided into two groups according to the 10-year pr-OS, those with a higher risk had poorer OS than those with a lower risk. Among the patients with a higher risk, those with an mGPS of 1 or 2 had poorer OS compared to those with a score of 0. Conclusions: The mGPS could potentially play an important role in identifying patients who are at high risk of death and metastasis in the higher-risk group on the Sarculator.
背景:Sarculator是一种经过验证的列线图,用于预测肢体软组织肉瘤(STS)患者的总生存期(OS)。炎症在癌症的发生和发展中起着关键作用。目前尚无研究探讨Sarculator与炎症之间的关系。方法:本研究共纳入217例肢体STS患者。根据Sarculator预测的10年OS概率(pr-OS),将患者分为两个亚组:低风险组(10年pr-OS ≥ 60%)和高风险组(10年pr-OS < 60%)。改良格拉斯哥预后评分(mGPS)范围为0至2分。结果:在217例患者中,67例被归类为高风险组,150例为低风险组。181例患者的mGPS为0分,36例为1或2分。患者5年OS率为83.3%。根据10年pr-OS将患者分为两组时,高风险组患者的OS较差。在高风险组患者中,mGPS为1或2分的患者OS较0分者更差。结论:mGPS可能在识别Sarculator高风险组中死亡和转移风险较高的患者方面发挥重要作用。