title: Myxoid\round cell liposarcoma (MRCLS) revisited: an analysis of 418 primarily managed cases.
abstract: BACKGROUND
  Objectives of this study were to evaluate oncologic outcomes and to provide guidelines for the management of primary myxoid (MLS) and round cell liposarcoma (RCLS).
  
  
  METHODS
  A multicenter, retrospective study of 418 cases of MRCLS primarily managed by Canadian multidisciplinary sarcoma teams.
  
  
  RESULTS
  Study included 418 cases (MLS: 311 patients and RCLS: 107; >5% round cell) with a median age of 45 years and a median follow-up of 5.2 years. Median tumor size was 10 cm, and 81% were deep and 90% were in lower limb. The majority of patients underwent surgical resection and radiotherapy, with a small percentage (6%) receiving chemotherapy. The overall 10-year local control rate was 93% with no differences between MLS and RCLS. Radiotherapy was significant in preventing local relapse and reducing tumor diameter (median=18%) and improving microscopic margin status, but did not impact survival. Radiotherapy and the margin status were independent predictors of local recurrence. The 5- and 10-year metastatic-free survivals were 84 and 77% respectively for MLS and 69 and 46% for RCLS. The initial site of metastasis was found in multiple locations (34%) and bone involvement was frequent (40%) with predilection for spine (79%). Round cell percent (>5%) and tumor diameter (>10 cm) correlated with increased risk for metastasis and death.
  
  
  CONCLUSIONS
  MLS and RCLS showed different metastatic risk but equally good local control. Radiotherapy was effective in preventing local recurrence and should be delivered as neoadjuvant. New staging strategies are to be defined to account for the unusual metastatic pattern.
authors: Orthopaedic Surgery, McGill University Health Centre, Orthopaedic Surgery, Hôpital Maisonneuve-Rosemont, Montreal, Quebec, Canada.
authors: Louis-Charles
authors: LC
authors: Moreau
authors: Robert
authors: R
authors: Turcotte
authors: Peter
authors: P
authors: Ferguson
authors: Jay
authors: J
authors: Wunder
authors: Paul
authors: P
authors: Clarkson
authors: Bas
authors: B
authors: Masri
authors: Marc
authors: M
authors: Isler
authors: Norbert
authors: N
authors: Dion
authors: Joel
authors: J
authors: Werier
authors: Michelle
authors: M
authors: Ghert
authors: Benjamin
authors: B
authors: Deheshi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007866:Leg; D018208:Liposarcoma, Myxoid / Q000188:drug therapy / Q000473:pathology / Q000532:radiotherapy* / Q000556:secondary / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology / Q000517:prevention & control*; D012189:Retrospective Studies; D012983:Soft Tissue Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000532:radiotherapy* / Q000601:surgery*; D015996:Survival Rate; D016896:Treatment Outcome; D055815:Young Adult