Overall cohort | n | Median Survival (month) | 3-yr OS, % | 5-yr OS, % | p value | CSM, % | ||
1-yr | 3-yr | 5-yr | ||||||
No surgery of primary site | 403 | 16 (14–20) | 32.7 (28.2–38.0) | 21.5 (17.4–26.7) | <0.001* a | 35.2 | 55.4 | 64.7 |
Local therapy | 532 | 39 (29–45) | 51.0 (46.7–55.7) | 39.8 (35.3–44.7) | 0.001* b | 20.4 | 38.9 | 45.4 |
Radical surgery of primary site | 582 | 49 (42–60) | 57.7 (53.4–62.3) | 44.7 (40.1–49.7) | <0.001* c | 12.0 | 33.5 | 43.3 |
Age, yr | n | Median Survival (month) | 3-yr OS, % | 5-yr OS, % | p value | CSM, % | ||
1-yr | 3-yr | 5-yr | ||||||
<70 | ||||||||
No surgery of primary site | 178 | 21 (16–36) | 40.9 (33.9–49.4) | 24.7 (18.3–33.4) | <0.001* | 27.6 | 53.6 | 68.9 |
Local therapy | 184 | 105 (74-NA) | 69.3 (62.5–76.7) | 58.9 (51.4–67.4) | 0.465 | 11.8 | 26.4 | 32.8 |
Radical surgery of primary site | 354 | 84 (56–117) | 65.1 (59.9–70.8) | 53.8 (48.1–60.3) | <0.001* | 10.5 | 29.2 | 38.0 |
≥70 | ||||||||
No surgery of primary site | 225 | 12 (9–17) | 26.4 (20.9–33.3) | 19.2 (14.3–26.0) | <0.001* | 41.2 | 56.8 | 61.1 |
Local therapy | 348 | 25 (21–30) | 41.6 (36.4–47.4) | 30.0 (25.0–35.9) | 0.059 | 24.8 | 45.3 | 51.9 |
Radical surgery of primary site | 228 | 32 (27–38) | 45.8 (39.1–53.7) | 30.1 (23.7–38.2) | <0.001* | 14.5 | 40.4 | 51.7 |
AJCC 8th M stage | n | Median Survival (month) | 3-yr OS, % | 5-yr OS, % | p value | CSM, % | ||
1-yr | 3-yr | 5-yr | ||||||
M0 | ||||||||
No surgery of primary site | 258 | 25 (20–31) | 42.2 (36.2–49.1) | 29.2 (23.5–36.2) | 0.001* | 23.8 | 46.2 | 57.4 |
Local therapy | 451 | 44 (37–55) | 54.8 (50.2–59.9) | 42.7 (37.9–48.2) | 0.002* | 15.3 | 34.0 | 40.9 |
Radical surgery of primary site | 517 | 54 (47–63) | 61.0 (56.5–65.8) | 47.0 (42.2–52.4) | <0.001* | 9.0 | 30.0 | 40.3 |
M1 | ||||||||
No surgery of primary site | 96 | 7 (5–9) | NA | NA | 0.539 | 66.3 | NA | NA |
Local therapy | 38 | 7 (5–11) | NA | NA | 0.007* | 71.1 | NA | NA |
Radical surgery of primary site | 22 | 10 (6–31) | NA | NA | 0.040* | 52.2 | NA | NA |
AJCC stage groups | n | Median Survival (month) | 3-yr OS, % | 5-yr OS, % | p value | CSM, % | ||
1-yr | 3-yr | 5-yr | ||||||
I/ II | ||||||||
No surgery of primary site | 106 | 30 (21–61) | 48.4 (39.5–59.3) | 39.6 (30.8–51.0) | 0.392 | 19.4 | 35.9 | 42.0 |
Local therapy | 331 | 52 (43–65) | 57.9 (52.6–63.8) | 46.1 (40.5–52.5) | <0.001* | 13.3 | 29.5 | 35.6 |
Radical surgery of primary site | 215 | 102 (76-NA) | 74.8 (68.7–81.6) | 62.5 (55.2–70.6) | <0.001* | 2.0 | 14.7 | 24.7 |
III /IV | ||||||||
No surgery of primary site | 206 | 14 (12–16) | 25.2 (19.5–36.7) | 12.9 (8.3–19.9) | 0.053 | 44.6 | 68.1 | 79.7 |
Local therapy | 126 | 16 (11–23) | 31.8 (24.0–42.0) | 21.7 (17.4–32.0) | <0.001* | 38.6 | 62.1 | 69.7 |
Radical surgery of primary site | 315 | 35 (28–45) | 48.3 (42.5–54.8) | 34.3 (28.5–41.4) | <0.001* | 16.7 | 43.6 | 53.6 |
Tumor size, mm | n | Median Survival (month) | 3-yr OS, % | 5-yr OS, % | p value | CSM, % | ||
1-yr | 3-yr | 5-yr | ||||||
<30 | ||||||||
No surgery of primary site | 32 | 44 (28-NA) | 60.4 (44.2–82.4) | 34.5 (16.8–70.6) | 0.340 | 19.5 | 35.5 | 61.4 |
Local therapy | 60 | 69 (35-NA) | 61.9 (49.6–77.2) | 52.7 (40.2–69.2) | 0.086 | 9.1 | 26.2 | 30.8 |
Radical surgery of primary site | 136 | NA | 71.3 (63.2–80.4) | 58.8 (49.4–70.1) | 0.032* | 3.9 | 19.3 | 30.1 |
≥30 | ||||||||
No surgery of primary site | 92 | 16 (12–25) | 29.7 (21.1–41.8) | 18.7 (11.4–30.5) | 0.366 | 39.3 | 62.7 | 72.1 |
Local therapy | 62 | 19 (12–38) | 36.4 (25.4–52.3) | 21.9 (12.6–37.9) | 0.005* | 30.8 | 53.2 | 60.5 |
Radical surgery of primary site | 252 | 37 (30–48) | 50.0 (43.7–57.3) | 37.7 (31.2–45.4) | <0.001* | 16.8 | 42.5 | 52.2 |
Sex | n | Median Survival (month) | 3-yr OS, % | 5-yr OS, % | p value | CSM, % | ||
1-yr | 3-yr | 5-yr | ||||||
Male | ||||||||
No surgery of primary site | 233 | 16 (12–20) | 32.7 (26.8–39.8) | 23.2 (17.8–30.2) | <0.001* | 39.3 | 56.6 | 63.5 |
Local therapy | 385 | 38 (28–46) | 51.1 (46.1–56.6) | 39.1 (34.0–45.0) | 0.025* | 21.4 | 38.8 | 45.0 |
Radical surgery of primary site | 333 | 46 (37–60) | 55.8 (50.1–62.1) | 42.5 (36.5–49.5) | <0.001* | 13.1 | 33.4 | 42.8 |
Female | ||||||||
No surgery of primary site | 170 | 16 (15–25) | 32.8 (26.1–41.2) | 19.0 (13.2–27.5) | <0.001* | 29.7 | 53.8 | 66.7 |
Local therapy | 147 | 39 (25–76) | 50.7 (42.5–60.5) | 41.3 (33.1–51.6) | 0.045* | 17.6 | 39.4 | 46.8 |
Radical surgery of primary site | 249 | 52 (44–84) | 60.1 (53.9–67.1) | 47.5 (40.9–55.1) | <0.001* | 10.6 | 33.6 | 43.7 |