What is the association of preoperative biopsy with recurrence and survival in retroperitoneal sarcoma? A systematic review by the Australia and New Zealand Sarcoma Association clinical practice guidelines working party

Stephanie Webster; Ana Cristina Vargas; Fiona Maclean; Jennifer Vu; Elissa Tong; David Coker; Iain Ward; Elizabeth A Connolly; Deborah Di-Xin Zhou; Jasmine Mar; Smaro Lazarakis; David E Gyorki; Angela M Hong

doi:10.1016/j.critrevonc.2024.104354

What is the association of preoperative biopsy with recurrence and survival in retroperitoneal sarcoma? A systematic review by the Australia and New Zealand Sarcoma Association clinical practice guidelines working party

Crit Rev Oncol Hematol. 2024 May:197:104354. doi: 10.1016/j.critrevonc.2024.104354. Epub 2024 Apr 13.

Authors

Affiliations

¹ Department of Radiation Oncology, Royal North Shore Hospital, St Leonards, NSW 2065, Australia.
² Douglass Hanly Moir Pathology, 4 Giffnock Avenue, Macquarie Park, NSW 2113, Australia; Faculty of Medicine and Health, Sydney Medical School, The University of Sydney, NSW 2006, Australia.
³ Douglass Hanly Moir Pathology, 4 Giffnock Avenue, Macquarie Park, NSW 2113, Australia.
⁴ Faculty of Medicine and Health, Sydney Medical School, The University of Sydney, NSW 2006, Australia.
⁵ Department of Radiation Oncology, Chris O'Brien Lifehouse, Camperdown, NSW 2050, Australia.
⁶ Faculty of Medicine and Health, Sydney Medical School, The University of Sydney, NSW 2006, Australia; Department of Melanoma and Surgical Oncology, and Upper Gastrointestinal Surgery, Royal Prince Alfred Hospital, Camperdown, NSW 2050, Australia.
⁷ Canterbury Cancer and Haematology Service, Christchurch Hospital, Christchurch 8011, New Zealand.
⁸ Faculty of Medicine and Health, Sydney Medical School, The University of Sydney, NSW 2006, Australia; Department of Medical Oncology, Chris O'Brien Lifehouse, Camperdown, NSW 2050, Australia.
⁹ Department of Medical Oncology, Chris O'Brien Lifehouse, Camperdown, NSW 2050, Australia; NHMRC Clinical Trials Centre, The University of Sydney, NSW 2006, Australia.
¹⁰ Australia and New Zealand Sarcoma Association, Parkville, Victoria 3010, Australia.
¹¹ Health Sciences Library, Royal Melbourne Hospital, Parkville, Victoria 3010, Australia.
¹² Division of Cancer Surgery, Peter MacCallum Cancer Centre, and Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC 3000, Australia.
¹³ Faculty of Medicine and Health, Sydney Medical School, The University of Sydney, NSW 2006, Australia; Department of Radiation Oncology, Chris O'Brien Lifehouse, Camperdown, NSW 2050, Australia. Electronic address: angela.hong@sydney.edu.au.

PMID: 38614268
DOI: 10.1016/j.critrevonc.2024.104354

Abstract

Preoperative biopsy for retroperitoneal sarcoma (RPS) enables appropriate multidisciplinary treatment planning. A systematic review of literature from 1990 to June 2022 was conducted using the population, intervention, comparison and outcome model to evaluate the local recurrence and overall survival of preoperative biopsy compared to those that had not. Of 3192 studies screened, five retrospective cohort studies were identified. Three reported on biopsy needle tract seeding, with only one study reporting biopsy site recurrence of 2 %. Two found no significant difference in local recurrence and one found higher 5-year local recurrence rates in those who had not been biopsied. Three studies reported overall survival, including one with propensity matching, did not show a difference in overall survival. In conclusion, preoperative core needle biopsy of RPS is not associated with increased local recurrence or adverse survival outcomes.

Keywords: Biopsy tract seeding; Leiomyosarcoma; Liposarcoma; Preoperative biopsy; Retroperitoneal sarcoma; Sarcoma.

Publication types

Systematic Review

MeSH terms

Australia / epidemiology
Biopsy
Humans
Neoplasm Recurrence, Local* / epidemiology
Neoplasm Recurrence, Local* / pathology
New Zealand / epidemiology
Practice Guidelines as Topic
Preoperative Care / standards
Retroperitoneal Neoplasms* / diagnosis
Retroperitoneal Neoplasms* / mortality
Retroperitoneal Neoplasms* / pathology
Retroperitoneal Neoplasms* / surgery
Sarcoma* / diagnosis
Sarcoma* / mortality
Sarcoma* / pathology
Sarcoma* / therapy