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Table 6 Univariate analysis of prognostic factors for survival

From: Radiation therapy is an important factor to improve survival in pediatric patients with head and neck rhabdomyosarcoma by enhancing local control: a historical cohort study from a single center

Risk Factors

All Patients

Patients with events

5-y OS

p

5-y EFS

p

3-y OS

p

Age at diagnosis

  ≤ 1 y or ≥ 10 ys

80.9%

 

49.6%

 

60.0%

 

 >1–9 ys

66.1%

0.617

48.4%

0.809

48.9%

0.633

Site of origin

 Parameningeal

56.6%

 

49.0%

 

39.3

 

 Non-Parameningeal

81.9%

0.204

46.6%

0.903

65.6

0.094

Tumor size

  ≤ 5 cm

83.5%

 

56.0%

 

79.4%

 

 >5 cm

40.3%

< 0.001

30.1%

0.035*

10.4%

< 0.001

Histologic subtype

 Embryonal

74.6%

 

51.8%

 

35.8%

(5-y OS)

 

 Alveolar

65.5%

0.172

46.9%

0.339

36.4%

(5-y OS)

0.203

Primary tumor invasiveness

 T1

95%

 

49.5%

 

88.9%

 

 T2

51.4%

0.013

50.0%

0.583

29.6%

0.006

Regional nodal involvement

 N0

73.6%

 

51.4%

 

60.6%

 

 N1

67.8%

0.330

40.8%

0.498

42.3%

0.481

Metastasis

 M0

75.7%

 

51.2%

 

62.0%

 

 M1

22.2% (3-y OS)

< 0.001

25.0% (15-m EFS)

0.097

0.0%

0.005

Surgical-pathologic group

 Group II

100%

 

62.5%

 

100%

 

 Group III

66.8%

 

48.3%

 

55.6%

 

 Group IV

22.2% (3-y OS)

0.001#

25.0% (15-m EFS)

0.198

0.0%

0.007#

Initial RT

 Yes

80.3%

 

63.9%

 

35.8%

 

 No

49.7%

0.003

21.9%

(20-m EFS)

< 0.001

36.4%

0.178

Salvage RT

 Yes

–

 

–

 

66.0%

 

 No

–

–

–

–

31.2%

0.033

  1. # Pairwise comparison (Bonferroni adjustment: p < 0.0167 is considered statistically significant)
  2. 5-year OS of all patients: Group II vs Group III (p = 0.098), Group II vs Group IV (p = 0.003), Group III vs Group IV (p = 0.003)
  3. 3-year OS of patients with events (disease progress and relapse): Group II vs Group III (p = 0.127), Group II vs Group IV (p = 0.018), Group III vs Group IV (p = 0.014)
  4. * Breslow test results