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Neurosurgical Review
Published in: Neurosurgical Review 3/2020

01-06-2020 | osteosarcoma | Review

Malignant transformation of craniofacial fibrous dysplasia: a systematic review of overall survival

Authors: Zhi Li, Raynald, Zijuan Wang, Haiyan Qian

Published in: Neurosurgical Review | Issue 3/2020

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Abstract

The incidence of malignant transformation of fibrous dysplasia (FD) is very rare. Thus, the available knowledge of its characteristics, management, and survival is scarce. Here, we present a systemic review of fibrous dysplasia that had undergone malignant transformation. A comprehensive search was performed on PubMed electronic database. The survival rates and hazard ratios of age, gender, past history of previous radiotherapy, type of FD, and treatment were collected from the published articles and analyzed. Forty-eight cases were eligible for inclusion in the study. Patient’s age, gender, past history radiotherapy, and type of FD did not influence the overall survival (OS). The Kaplan Meier analysis showed that the patients who had not received any treatment had poor prognosis with a median survival of 4 months. The patients that received surgery had significantly longer OS than that in the biopsy group. The prognosis of malignant transformation of FD is relatively poor, and surgery is the optimal treatment of choice. Nevertheless, the efficacy of postoperative adjuvant therapy to patient OS is still undefined.
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Metadata
Title
Malignant transformation of craniofacial fibrous dysplasia: a systematic review of overall survival
Authors
Zhi Li
Raynald
Zijuan Wang
Haiyan Qian
Publication date
01-06-2020
Publisher
Springer Berlin Heidelberg
Published in
Neurosurgical Review / Issue 3/2020
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI
https://doi.org/10.1007/s10143-019-01089-1

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