Evidence map›Paper›PMID 41301004›Full record

ArticleCancers2025

Staged Reconstruction Is Not Necessary Following Oncologic Resection of Superficial Myxofibrosarcoma.

Leilani Garayua-Cruz, Samuel E Broida, Mikaela H Sullivan, Andrew L Folpe, Meng X Welliver, Katie N Lee, Brittany L Siontis, Steven I Robinson, Thanh P Ho, Scott H Okuno and 4 more

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Leilani Garayua-CruzSchool of Medicine, University of Puerto Rico, San Juan, PR 00936, USA.
Samuel E BroidaDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-4192-4133
Mikaela H SullivanDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Andrew L FolpeDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN 55905, USA.
Meng X WelliverDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-8747-692X
Katie N LeeDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Brittany L SiontisDepartment of Medical Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Steven I RobinsonDepartment of Medical Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Thanh P HoDepartment of Medical Oncology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0001-7659-5766
Scott H OkunoDepartment of Medical Oncology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-1297-6946
Peter S RoseDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Karim BakriDivision of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Steven L MoranDivision of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Matthew T HoudekDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0003-0390-1018

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyxofibrosarcomas are notoriously highly infiltrative soft-tissue sarcomas, making negative surgical margins difficult to obtain. Recently, vacuum-assisted closure (VAC) is used to delay wound closure until a negative margin has been achieved; however, this can delay care and increase costs. Our institution has historically performed single-stage resections with intraoperative frozen margin analysis and reconstruction in these patients. The purpose of this study is to report the outcomes of this technique.

methodsWe reviewed 112 patients (62 males, mean age 70 ± 14 years) with superficial myxofibrosarcoma. Eighty-eight patients received preoperative radiation. All patients underwent surgical resection with intraoperative frozen margin analysis, and the planned reconstruction was performed in a single anesthetic.

resultsThe 10-year local recurrence-free survival was 90%; positive intraoperative frozen section (HR 7.44,

conclusionsMultidisciplinary single-stage excision with intraoperative frozen margin assessment and soft-tissue reconstruction yields low rates of local recurrence in patients with superficial myxofibrosarcoma.

Indexed as

myxofibrosarcomarecurrencestaged reconstructionVAC therapy

Identifiers

PMID41301004
PMCPMC12650708

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.