Research Article

Genetic Profiling Differentiates Second Primary Tumors from Metastases in Adult Metachronous Soft Tissue Sarcoma

Table 1

Summary of clinical data from the 30 STS analyzed from 13 patients.

Case no.SexAgeSiteTypeYears after first tumorSiteTypeYears after first tumorSiteTypeFollow-up status/monthsTumor source frozen/paraffin

First tumorSecond tumorThird tumor

Similar genomic profiles suggestive of metastatic disease

1M80Trunk wallLMS3Left cheekLMSMET/50f/f
2F82Right upper armMFH/UPS2Left buttockMFH/UPS3ScalpMFH/UPSMET/47p/f/p
6F80Right thighLS1Left shoulderLS2Right lower legLSTD/22f/p/p
9F79Lower legMFH/UPS1Right thighMFH/UPSNED/36p/f
12M76Right lower legMFH/UPS7Right thigh*MFH/UPSTD/164p/f

Different genomic profiles suggestive of second primary tumors

3F77Right shoulderMFH/UPS5Left thighMFH/UPS9Right lower armLMSNED/163f/f
4F75Left lower armMFH/UPS4Right lower legMFH/UPSNED/54f/p
5F60Right lower armMPNST4Right thighLMSNED/56f/p
7M83Left thigh (laterally)LMS4Left thigh (medially)LMSTD/28p/f
8M73Left kneeMFH/UPS1Left lower legMFH/UPSMET/15f/p
10M28Right trunk wallMPNST1ScalpMPNSTTD/32f/p
11F77Right thighMFH/UPS2BackMFH/UPSMET/51p/f
13M76Right footMFH/UPS4Right thighMFH/UPSMET/51p/f

MFH/UPS = malignant fibrous histiocytoma/undifferentiated pleomorphic sarcoma, LMS = leiomyosarcoma, LS = liposarcoma, MPNST = malignant peripheral nerve sheath tumor.*Located 15 cm from the first tumor.The patient developed one additional LS, left thoracic wall.MET: metastases, TD: tumor death, NED: no evidence of disease.