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Correspondence
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Volume 338:1699 June 4, 1998 Number 23
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Genetic Abnormalities in Synovial Sarcoma

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 by Kawai, A.
To the Editor: In their study of SYT–SSX gene fusion in synovial sarcoma, Kawai et al. (Jan. 15 issue)1 found a significant relation between the SYT–SSX2 subtype and metastasis-free survival. Adjuvant ifosfamide-based chemotherapy did not appear to be a prognostic factor. The authors conclude "that the survival advantage of the SYT–SSX2 group was not related to treatment with this agent."

Randomized trials have suggested that adjuvant chemotherapy may prolong survival free of distant metastases, but in meta-analyses, only doxorubicin-based adjuvant chemotherapy significantly improves recurrence-free survival in soft-tissue sarcomas.2 There are few data about the results with ifosfamide used as a . . . [Full Text of this Article]

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