Incidence and site specific characteristics of angiosarcoma in Japan using a population-based national cancer registry from 2016 to 2019

Abstract Angiosarcoma is so rare, no reports on its epidemiology and prognosis using nationwide population-based data exist. The present study aimed to clarify the characteristics and clinical outcomes of angiosarcoma using the National Cancer Registry (NCR) in Japan. We analyzed data from 23,522 pa...

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Main Authors: Toshiyuki Takemori, Koichi Ogura, Chigusa Morizane, Tomoyuki Satake, Shintaro Iwata, Yu Toda, Shudai Muramatsu, Hiroya Kondo, Eisuke Kobayashi, Takahiro Higashi, Akira Kawai
Format: Article
Language:English
Published: Nature Portfolio 2025-03-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-94956-5
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author Toshiyuki Takemori
Koichi Ogura
Chigusa Morizane
Tomoyuki Satake
Shintaro Iwata
Yu Toda
Shudai Muramatsu
Hiroya Kondo
Eisuke Kobayashi
Takahiro Higashi
Akira Kawai
author_facet Toshiyuki Takemori
Koichi Ogura
Chigusa Morizane
Tomoyuki Satake
Shintaro Iwata
Yu Toda
Shudai Muramatsu
Hiroya Kondo
Eisuke Kobayashi
Takahiro Higashi
Akira Kawai
author_sort Toshiyuki Takemori
collection DOAJ
description Abstract Angiosarcoma is so rare, no reports on its epidemiology and prognosis using nationwide population-based data exist. The present study aimed to clarify the characteristics and clinical outcomes of angiosarcoma using the National Cancer Registry (NCR) in Japan. We analyzed data from 23,522 patients with soft-tissue sarcomas (STS), entered in the NCR in 2016–2019 using the International Classification of Diseases-Oncology, Third Edition cancer topography and morphology codes. We extracted demographics, tumor details, treatment, and prognosis for each patient. Of 23,522 STS patients, 1,973 patients were enrolled in the angiosarcoma group and 21,549 in the non-angiosarcoma group. Angiosarcoma accounts for 8.4% of all STS (adjusted incidence: 0.18/100,000/year). Most angiosarcoma patients were men (58.7%) and the most common tumor location was the head/neck (51.0%). In the angiosarcoma group (compared to the non-angiosarcoma group): age at diagnosis was significantly older; more tumors were localized; chemotherapy and radiotherapy were more common; surgery was less common; and the overall survival was significantly worse (P < 0.001). Several factors were associated with worse overall survival in the multivariate analyses. The present study is the first to have clarified the epidemiology, clinical features, treatment, prognosis, and significant factors affecting prognosis of patients with angiosarcoma in Japan.
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spelling doaj-art-3a85142829de4aff88db11551c053e6e2025-08-20T03:41:49ZengNature PortfolioScientific Reports2045-23222025-03-011511910.1038/s41598-025-94956-5Incidence and site specific characteristics of angiosarcoma in Japan using a population-based national cancer registry from 2016 to 2019Toshiyuki Takemori0Koichi Ogura1Chigusa Morizane2Tomoyuki Satake3Shintaro Iwata4Yu Toda5Shudai Muramatsu6Hiroya Kondo7Eisuke Kobayashi8Takahiro Higashi9Akira Kawai10Department of Musculoskeletal Oncology, National Cancer Center HospitalDepartment of Musculoskeletal Oncology, National Cancer Center HospitalDepartment of Hepatobiliary and Pancreatic Oncology, National Cancer Center HospitalDepartment of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital EastDepartment of Musculoskeletal Oncology, National Cancer Center HospitalDepartment of Musculoskeletal Oncology, National Cancer Center HospitalDepartment of Musculoskeletal Oncology, National Cancer Center HospitalDepartment of Musculoskeletal Oncology, National Cancer Center HospitalDepartment of Musculoskeletal Oncology, National Cancer Center HospitalDivision of Health Services Research, National Cancer Center Hospital EastDepartment of Musculoskeletal Oncology, National Cancer Center HospitalAbstract Angiosarcoma is so rare, no reports on its epidemiology and prognosis using nationwide population-based data exist. The present study aimed to clarify the characteristics and clinical outcomes of angiosarcoma using the National Cancer Registry (NCR) in Japan. We analyzed data from 23,522 patients with soft-tissue sarcomas (STS), entered in the NCR in 2016–2019 using the International Classification of Diseases-Oncology, Third Edition cancer topography and morphology codes. We extracted demographics, tumor details, treatment, and prognosis for each patient. Of 23,522 STS patients, 1,973 patients were enrolled in the angiosarcoma group and 21,549 in the non-angiosarcoma group. Angiosarcoma accounts for 8.4% of all STS (adjusted incidence: 0.18/100,000/year). Most angiosarcoma patients were men (58.7%) and the most common tumor location was the head/neck (51.0%). In the angiosarcoma group (compared to the non-angiosarcoma group): age at diagnosis was significantly older; more tumors were localized; chemotherapy and radiotherapy were more common; surgery was less common; and the overall survival was significantly worse (P < 0.001). Several factors were associated with worse overall survival in the multivariate analyses. The present study is the first to have clarified the epidemiology, clinical features, treatment, prognosis, and significant factors affecting prognosis of patients with angiosarcoma in Japan.https://doi.org/10.1038/s41598-025-94956-5AngiosarcomaNational Cancer registryEpidemiologyClinical outcomePrognostic factors
spellingShingle Toshiyuki Takemori
Koichi Ogura
Chigusa Morizane
Tomoyuki Satake
Shintaro Iwata
Yu Toda
Shudai Muramatsu
Hiroya Kondo
Eisuke Kobayashi
Takahiro Higashi
Akira Kawai
Incidence and site specific characteristics of angiosarcoma in Japan using a population-based national cancer registry from 2016 to 2019
Scientific Reports
Angiosarcoma
National Cancer registry
Epidemiology
Clinical outcome
Prognostic factors
title Incidence and site specific characteristics of angiosarcoma in Japan using a population-based national cancer registry from 2016 to 2019
title_full Incidence and site specific characteristics of angiosarcoma in Japan using a population-based national cancer registry from 2016 to 2019
title_fullStr Incidence and site specific characteristics of angiosarcoma in Japan using a population-based national cancer registry from 2016 to 2019
title_full_unstemmed Incidence and site specific characteristics of angiosarcoma in Japan using a population-based national cancer registry from 2016 to 2019
title_short Incidence and site specific characteristics of angiosarcoma in Japan using a population-based national cancer registry from 2016 to 2019
title_sort incidence and site specific characteristics of angiosarcoma in japan using a population based national cancer registry from 2016 to 2019
topic Angiosarcoma
National Cancer registry
Epidemiology
Clinical outcome
Prognostic factors
url https://doi.org/10.1038/s41598-025-94956-5
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