Table 4 Outcomes according to pathologic criteria after review (univariate analysis)

From: Revisiting the role of the pathological grading in pediatric adrenal cortical tumors: results from a national cohort study with pathological review

 

PFS

OS

Criteriaa

n

HR (95% CI)

p-Value

n

HR (95% CI)

p-Value

Weight (g)

  [2.9–100.0]

54

1

 

54

1

 

  [100.0–1870.0]

34

31.0 [4.09; 235.3]

 < 0.001

34

24.4 [3.17; 188]

0.002

Size (cm)

  [2.0–10.5]

73

1

 

73

1

 

  [10.5–22.0]

17

13.3 [4.66; 37.7]

 < 0.001

17

10.5 [3.37; 32.8]

 < 0.001

Extension into periadrenal soft tissues

12

9.75 [3.56; 26.7]

 < 0.001

12

15.5 [4.80; 50.3]

 < 0.001

Extension into adjacent organs

2

31.9 [5.25; 193]

 < 0.001

2

17.6 [3.73; 83.6]

 < 0.001

Vena cava invasion

6

2.78 [0.63; 12.3]

0.179

6

3.87 [0.83; 18.0]

0.084

Vascular invasion

24

5.62 [1.84; 17.2]

0.003

24

4.93 [1.38; 17.5]

0,014

Capsular invasion

22

6.47 [2.11; 19.8]

0.001

22

15.7 [3.34; 74.3]

 < 0.001

Mitotic count > 15/20 HPF

21

3.26 [1.21; 8.76]

0.019

21

3.41 [1.14; 10.2]

0.028

Atypical mitotic figures

55

3.16 [0.89; 11.2]

0.075

55

3.98 [0.87; 18.2]

0.075

Pre-operative rupture changes

10

4.61 [1.35; 15.8]

0.015

10

3.38 [0.84; 13.7]

0.087

Wieneke score

  < 3 (n = 60)

 

1

  

1

 

  = 3 (n = 11)

 

22.7 [2.54; 203]

0.002

 

8.28 [1.38; 49.6]

0.003

  > 3 (n = 24)

 

41.3 [5.32; 320]

  

14.6 [3.15; 68.4]

 
  1. HPF high-power fields, HR hazard ratio, n number of patients, PFS progression-free survival, OS overall survival
  2. aThe sum does not add up to the total because of missing values. HR for the microscopic criteria “necrosis” were not calculable as there was no event when the tumor was devoid of necrosis