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          <dc:title>Epidemiology and treatment outcomes of bone and soft tissue sarcoma in pediatric and adolescent and young adult patients in Japan: data from population-based National Cancer Registry 2016–2019</dc:title>
          <dc:creator>Yu Toda (18389416)</dc:creator>
          <dc:creator>Koichi Ogura (5643719)</dc:creator>
          <dc:creator>Chigusa Morizane (13563541)</dc:creator>
          <dc:creator>Tomoyuki Satake (15166826)</dc:creator>
          <dc:creator>Shintaro Iwata (579054)</dc:creator>
          <dc:creator>Eisuke Kobayashi (3566198)</dc:creator>
          <dc:creator>Toshiyuki Takemori (7034015)</dc:creator>
          <dc:creator>Hiroya Kondo (2628967)</dc:creator>
          <dc:creator>Shudai Muramatsu (23328239)</dc:creator>
          <dc:creator>Takahiro Higashi (3436421)</dc:creator>
          <dc:creator>Akira Kawai (447839)</dc:creator>
          <dc:subject>Medicine</dc:subject>
          <dc:subject>Physiology</dc:subject>
          <dc:subject>Biotechnology</dc:subject>
          <dc:subject>Environmental Sciences not elsewhere classified</dc:subject>
          <dc:subject>Ecology</dc:subject>
          <dc:subject>Biological Sciences not elsewhere classified</dc:subject>
          <dc:subject>Cancer</dc:subject>
          <dc:subject>Science Policy</dc:subject>
          <dc:subject>Bone sarcoma</dc:subject>
          <dc:subject>Soft tissue sarcoma</dc:subject>
          <dc:subject>Pediatrics</dc:subject>
          <dc:subject>Adolescent and young adult (AYA)</dc:subject>
          <dc:subject>National cancer registry</dc:subject>
          <dc:description>&lt;p&gt;This Japanese population-based retrospective study using National Cancer Registry data (2016–2019) revealed age-specific disparities in treatment and outcomes of bone and soft tissue sarcomas in patients under 40 years. A total of 1,209 bone sarcoma (BS) and 3,096 soft tissue sarcoma (STS) cases were analyzed for demographics, treatment modalities, survival rates, and prognostic factors. Osteosarcoma (53%) and Ewing sarcoma (15%) were the most common BS subtypes. Pediatric patients presented more frequently with metastases and received more chemotherapy, while surgery was performed in 80% of BS cases. For STS, fibrosarcoma (19%) and rhabdomyosarcoma (13%) predominated. AYA (adolescent and young adult) patients underwent more surgeries, whereas pediatric patients received more chemotherapy/radiotherapy. Three-year overall survival rates were 67% for BS and 79% for STS. Prognosis was significantly influenced by disease extent and surgical intervention. Age was an adverse prognostic factor for STS but not for BS. This first comprehensive Japanese population-based study demonstrates treatment disparities across age groups in sarcoma care. We revealed that pediatric and AYA sarcoma care in Japan shows clear age-related disparities.&lt;/p&gt;</dc:description>
          <dc:date>2026-09-18T07:30:36Z</dc:date>
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          <dc:identifier>10.6084/m9.figshare.33922923.v1</dc:identifier>
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          <dc:rights>CC BY 4.0</dc:rights>
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