Research Article

Development and Validation of Nomograms to Assess Risk Factors and Overall Survival Prediction for Lung Metastasis in Young Patients with Osteosarcoma: A SEER-Based Study

Table 3

Clinical characteristics of 114 osteosarcoma patients with LM.

Training set (n = 82)Validation set I (n = 32)Validation set II (n = 32)Χ2/Z

Age, years5.9920.200
 0–84 (4.88%)6 (18.75%)4 (12.50%)
 9–1653 (64.63%)18 (56.25%)21 (65.63%)
 17–2525 (30.49%)8 (25.00%)7 (21.88%)

Race98.692<0.001
 Black17 (20.73%)5 (15.63%)0 (0.00%)
 White57 (69.51%)24 (75.00%)0 (0.00%)
 Other8 (9.76%)3 (9.38%)32 (100.00%)

Sex2.0520.359
 Female39 (47.56%)11 (34.38%)12 (37.50%)
 Male43 (52.44%)21 (65.63%)20 (62.50%)

Primary site3.2720.774
 Upper limb13 (15.85%)4 (12.50%)4 (12.50%)
 Lower limb62 (75.61%)25 (78.13%)23 (71.88%)
 Other2 (2.44%)2 (6.25%)3 (9.38%)
 Spine/pelvis5 (6.10%)1 (3.13%)2 (6.25%)

Grade1.3080.520
 II1 (1.22%)0 (0.00%)0 (0.00%)
 III33 (40.24%)10 (31.25%)14 (43.75%)
 IV48 (58.54%)22 (68.75%)18 (56.25%)

Histological type0.1860.911
 Osteosarcoma61 (74.39%)23 (71.88%)25 (78.13%)
 Chondroblastic osteosarcoma14 (17.07%)6 (18.75%)3 (9.38%)
 Other5 (6.10%)1 (3.13%)1 (3.13%)
 Central osteosarcoma2 (2.44%)2 (6.25%)3 (9.38%)

T stage5.9850.428
 T113 (15.85%)4 (12.50%)8 (25.00%)
 T254 (65.85%)25 (78.13%)18 (56.25%)
 T34 (4.88%)2 (6.25%)3 (9.38%)
 TX11 (13.41%)1 (3.13%)3 (9.38%)

N stage1.0940.895
 N064 (78.05%)23 (71.88%)25 (78.13%)
 N112 (14.63%)5 (15.63%)5 (15.63%)
 NX6 (7.32%)4 (12.50%)2 (6.25%)

Surgery0.6210.733
 Yes67 (81.71%)28 (87.50%)26 (81.25%)
 No15 (18.29%)4 (12.50%)6 (18.75%)

Chemotherapy6.0820.048
 Yes78 (95.12%)30 (93.75%)26 (81.25%)
 No4 (4.88%)2 (6.25%)6 (18.75%)

Radiotherapy2.0910.351
 Yes9 (10.98%)2 (6.25%)1 (3.13%)
 No73 (89.02%)30 (93.75%)31 (96.88%)

Tumor size, mm1.2190.544
 0–10030 (35.59%)11 (34.38%)15 (46.88%)
 101–20031 (37.80%)14 (43.75%)11 (34.38%)
 >20021 (25.61%)7 (21.88%)6 (18.75%)

Bone metastasis1.9740.373
 No69 (84.15%)28 (87.50%)24 (75.00%)
 Yes13 (15.85%)4 (12.50%)8 (25.00%)

LM: lung metastasis; validation set I: internal validation set; validation set II: external validation set.