Metastases of soft tissue sarcoma to the liver: A Historical Cohort Study from a Hospital-based Cancer Registry

Background: Hepatic metastasis of soft tissue sarcoma is rare compared to lung metastasis, and the literature is scarce. We examined the risk of hepatic metastasis according to the site of occurrence and histological type. Methods: From a Hospital-based Cancer Registry, 658 patients registered between 2007 and 2017 with soft tissue sarcomas were evaluated. The exclusion criteria were gastrointestinal stromal tumors, tumors of unknown origin, and follow-up periods of less than 1 month. SPSS 25 was used for statistical analysis. Results: The risk of hepatic metastasis was significantly higher in the retroperitoneum (HR, 5.981; 95% CI, 2.793-12.808) and leiomyosarcoma (HR, 4.303; 95% CI, 1.782-10.390). Multivariate analysis showed that the risk of hepatic metastasis as first distant metastasis was high in leiomyosarcoma (HR, 4.546; 95% CI, 2.275-9.086) and retroperitoneal onset (HR, 4.588; 95% CI, 2.280-9.231). The 2-year survival rate after hepatic metastasis was 21.7%. Conclusions: The onset of hepatic metastasis indicates a poor prognosis. However, hepatic metastasis from retroperitoneal sarcoma and leiomyosarcoma may be the first distant metastasis in some cases. For retroperitoneal sarcoma and leiomyosarcoma, additional screening for hepatic metastasis such as contrast CT should be considered during staging and follow-up after treatment.ArticleCancer medicine 17(17) : 6159-6165(2020)journal articl

WIVES' DOMESTIC AND POLITICAL ACTIVITIES AT HOME: THE SPACE OF COFFEE DRINKING AMONG THE DAASANETCH OF SOUTHWESTERN ETHIOPIA

Since the 1980s, many researchers have reconsidered and criticized the representation of pastoral societies in East Africa as patriarchal. But they often failed to question the Western biased analytical framework, that is, the public-political-men/ private-domestic-women dichotomy. In this paper, I focus on the space of coffee drinking in the house, one of the most daily and communal spaces among the Daasanetch of southwestern Ethiopia to examine the applicability of this dichotomy. The handling of coffee is under the wife's discretion, and only she can brew and allocate it, so that the space of coffee drinking fundamentally depends on her work. This space has a political importance such as to entertain guests, to bless the society with peace and affluence, and to conduct many rites de passage. This space is for the gathering and discussion by people of all social categories on private to public topics. The wife always participates in the activities of this space not only as a laborer but as an active participant in the processes of rituals and discussions. Distinctions of public/private domains and political/domestic activities are almost meaningless in the Daasanetch space of coffee drinking. While a wife brews and allocates coffee as a domestic worker in her private house, she participates in the political discussion to settle public issues. The space is both private and public, and the wife is domestic and political simultaneously