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Cancer Treat Rev. 2014 May;40(4):523-32. doi: 10.1016/j.ctrv.2013.11.006. Epub 2013 Nov 27.

Osteosarcoma treatment - where do we stand? A state of the art review.

Author information

1
Pediatric Hematology and Oncology, University Children's Hospital Münster, Münster, Germany.
2
Department of Pediatrics, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
3
Alder Hey Children's NHS FT, Liverpool, United Kingdom.
4
Pediatric Hematology and Oncology, University Children's Hospital Münster, Münster, Germany. Electronic address: jurgh@uni-muenster.de.

Abstract

Long-term outcome for patients with high-grade osteosarcoma has improved with the addition of systemic chemotherapy, but subsequent progress has been less marked. Modern, multiagent, dose-intensive chemotherapy in conjunction with surgery achieves a 5-year event-free survival of 60-70% in extremity localized, non-metastatic disease. A major, as yet unsolved, problem is the poor prognosis for metastatic relapse or recurrence, and for patients with axial disease. This article reviews the current state of the art of systemic osteosarcoma therapy by focusing on the experiences of cooperative osteosarcoma groups. Also, we shed light on questions and challenges posed by the aggressiveness of the tumor, and we consider potential future directions that may be critical to progress in the prognosis of high-grade osteosarcoma.

KEYWORDS:

Interferon α; Metastatic disease; Mifamurtide; Osteosarcoma; Outcome; Prognostic factors; Systemic treatment

PMID:
24345772
DOI:
10.1016/j.ctrv.2013.11.006
[Indexed for MEDLINE]

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