Solitary pulmonary metastases at first recurrence of osteosarcoma: presentation, treatment, and survival of 219 patients of the Cooperative Osteosarcoma Study Group
Background To evaluate patient and tumour characteristics, treatment and their impact on survival in patients with a solitary pulmonary metastasis at first relapse of high-grade osteosarcoma. Procedure Two-hundred and nineteen consecutive patients who had achieved a complete surgical remission and t...
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| Hauptverfasser: | , , , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
September 2023
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| In: |
Cancer medicine
Year: 2023, Jahrgang: 12, Heft: 17, Pages: 18219-18234 |
| ISSN: | 2045-7634 |
| DOI: | 10.1002/cam4.6409 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://doi.org/10.1002/cam4.6409 Verlag, kostenfrei, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/cam4.6409 |
| Verfasserangaben: | Vanessa L. Mettmann, Daniel Baumhoer, Stefan S. Bielack, Claudia Blattmann, Godehard Friedel, Thekla von Kalle, Leo Kager, Matthias Kevric, Michaela Nathrath, Benjamin Sorg, Matthias Dürken, Stefanie Hecker-Nolting |
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| 245 | 1 | 0 | |a Solitary pulmonary metastases at first recurrence of osteosarcoma |b presentation, treatment, and survival of 219 patients of the Cooperative Osteosarcoma Study Group |c Vanessa L. Mettmann, Daniel Baumhoer, Stefan S. Bielack, Claudia Blattmann, Godehard Friedel, Thekla von Kalle, Leo Kager, Matthias Kevric, Michaela Nathrath, Benjamin Sorg, Matthias Dürken, Stefanie Hecker-Nolting |
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| 520 | |a Background To evaluate patient and tumour characteristics, treatment and their impact on survival in patients with a solitary pulmonary metastasis at first relapse of high-grade osteosarcoma. Procedure Two-hundred and nineteen consecutive patients who had achieved a complete surgical remission and then developed a solitary pulmonary metastasis at first recurrence of high-grade osteosarcoma were retrospectively reviewed. Results Two hundred and three (94.9%) of 214 patients achieved a second complete remission. After a median time from initial diagnosis of osteosarcoma to first relapse of 2.3 years (range, 0.3-18.8 years), actuarial post-relapse overall survival after 2 and 5 years was 72.0% and 51.2%. Post-relapse event-free survival was 39.1% and 31.1%. Median follow-up time was 3.2 years (range, 0.1-29.4 years). A longer time until first relapse and diagnosis due to imaging were positive prognostic factors in uni- and multivariate analyses, as were a second complete surgical remission and, in regard to death, the absence of a subsequent relapse. The use of salvage chemotherapy and radiotherapy were not associated with patient outcomes, nor was the surgical approach (thoracoscopy vs. thoracotomy) nor the exploration (uni- vs. bilateral). Conclusion Approximately half of the patients who experience a solitary pulmonary relapse at first recurrence of osteosarcoma remain alive 5 years after this first relapse. Only one third will remain disease-free. A complete surgical resection of the lesion is essential for long-term survival while relapse chemotherapy does not seem to improve survival. Innovative therapies are required to improve outcomes. | ||
| 650 | 4 | |a osteosarcoma | |
| 650 | 4 | |a pulmonary metastases | |
| 650 | 4 | |a recurrence | |
| 650 | 4 | |a survival | |
| 700 | 1 | |a Baumhoer, Daniel |e VerfasserIn |4 aut | |
| 700 | 1 | |a Bielack, Stefan S. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Blattmann, Claudia |e VerfasserIn |4 aut | |
| 700 | 1 | |a Friedel, Godehard |e VerfasserIn |4 aut | |
| 700 | 1 | |a von Kalle, Thekla |e VerfasserIn |4 aut | |
| 700 | 1 | |a Kager, Leo |e VerfasserIn |4 aut | |
| 700 | 1 | |a Kevric, Matthias |e VerfasserIn |4 aut | |
| 700 | 1 | |a Nathrath, Michaela |e VerfasserIn |4 aut | |
| 700 | 1 | |a Sorg, Benjamin |e VerfasserIn |4 aut | |
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| 700 | 1 | |a Hecker-Nolting, Stefanie |e VerfasserIn |4 aut | |
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