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: Mettmann, Vanessa (VerfasserIn) , Baumhoer, Daniel (VerfasserIn) , Bielack, Stefan S. (VerfasserIn) , Blattmann, Claudia (VerfasserIn) , Friedel, Godehard (VerfasserIn) , von Kalle, Thekla (VerfasserIn) , Kager, Leo (VerfasserIn) , Kevric, Matthias (VerfasserIn) , Nathrath, Michaela (VerfasserIn) , Sorg, Benjamin (VerfasserIn) , Dürken, Matthias (VerfasserIn) , Hecker-Nolting, Stefanie (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: September 2023
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
Volltext
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

MARC

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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 
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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 
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700 1 |a Hecker-Nolting, Stefanie  |e VerfasserIn  |4 aut 
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