OSTEOSARCOMA IN YOUNG-CHILDREN

被引:1
作者
KOZAKEWICH, H
PEREZATAYDE, AR
GOORIN, AM
WILKINSON, RH
GEBHARDT, MC
VAWTER, GF
机构
[1] CHILDRENS HOSP MED CTR,DEPT HEMATOL & ONCOL,BOSTON,MA 02115
[2] CHILDRENS HOSP MED CTR,DEPT RADIOL,BOSTON,MA 02115
[3] CHILDRENS HOSP MED CTR,DEPT ORTHOPED SURG,BOSTON,MA 02115
[4] HARVARD UNIV,SCH MED,DANA FARBER CANC INST,DIV PEDIAT ONCOL,BOSTON,MA 02115
[5] HARVARD UNIV,SCH MED,BOSTON,MA 02115
关键词
D O I
10.1002/1097-0142(19910201)67:3<638::AID-CNCR2820670319>3.0.CO;2-T
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The clinicopathologic features of osteosarcoma in 12 children younger than 6 years of age treated at The Children's Hospital and Dana-Farber Cancer Institute, Boston, during a 70-year time period are presented. Only one of six children treated before 1972 is a long-term survivor. Four of six children (67%) treated after 1972 are disease-free with an average follow-up of 8.8 years. The year 1972 marked the onset of use of effective chemotherapy in osteosarcoma, namely, high-dose methotrexate and leucovorin rescue. It would appear that the pathologic features and behavior of osteosarcoma in young children is similar to that of osteosarcoma in older children and adolescents. A combination of complete (wide) surgical resection or amputation and aggressive chemotherapy offers the best chance of long-term survival.
引用
收藏
页码:638 / 642
页数:5
相关论文
共 16 条
[1]   OSTEOGENIC-SARCOMA OF THE DISTAL FEMUR IN A YOUNG-CHILD [J].
ATIK, OS ;
CAGLAR, M ;
BOLUKBASI, S ;
GOGUS, S ;
GOGUS, MT .
HUMAN PATHOLOGY, 1982, 13 (08) :766-766
[2]  
BRODEUR GM, 1980, CANCER, V46, P1197, DOI 10.1002/1097-0142(19800901)46:5<1197::AID-CNCR2820460520>3.0.CO
[3]  
2-O
[4]   ONCOGENES IN RADIORESISTANT, NONCANCEROUS SKIN FIBROBLASTS FROM A CANCER-PRONE FAMILY [J].
CHANG, EH ;
PIROLLO, KF ;
ZHI, QZ ;
CHEUNG, HY ;
LAWLER, EL ;
GARNER, R ;
WHITE, E ;
BERNSTEIN, WB ;
FRAUMENI, JW ;
BLATTNER, WA .
SCIENCE, 1987, 237 (4818) :1036-1039
[5]  
Goorin A, 1985, CANCER TREAT S, V3, P155
[6]   WEEKLY HIGH-DOSE METHOTREXATE AND DOXORUBICIN FOR OSTEOSARCOMA - THE DANA-FARBER-CANCER-INSTITUTE THE CHILDRENS-HOSPITAL - STUDY-III [J].
GOORIN, AM ;
PEREZATAYDE, A ;
GEBHARDT, M ;
ANDERSEN, JW ;
WILKINSON, RH ;
DELOREY, MJ ;
WATTS, H ;
LINK, M ;
JAFFE, N ;
FREI, E ;
ABELSON, HT .
JOURNAL OF CLINICAL ONCOLOGY, 1987, 5 (08) :1178-1184
[7]   STROMAL REACTION OF TUMORS - EXPRESSION OF IMMUNE SURVEILLANCE [J].
IOACHIM, HL .
JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1976, 57 (03) :465-475
[8]  
LEVY M L, 1982, Pediatrics, V70, P302
[9]  
LI FP, 1988, CANCER RES, V48, P5358
[10]  
LINBOM A, 1961, ACTA RADIOL, V56, P1