Osteosarcoma

Osteosarcoma

Sale price  £166.49 Regular price  £221.99
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Osteosarcoma

Osteosarcoma

Symptoms, Diagnosis & Treatment Options

Written by Edwin Choy and Dana Farber

Sale price  £166.49 Regular price  £221.99
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Before the use of chemotherapy, the treatment of localised osteosarcoma often involved amputation for local control of the disease. But even after definitive local control, the majority of patients would ultimately develop metastasis and die of this disease. Then, in 1974, Norman Jaffe, Emil Frei, James Holland, Gerald Rosen, and others published reports demonstrating improved survival with adjuvant chemotherapy, given either before or after surgery. Since then, with the increased use of adjuvant chemotherapy, the prognosis for patients improved until the 1990s, when the majority of patients diagnosed with non-metastatic osteosarcoma were being cured. However, the prognosis for osteosarcoma when diagnosed today is still not significantly improved when compared to the 1990s. Additionally, for the 30-40% of patients who are either present with the metastatic disease or develop metastasis after initial surgery, the prognosis remains quite poor. We know that cytotoxic therapies, as a tool, are now being maximized. Additional cytotoxic therapy, either as dose dense or high dose chemotherapies or additional agents, do not seem to offer additional benefits above the standard regimens of "MAP" (methotrexate, adriamycin, cisplatinum) and "IE" (ifosfamide, etoposide). Therefore, new strategies to systemically treat osteosarcomas are still in great need despite the huge advances that were made in the 1970s.
ISBN-13
9781633210523
Publication date
1 September 2014
Format
Hardback
Pages
235
Dimensions
230 x 155 mm
Language
English

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