Periosteal osteosarcoma: a single-institution experience.

Abstract:

BACKGROUND:Periosteal osteosarcoma is a rare variant of osteosarcoma. Wide surgical removal is the mainstay of treatment, but controversy remains about the role of chemotherapy. The objective of this study was to review and analyze the clinical and treatment-related factors that influence the survival of patients with periosteal osteosarcoma who received treatment in a single institution. METHODS:Thirty-three patients with periosteal osteosarcoma (19 males and 14 females) with a median age of 16 years (range, ages 6-32 years) underwent surgery (32 patients) and received radiotherapy (1 patient). Chemotherapy was received according to different regimens for high-grade osteosarcoma by 14 patients who had grade 3 tumors. RESULTS:The 10-year overall survival rate was 84%. The only patient who did not undergo surgery died of disease after 9 months; for the remaining 32 patients the 10-year disease-free survival rate was 65%. Survival was not influenced by the receipt of chemotherapy. The patients who received chemotherapy had a 10-year overall survival rate of 86%, and those who received only local treatment had an overall survival rate of 83% (P = .73). CONCLUSIONS:The authors' experience indicated that the treatment of periosteal osteosarcoma requires only wide surgical removal of the tumor and that adjuvant chemotherapy does not improve survival.

journal_name

Cancer

journal_title

Cancer

authors

Cesari M,Alberghini M,Vanel D,Palmerini E,Staals EL,Longhi A,Abate M,Ferrari C,Balladelli A,Ferrari S

doi

10.1002/cncr.25718

subject

Has Abstract

pub_date

2011-04-15 00:00:00

pages

1731-5

issue

8

eissn

0008-543X

issn

1097-0142

journal_volume

117

pub_type

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