Document Detail


Intraarterial cisplatin in the management of stage IIB osteosarcoma in the pediatric and adolescent age group.
MedLine Citation:
PMID:  1884535     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sixty patients with extremity osteosarcoma were treated with intraarterial cisplatin. This was followed by surgical resection (amputation or limb salvage) and postoperative adjuvant chemotherapy utilizing two different protocols. Seventy-five percent of patients achieved an initial response. Overall disease-free survival was 58%. The number of patients treated with limb-salvage surgery gradually increased to the extent that 80% of newly-registered patients achieved a response and were subjected to limb salvage. Disease-free survival was 48% in amputation and 68% in limb salvage. The only factors found to have prognostic significance in determining disease-free survival were extent of tumor destruction induced by preoperative chemotherapy and tumor size.
Authors:
N Jaffe; D Smith; M R Jaffe; M Hudson; H Carrasco; S Wallace; A K Raymond; A Ayala; J Murray; R Robertson
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  1991 Sep 
Date Detail:
Created Date:  1991-10-10     Completed Date:  1991-10-10     Revised Date:  2005-03-03    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  15-21     Citation Subset:  AIM; IM    
Affiliation:
Division of Pediatrics, University of Texas M.D. Anderson Caner Center, Houston 77030.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Amputation / standards
Bone Neoplasms / mortality,  pathology,  therapy*
Child
Child, Preschool
Cisplatin / administration & dosage,  therapeutic use*
Clinical Protocols / standards
Combined Modality Therapy
Humans
Injections, Intra-Arterial
Life Tables
Neoplasm Staging
Osteosarcoma / mortality,  pathology,  therapy*
Osteotomy / standards
Preoperative Care / methods,  standards
Prognosis
Remission Induction / methods
Survival Rate
Texas / epidemiology
Chemical
Reg. No./Substance:
15663-27-1/Cisplatin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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