Skip to main content

An opinion supporting the role of high-dose methotrexate in the treatment of osteosarcoma

  • Chapter

Part of the book series: Cancer Treatment and Research ((CTAR,volume 62))

Abstract

To properly assess the role of any drug for a specific disease, it would be prudent to examine the benefit to risk ratio of each drug. In this chapter these factors will be examined for not only high-dose methotrexate with leucovorin rescue, but also for the other currently useful drugs in the treatment of osteogenic sarcoma, namely, high-dose ifosfamide with mesna and cisplatinum combined with doxorubicin. Comments will be made about other proposed treatments that, at the current time, have no proven place in the treatment of patients with newly diagnosed primary osteosarcoma.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Jaffe N, Frei E, Traggis D, Watta H. Weekly high dose methotrexate-citrovorum factor in osteogenic sarcoma. Cancer 39:45, 1977.

    Article  PubMed  CAS  Google Scholar 

  2. Rosen G, Marcove RC, Caparros B, et al. Primary osteogenic sarcoma: the rationale for preoperative chemotherapy and delayed surgery. Cancer 43:2163–2177, 1979.

    Article  PubMed  CAS  Google Scholar 

  3. Kalifa C, Mlika N, Dubousset J, et al. Experience with the T10 protocol in the pediatric service at the Gustave-Roussy Institute. Bull Cancer (Paris) 75:207–211, 1988.

    CAS  Google Scholar 

  4. Rosen G, Nirenberg G. Chemotherapy for osteogenic sarcoma: an investigative method, not a recipe. Cancer Treat Rep 4:11–17, 1982.

    Google Scholar 

  5. Samuels LL, Feinberg A, Moccio DM, et al. Detection by high-performance liquid chromatography of methotrexate and its metabolites in tumor tissue from osteosarcoma patients treated with high dose methotrexate/leucovorin rescue. Biochem Pharmacol 33:2711–2714, 1984.

    Article  PubMed  CAS  Google Scholar 

  6. Rosen G, Caparros B, Huvos AG, et al. Preoperative chemotherapy for osteogenic sarcoma: selection of post-operative adjuvant chemotherapy based upon the response of the primary tumor to preoperative chemotherapy. Cancer 49:1221–1230, 1982.

    Article  PubMed  CAS  Google Scholar 

  7. Walker RW, Allen JC, Rosen G, Caparros B. Transient cerebral dysfunction secondary to high dose methotrexate. J Clin Oncol 1845–1850, 1986.

    Google Scholar 

  8. Rosen G. Preoperative (neoadjuvant) chemotherapy for osteogenic sarcoma. A ten-year experience. Orthopedics 8:659–664, 1985.

    PubMed  CAS  Google Scholar 

  9. Ramanna L, Waxman A, Binney G, et al. Thallium-201 scintigraphy in bone sarcoma: comparison with gallium-67 and technetium-MDP in the evaluation of chemotherapeutic response. J Nucl Med 31:to, 1990.

    Google Scholar 

  10. Rosen G, Loren G, Ramanna L, et al. Osteogenic sarcoma: early evaluation of preoperative chemotherapy with thallium-201 scintigraphy. In: Proc Am Soc Clin Oncol, abstract 97, May, 1991.

    Google Scholar 

  11. Chawla SP, Rosen G, Lowenbraun S, et al. Role of high dose ifosfamide in recurrent osteosarcoma. In: Proc Am Soc Clin Oncol 9:A1201, 1990.

    Google Scholar 

  12. Rosen G, Nirenberg A, Caparros B, et al. Cisplatinum in metastatic osteogenic sarcoma. Cisplatinum—Current Status and New Developments. In: Prestayko AW, Crooke ST, Carter SK, Eds. Academic Press, New York, 1980, pp 465–475.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer Science+Business Media New York

About this chapter

Cite this chapter

Rosen, G. (1993). An opinion supporting the role of high-dose methotrexate in the treatment of osteosarcoma. In: Humphrey, G.B., Koops, H.S., Molenaar, W.M., Postma, A. (eds) Osteosarcoma in Adolescents and Young Adults: New Developments and Controversies. Cancer Treatment and Research, vol 62. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3518-8_9

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-3518-8_9

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-6561-7

  • Online ISBN: 978-1-4615-3518-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics