Skip to main content

Osteosarcoma of the extremities: Chemotherapy experience at Memorial Sloan-Kettering

  • Chapter
Osteosarcoma in Adolescents and Young Adults: New Developments and Controversies

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

Abstract

At the Memorial Sloan-Kettering Cancer Center (MSKCC) multiagent chemotherapy for the treatment of osteosarcoma (OS) was introduced by Dr. Gerald Rosen in 1973[1]. Rosen and Marcove developed the concept of an initial period of chemotherapy prior to definitive surgery of the primary tumor (neoadjuvant chemotherapy). The initial impetus for this strategy came from the need to create custom prostheses for limb-sparing surgery. Rosen and Huvos examined the tumors removed at definitive surgery for the degree of necrosis present following neoadjuvant chemotherapy [2]. They demonstrated a strong correlation between the histologically evaluated response and subsequent disease-free survival (DFS).

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

Access this chapter

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

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Rosen G, Murphy ML, Huvos AG, et al. Chemotherapy, en bloc resection and prosthetic bone replacement in the treatment of osteogenic sarcoma. Cancer 37:1–11, 1976.

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  3. 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 

  4. Rosen G. Pre-operative (neo-adjuvant) chemotherapy for osteogenic sarcoma: a ten year experience. Orthopedics 8:659–664, 1985.

    PubMed  CAS  Google Scholar 

  5. Winkler K, Beron G, Delling G, et al. Neoadjuvant chemotherapy of osteosarcoma: results of a randomized cooperative trial (COSS-82) with salvage chemotherapy based on histological tumor response. J Clin Oncol 6:329–337, 1988.

    PubMed  CAS  Google Scholar 

  6. Provisor A, Nachman J, Krailo M, et al. Treatment of nonmetastatic osteogenic sarcoma (OS) of the extremities with pre-and post-operative chemotherapy. Proc Am Soc Clin Oncol 6:217, 1987.

    Google Scholar 

  7. Meyers P, Casper E, Huvos A, et al. Osteogenic sarcoma (OS): a randomized trial of intensive pre-operative (pre-op) chemotherapy (chemo) vs. chemo guided by histologic response (HR) to pre-op chemo. Proc Am Soc Clin Oncol 10:318, 1991.

    Google Scholar 

  8. Krailo M, Ertel E, Makley J, et al. A randomized trial comparing high dose methotrexate with moderate dose methotrexate as components of adjuvant chemotherapy in childhood non-metastatic osteosarcoma. Med Ped Oncol 15:69–77, 1987.

    Article  CAS  Google Scholar 

  9. Mosende C, Gutierrez M, Caparros B, et al. Combination chemotherapy with bleomycin, cyclophosphamide and dactinomycin for the treatment of osteogenic sarcoma. Cancer 40:2779–2786, 1977.

    Article  PubMed  CAS  Google Scholar 

  10. Pratt CB, Epelman S, Jaffe N. Bleomycin, cyclophosphamide, and dactinomycin in metastatic osteosarcoma: lack of tumor regression in previously treated patients. Cancer Treat Rep 71:421–423, 1987.

    PubMed  CAS  Google Scholar 

  11. Winkler K, Bielack S, Delling G, et al. Effect of intraarterial versus intravenous cisplatin in addition to systemic doxorubicin, high-dose methotrexate, and ifosfamide on histologic tumor response in osteosarcoma (study COSS-86). Cancer 66:1703–1710, 1990.

    Article  PubMed  CAS  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

Meyers, P.A., Heller, G., Vlamis, V. (1993). Osteosarcoma of the extremities: Chemotherapy experience at Memorial Sloan-Kettering. 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_37

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-3518-8_37

  • 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