2011
DOI: 10.5604/15093492.971038
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Current concepts on pathogenesis and biology of metastatic osteosarcoma tumors

Abstract: Osteosarcoma (OS) remains the most common malignancy among orthopaedic neoplasms. Despite advanced surgical techniques and attempts to use second-line chemotherapy, 5 year overall survival in OS patients is still reported to be as low as 60-70%. Progression to metastatic disease is the main cause of treatment failures. Broadening current knowledge on the pathogenesis and biology of metastatic OS tumors is a key element in improving treatment results, i.e. identifying potential therapeutic targets. Recent studi… Show more

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Cited by 41 publications
(33 citation statements)
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“…It is the most common primary bone malignancy in childhood and adolescence (1)(2)(3). OS is primarily a malignant neoplasm of the long bones, with the greatest predilection for the metaphyses of the distal femur and proximal tibia (4).…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…It is the most common primary bone malignancy in childhood and adolescence (1)(2)(3). OS is primarily a malignant neoplasm of the long bones, with the greatest predilection for the metaphyses of the distal femur and proximal tibia (4).…”
Section: Introductionmentioning
confidence: 99%
“…To date, the molecular mechanisms behind osteosarcoma development and metastasis have remained elusive. Therefore, broadening our understanding of the pathogenesis and biology of metastatic osteosarcoma is a key factor for improving treatment results and identifying potential therapeutic targets (2).…”
Section: Introductionmentioning
confidence: 99%
“…Furthermore, the treatment for all types is similar (4). The prognosis of this disease is poor despite the use of multimodal therapy, including surgery, radiotherapy and chemotherapy (5,6). Progression to metastatic disease is the predominant cause of treatment failure, while the cellular and molecular mechanisms defining the biological behavior of osteosarcoma cells are poorly understood (6).…”
Section: Introductionmentioning
confidence: 99%
“…Despite the considerable increase in the survival rate of patients with osteosarcoma to 65%–75%, due to great advances in surgical technology and combined therapeutic strategies, the survival of patients with pulmonary metastases and advanced clinical stage remains poor 3. Therefore, accumulating attempts have been made to identify the prognostic factors for survival of patients with osteosarcomas and to identify patients with a high risk of developing recurrence or metastases from those with a low risk 4. Several clinicopathological characteristics, such as tumor size, tumor grade, response to chemotherapy, and status of metastasis, have been used as prognostic factors for patients with osteosarcomas,5 but their sensitivities and specificities are not satisfactory, implying that several genetic or molecular events may be implicated in the tumorigenesis of this malignancy.…”
Section: Introductionmentioning
confidence: 99%