Primary bone tumors such as Ewing sarcoma, osteosarcoma,
and chondrosarcoma,
secondary bone tumors developed from progressive malignancies, and
metastasized bone tumors are more prevalent and studied descriptively
through biology and medical research. Less than 0.2% of cancer diagnoses
are caused by rare bone-originating tumors, which despite being rare
are particularly difficult due to their high death rates and substantial
disease burden. A giant cell tumor of bone (GCTB) is an intramurally
invasive but rare and benign type of bone tumor, which seldom metastasizes.
The most often prescribed medication for GCTB is Denosumab, a RANKL
(receptor activator of nuclear factor κB ligand) inhibitor.
Because pharmaceutical drug companies rely on two-dimensional and
animal models, current approaches for investigating the diverse nature
of tumors are insufficient. Cell line based medication effectiveness
and toxicity studies cannot predict tumor response to antitumor medicines.
It has already been investigated in detail why molecular pathways
do not reproduce in vitro, a phenomenon known as flat biology. Due
to physiological differences between human beings and animals, animal
models do not succeed in identifying side effects of the treatment,
emulating metastatic growth, and establishing the link between cancer
and the immune system. This review summarizes and discusses GCTB,
the disease, its cellular composition, various bone tumor models,
and their properties and utilization in research. As a result, this
study delves deep into in vitro testing, which is vital for scientists
and physicians in various fields, including pharmacology, preclinical
investigations, tissue engineering, and regenerative medicine.