2016
DOI: 10.1002/pbc.26067
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Osteosarcoma After Hematopoietic Stem Cell Transplantation in Children and Adolescents: Case Report and Review of the Literature

Abstract: Osteosarcoma as a secondary malignancy after hematopoietic stem cell transplantation (HSCT) is very rare. We present a case and review of 18 other cases reported to date. Our patient underwent HSCT for myelodysplastic syndrome at the age of 4 years. She developed osteosarcoma 13 years later. She underwent surgery after three courses of neoadjuvant chemotherapy followed by chemotherapy and mifamurtide. She has no evidence of disease 28 months after termination of chemotherapy. In 18 other cases of secondary ost… Show more

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Cited by 21 publications
(15 citation statements)
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“…With the promotion of radical surgery and high-dose chemotherapy, the 5-year survival rate of patients with osteosarcoma has increased to approximately 70% (11). However, there a considerable number of patients with this disease still suffer from tumor recurrence and distant metastasis following complex treatment (12). Distant metastasis is one of the most important reasons for the failure of treatment in the majority of patients with osteosarcoma (13)(14)(15).…”
Section: Introductionmentioning
confidence: 99%
“…With the promotion of radical surgery and high-dose chemotherapy, the 5-year survival rate of patients with osteosarcoma has increased to approximately 70% (11). However, there a considerable number of patients with this disease still suffer from tumor recurrence and distant metastasis following complex treatment (12). Distant metastasis is one of the most important reasons for the failure of treatment in the majority of patients with osteosarcoma (13)(14)(15).…”
Section: Introductionmentioning
confidence: 99%
“…An important consideration in these patients is the possibility of genetic predisposition, as the constellation of hematologic malignancy and sarcoma is suspicious for germline p53 mutations . However, family history is rarely reported in many studies …”
Section: Benign and Malignant Bone Tumorsmentioning
confidence: 99%
“…Instead, regular follow‐up with a thorough history and physical exam is recommended . It is important that patients have long‐term follow‐up to monitor for clinical signs of malignant degeneration such as rapid enlargement (especially after skeletal maturity), as radiation‐induced sarcomas are known to develop more than 15 years after HSCT …”
Section: Benign and Malignant Bone Tumorsmentioning
confidence: 99%
“…However, due to a high degree of metastasis and recurrence, the outcome of patients with osteosarcoma remains unsatisfactory (2). Although the molecular mechanisms of osteosarcoma have attracted widespread attention, those involved in disease progression have not been fully elucidated (3). Therefore, investigating the molecular mechanism underlying the development of osteosarcoma may aid the identification of novel biomarkers and potential targets for the diagnosis and treatment of the disease (4).…”
Section: Introductionmentioning
confidence: 99%