Abstract
Ten years' results of 56 patients with high grade osteogenic sarcoma are reported. Fifty-two patients had M0 disease. Immediately after open biopsy the patients were treated with chemotherapy using modified Rosen's protocols T4, T7 and T10. The primary tumor was adequately removed in most patients. Six children were treated with limb saving. The actuarial and disease-free survival was 80% after 1 year, and 73% to 8 years. Two patients died because of toxic side effects of chemotherapy, one of septicemia, the other of late cardiac failure secondary to doxorubicin.
MeSH terms
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Actuarial Analysis
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Adolescent
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Adult
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Antineoplastic Combined Chemotherapy Protocols / adverse effects
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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Bleomycin / administration & dosage
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Bleomycin / adverse effects
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Bone Neoplasms / drug therapy
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Bone Neoplasms / mortality
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Bone Neoplasms / surgery*
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Child
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Combined Modality Therapy
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Cyclophosphamide / administration & dosage
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Cyclophosphamide / adverse effects
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Dactinomycin / administration & dosage
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Dactinomycin / adverse effects
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Doxorubicin / administration & dosage
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Doxorubicin / adverse effects
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Female
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Finland / epidemiology
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Humans
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Male
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Methotrexate / administration & dosage
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Methotrexate / adverse effects
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Osteosarcoma / drug therapy
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Osteosarcoma / mortality
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Osteosarcoma / surgery*
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Survival Rate
Substances
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Bleomycin
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Dactinomycin
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Doxorubicin
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Cyclophosphamide
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Methotrexate