Controversies and Challenges in the Management of Osteosarcoma-an Indian Perspective.

Indian J Surg Oncol

Department of Medical Oncology, DR BRAIRCH, AIIMS, New Delhi, 110029 India.

Published: December 2022

Osteosarcoma (OGS) is the most common primary bone tumor in children and adolescents which requires a multidisciplinary approach to management. Although chemotherapy and surgery can cure more than half of localized OGS cases, the unique challenges faced by resource-limited countries like India make this outcome difficult to achieve. Various questions in the management of OGS including role of high-dose methotrexate (HDMTX) in neoadjuvant setting, triplet vs doublet chemotherapy, intensification of chemotherapy based on response in setting of doublet, and indigenous prosthesis in setting of limb salvage need to be defined. Similarly, in the metastatic and recurrent setting, questions regarding intent of treatment, indications of chemotherapy, timing of surgery, and role of targeted therapies need clarification. Lack of randomized trials from India makes definite conclusions difficult, but an attempt can be made to define the best approach in the Indian scenario from available evidence. Hence, a critical review of literature from India and the West was done to define possible management approaches and highlight the lacuna for future research.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9845467PMC
http://dx.doi.org/10.1007/s13193-021-01486-3DOI Listing

Publication Analysis

Top Keywords

controversies challenges
4
management
4
challenges management
4
management osteosarcoma-an
4
osteosarcoma-an indian
4
indian perspective
4
perspective osteosarcoma
4
osteosarcoma ogs
4
ogs common
4
common primary
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!