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What’s new in musculoskeletal oncology
We reviewed the recent literature related to primary musculoskeletal tumors and metastatic bone tumors. With regard to primary bone tumors, computer navigation systems and three-dimensional-printed prostheses seem to be new treatment options, especially in challenging anatomical locations, such as t...
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Published in: | BMC musculoskeletal disorders 2021-08, Vol.22 (1), p.1-704, Article 704 |
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description | We reviewed the recent literature related to primary musculoskeletal tumors and metastatic bone tumors. With regard to primary bone tumors, computer navigation systems and three-dimensional-printed prostheses seem to be new treatment options, especially in challenging anatomical locations, such as the sacrum and pelvis. Regarding the treatment of giant cell tumor of bone, recent studies have suggested that denosumab administration is related to a higher local recurrence rate following curettage, but a lower local recurrence rate following en bloc resection. In addition, there was no difference in the local recurrence rate at five years after surgery between short-term and long-term denosumab therapy. With regard to soft tissue tumors, percutaneous cryoablation appears to be a new treatment option for extra-abdominal desmoid tumors, with encouraging results. Regarding soft tissue sarcomas, a negative surgical margin of |
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With regard to primary bone tumors, computer navigation systems and three-dimensional-printed prostheses seem to be new treatment options, especially in challenging anatomical locations, such as the sacrum and pelvis. Regarding the treatment of giant cell tumor of bone, recent studies have suggested that denosumab administration is related to a higher local recurrence rate following curettage, but a lower local recurrence rate following en bloc resection. In addition, there was no difference in the local recurrence rate at five years after surgery between short-term and long-term denosumab therapy. With regard to soft tissue tumors, percutaneous cryoablation appears to be a new treatment option for extra-abdominal desmoid tumors, with encouraging results. Regarding soft tissue sarcomas, a negative surgical margin of < 1 mm is sufficient to control local recurrence. Pexidartinib seems to be a promising systemic therapy for the treatment of tenosynovial giant cell tumors for which surgery is not expected to improve the function of the affected limb. Finally, the life expectancy of patients is the most important factor in determining the optimal surgical procedure for patients with impending or pathological fractures of the long bone due to metastatic bone tumors. Elevated C-reactive protein level was found to be an independent poor prognostic factor at 1 year after surgery for long bone metastases.</description><identifier>ISSN: 1471-2474</identifier><identifier>EISSN: 1471-2474</identifier><identifier>DOI: 10.1186/s12891-021-04590-1</identifier><identifier>PMID: 34404379</identifier><language>eng</language><publisher>London: BioMed Central Ltd</publisher><subject>Bone cancer ; Bone marrow ; Bone sarcomas ; Bone surgery ; Bone tumors ; C-reactive protein ; Cancer ; Care and treatment ; Chemotherapy ; Curettage ; Cysts ; Embolization ; FDA approval ; Fractures ; Life span ; Long bone ; Medical prognosis ; Metastases ; Metastasis ; Metastatic bone tumor ; Muscle tissue tumors ; Muscular system ; Musculoskeletal diseases ; Musculoskeletal tumors ; Oncology ; Oncology, Experimental ; Orthopedic surgery ; Patients ; Pelvis ; Prosthetics ; Radiation therapy ; Review ; Sacrum ; Sarcoma ; Soft tissue sarcomas ; Soft tissue tumors ; Surgery ; Surgical outcomes ; Tumors</subject><ispartof>BMC musculoskeletal disorders, 2021-08, Vol.22 (1), p.1-704, Article 704</ispartof><rights>COPYRIGHT 2021 BioMed Central Ltd.</rights><rights>2021. 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With regard to primary bone tumors, computer navigation systems and three-dimensional-printed prostheses seem to be new treatment options, especially in challenging anatomical locations, such as the sacrum and pelvis. Regarding the treatment of giant cell tumor of bone, recent studies have suggested that denosumab administration is related to a higher local recurrence rate following curettage, but a lower local recurrence rate following en bloc resection. In addition, there was no difference in the local recurrence rate at five years after surgery between short-term and long-term denosumab therapy. With regard to soft tissue tumors, percutaneous cryoablation appears to be a new treatment option for extra-abdominal desmoid tumors, with encouraging results. Regarding soft tissue sarcomas, a negative surgical margin of < 1 mm is sufficient to control local recurrence. Pexidartinib seems to be a promising systemic therapy for the treatment of tenosynovial giant cell tumors for which surgery is not expected to improve the function of the affected limb. Finally, the life expectancy of patients is the most important factor in determining the optimal surgical procedure for patients with impending or pathological fractures of the long bone due to metastatic bone tumors. Elevated C-reactive protein level was found to be an independent poor prognostic factor at 1 year after surgery for long bone metastases.</description><subject>Bone cancer</subject><subject>Bone marrow</subject><subject>Bone sarcomas</subject><subject>Bone surgery</subject><subject>Bone tumors</subject><subject>C-reactive protein</subject><subject>Cancer</subject><subject>Care and treatment</subject><subject>Chemotherapy</subject><subject>Curettage</subject><subject>Cysts</subject><subject>Embolization</subject><subject>FDA approval</subject><subject>Fractures</subject><subject>Life span</subject><subject>Long bone</subject><subject>Medical prognosis</subject><subject>Metastases</subject><subject>Metastasis</subject><subject>Metastatic bone tumor</subject><subject>Muscle tissue tumors</subject><subject>Muscular system</subject><subject>Musculoskeletal diseases</subject><subject>Musculoskeletal tumors</subject><subject>Oncology</subject><subject>Oncology, Experimental</subject><subject>Orthopedic surgery</subject><subject>Patients</subject><subject>Pelvis</subject><subject>Prosthetics</subject><subject>Radiation therapy</subject><subject>Review</subject><subject>Sacrum</subject><subject>Sarcoma</subject><subject>Soft tissue sarcomas</subject><subject>Soft tissue tumors</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Tumors</subject><issn>1471-2474</issn><issn>1471-2474</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>COVID</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptks1qVDEUx4MotlZfwNWAm25uzfdNNkIpfhQKbhSXIU1Ophlzk5rcq3Tna_h6PomZmaKOSAgJJ__zO5yTP0LPCT4jRMmXjVClyYBp31xoPJAH6JjwkQyUj_zhX_cj9KS1DcZkVEw_RkeMc8zZqI_R6acbO__8_qOtMnxbxbyaluaWVNpnSDDbtCrZlVTWd0_Ro2BTg2f35wn6-Ob1h4t3w9X7t5cX51eDExzPg2SeAujg3UgVBIU90KCCAA5MQAjOekGwx9ZRJj0m1xILZzkdBdUWhGUn6HLP9cVuzG2Nk613pthodoFS18bWOboERno9es-2LMEVd8oK4Z2WoLjvxXBnvdqzbpfrCbyDPFebDqCHLznemHX5ahSTmnPeAaf3gFq-LNBmM8XmICWboSzNUCGpIKNgsktf_CPdlKXmPqqdqv-PJPqPam17AzGH0uu6LdScyz4DzjAVXXX2H1VfHqboSoYQe_wgge4TXC2tVQi_eyTYbL1i9l4x3Stm5xVD2C_p3688</recordid><startdate>20210817</startdate><enddate>20210817</enddate><creator>Errani, Costantino</creator><creator>Mavrogenis, Andreas F</creator><creator>Tsukamoto, Shinji</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-4504-2867</orcidid></search><sort><creationdate>20210817</creationdate><title>What’s new in musculoskeletal oncology</title><author>Errani, Costantino ; 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Pexidartinib seems to be a promising systemic therapy for the treatment of tenosynovial giant cell tumors for which surgery is not expected to improve the function of the affected limb. Finally, the life expectancy of patients is the most important factor in determining the optimal surgical procedure for patients with impending or pathological fractures of the long bone due to metastatic bone tumors. Elevated C-reactive protein level was found to be an independent poor prognostic factor at 1 year after surgery for long bone metastases.</abstract><cop>London</cop><pub>BioMed Central Ltd</pub><pmid>34404379</pmid><doi>10.1186/s12891-021-04590-1</doi><orcidid>https://orcid.org/0000-0002-4504-2867</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Bone cancer Bone marrow Bone sarcomas Bone surgery Bone tumors C-reactive protein Cancer Care and treatment Chemotherapy Curettage Cysts Embolization FDA approval Fractures Life span Long bone Medical prognosis Metastases Metastasis Metastatic bone tumor Muscle tissue tumors Muscular system Musculoskeletal diseases Musculoskeletal tumors Oncology Oncology, Experimental Orthopedic surgery Patients Pelvis Prosthetics Radiation therapy Review Sacrum Sarcoma Soft tissue sarcomas Soft tissue tumors Surgery Surgical outcomes Tumors |
title | What’s new in musculoskeletal oncology |
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