Difference between revisions of "Bone sarcoma"

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m (Text replacement - "Ewing's sarcoma" to "Ewing sarcoma")
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!colspan="2" align="center" style="color:white; font-size:125%; background-color:#08519c"|'''Section editor'''
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|style="background-color:#F0F0F0"|[[File:jim_chen.jpeg|frameless|upright=0.3|center]]
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|<big>[[User:Jimchen|James L. Chen, MD, MS]]<br>The Ohio State University<br>Columbus, OH</big><br>[https://www.linkedin.com/in/jameschen777/ LinkedIn]
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{{#lst:Editorial board transclusions|sarcoma}}
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<big>Note: this page is for subtype-nonspecific bone sarcoma regimens, and some subtypes with very few subtype-specific regimens. Please see the [[:Category:Bone sarcomas|category page]] for links to other sarcoma types or use one of these links:
 
<big>Note: this page is for subtype-nonspecific bone sarcoma regimens, and some subtypes with very few subtype-specific regimens. Please see the [[:Category:Bone sarcomas|category page]] for links to other sarcoma types or use one of these links:
 
*[[Ewing sarcoma]]
 
*[[Ewing sarcoma]]
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*[[Giant-cell tumor of bone]]
 
*[[Osteosarcoma]]
 
*[[Osteosarcoma]]
 
</big>
 
</big>
 
=Guidelines=
 
=Guidelines=
==[http://www.esmo.org/ ESMO]==
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'''Given the rapid change in evidence in many areas of hematology/oncology, readers are encouraged to consider any guideline published 5+ years ago to be for historical purposes, only.'''
*[http://annonc.oxfordjournals.org/content/25/suppl_3/iii113.full.pdf+html Bone sarcomas: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up.] [https://www.ncbi.nlm.nih.gov/pubmed/25210081 PubMed]
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==[https://www.esmo.org/ ESMO]/EURACAN/GENTURIS/PaedCan==
==[https://www.nccn.org/ NCCN]==
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*'''2021:''' Strauss et al. [https://doi.org/10.1016/j.annonc.2021.08.1995 Bone sarcomas: ESMO–EURACAN–GENTURIS–ERN PaedCan Clinical Practice Guideline for diagnosis, treatment and follow-up] [https://pubmed.ncbi.nlm.nih.gov/34500044/ PubMed]
*[https://www.nccn.org/professionals/physician_gls/pdf/bone.pdf NCCN Guidelines - Bone Cancer]
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**'''2018:''' Casali et al. [https://doi.org/10.1093/annonc/mdy310 Bone sarcomas: ESMO-PaedCan-EURACAN Clinical Practice Guidelines for diagnosis, treatment and follow-up] [https://pubmed.ncbi.nlm.nih.gov/30285218/ PubMed]
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**'''2014:''' [https://doi.org/10.1093/annonc/mdu256 Bone sarcomas: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up] [https://pubmed.ncbi.nlm.nih.gov/25210081/ PubMed]
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**'''2012:''' [https://doi.org/10.1093/annonc/mds254 Bone sarcomas: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up] [https://pubmed.ncbi.nlm.nih.gov/22997441/ PubMed]
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**'''2010:''' Hogendoorn et al. [https://doi.org/10.1093/annonc/mdq223 Bone sarcomas: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up] [https://pubmed.ncbi.nlm.nih.gov/20555083/ PubMed]
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==NCCN==
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*[https://www.nccn.org/guidelines/guidelines-detail?category=1&id=1418 NCCN Guidelines - Bone Cancer]
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*'''2013:''' Biermann et al. [https://doi.org/10.6004/Jnccn.2013.0088 Bone cancer.] [https://pubmed.ncbi.nlm.nih.gov/23744868/ PubMed]
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*'''2010:''' Biermann et al. [https://doi.org/10.6004/Jnccn.2010.0051 Bone cancer.] [https://pubmed.ncbi.nlm.nih.gov/20581300/ PubMed]
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*'''2007:''' Biermann et al. [https://doi.org/10.6004/Jnccn.2007.0037 Bone cancer.] [https://pubmed.ncbi.nlm.nih.gov/17442233/ PubMed]
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*'''2005:''' Biermann et al. Bone cancer clinical practice guidelines. [https://pubmed.ncbi.nlm.nih.gov/19817025/ PubMed]
  
 
=Chondrosarcoma, all lines of therapy=
 
=Chondrosarcoma, all lines of therapy=
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*Dedifferentiated chondrosarcoma has been treated with [[Osteosarcoma|osteosarcoma regimens]]
 
*Dedifferentiated chondrosarcoma has been treated with [[Osteosarcoma|osteosarcoma regimens]]
  
=Giant-cell tumor of bone, all lines of therapy=
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=Undifferentiated pleomorphic sarcoma (UPS) of bone, all lines of therapy=
==Denosumab monotherapy {{#subobject:65e2b|Regimen=1}}==
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*Undifferentiated pleomorphic sarcoma (UPS) of bone has been treated with [[Osteosarcoma|osteosarcoma regimens]]
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===Regimen {{#subobject:f50a28|Variant=1}}===
 
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!style="width: 50%"|Study
 
!style="width: 50%"|[[Levels_of_Evidence#Evidence|Evidence]]
 
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|[https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(10)70010-3/fulltext Thomas et. al 2010]
 
|style="background-color:#91cf61"|Phase II
 
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====Chemotherapy====
 
*[[Denosumab (Xgeva)]] as follows:
 
**Cycle 1: 120 mg SC once per day on days 1, 8, 15
 
**Cycle 2 onwards: 120 mg SC once on day 1
 
 
 
====Supportive medications====
 
*Calcium 500 mg PO once per day
 
*Vitamin D 400 IU PO once per day
 
 
 
'''28-day cycles, given until complete tumor resection, progression of disease, or patient choice'''
 
 
 
===References===
 
# Thomas D, Henshaw R, Skubitz K, Chawla S, Staddon A, Blay JY, Roudier M, Smith J, Ye Z, Sohn W, Dansey R, Jun S. Denosumab in patients with giant-cell tumour of bone: an open-label, phase 2 study. Lancet Oncol. 2010 Mar;11(3):275-80. [https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(10)70010-3/fulltext link to original article] '''contains verified protocol''' [https://www.ncbi.nlm.nih.gov/pubmed/20149736 PubMed]
 
 
 
=Malignant fibrous histiocytoma (MFH) of bone, all lines of therapy=
 
*Malignant fibrous histiocytoma (MFH) of bone has been treated with [[Osteosarcoma|osteosarcoma regimens]]
 
  
 
[[Category:Bone sarcoma regimens]]
 
[[Category:Bone sarcoma regimens]]
 
[[Category:Disease-specific pages]]
 
[[Category:Disease-specific pages]]
 
[[Category:Bone sarcomas]]
 
[[Category:Bone sarcomas]]

Latest revision as of 17:51, 23 June 2024

Section editor
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Elizabeth J. Davis, MD
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Note: this page is for subtype-nonspecific bone sarcoma regimens, and some subtypes with very few subtype-specific regimens. Please see the category page for links to other sarcoma types or use one of these links:

Guidelines

Given the rapid change in evidence in many areas of hematology/oncology, readers are encouraged to consider any guideline published 5+ years ago to be for historical purposes, only.

ESMO/EURACAN/GENTURIS/PaedCan

NCCN

Chondrosarcoma, all lines of therapy

Undifferentiated pleomorphic sarcoma (UPS) of bone, all lines of therapy