A case of combination treatment of femoral osteosarcoma

A. A. Filimonov, N. M. Kutakov, D. Chekini, E. M. Musaev, A. O. Akhov, A. G. Zhukov, O. L. Timofeeva, F. М. Abbasbeyli, Yu. E. Ryabukhina, P. A. Zeynalova, A. Fedenko, E. K. Ibragimov
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Abstract

Osteosarcomas are rare tumors with aggressive biology. It is important to refer such patients to a high-volume center, where an accurate diagnosis and optimal treatment are more likely to be performed. In contrast to Ewing's sarcoma, conventional osteosarcomas are believed to be generally resistant to radiation therapy, and the main treatment modalities are surgery and chemotherapy. In this clinical case, we demonstrate the efficacy of combined treatment of osteosarcoma of the femur.Preoperative chemotherapy allowed to evaluate tumor sensitivity to systemic treatment in vivo and optimize adjuvant treatment after R0 resection which allowed to achieve complete clinical response to treatment.
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综合治疗股骨骨肉瘤1例
骨肉瘤是一种罕见的具有侵袭性的肿瘤。将此类患者转诊到大容量中心是很重要的,在那里更有可能进行准确的诊断和最佳治疗。与尤文氏肉瘤相比,传统骨肉瘤被认为对放射治疗普遍具有耐药性,主要的治疗方式是手术和化疗。在这个临床病例中,我们展示了联合治疗股骨骨肉瘤的疗效。术前化疗可以在体内评估肿瘤对全身治疗的敏感性,并优化R0切除后的辅助治疗,从而实现对治疗的完全临床反应。
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