Is osteosarcoma treatable?

Written by Na Hong Wei
Orthopedics
Updated on September 22, 2024
00:00
00:00

Osteosarcoma is not about whether it can be treated, but it must be treated. Moreover, the earlier the treatment, the higher the five-year survival rate. Currently, the treatment for osteosarcoma still primarily involves comprehensive therapy centered around surgery. With the advent of neoadjuvant chemotherapy, the five-year survival rate for osteosarcoma has significantly increased. Specifically, once osteosarcoma is diagnosed, extensive chemotherapy is administered before surgery. After chemotherapy, depending on the extent of tumor invasion, either radical segmental resection, limb-sparing surgery, or amputation is considered. Postoperative treatment also requires continued high-dose chemotherapy. In fact, if osteosarcoma is not treated, it metastasizes very quickly, primarily to the lungs. However, if the treatment is very early, timely, and correct, the current five-year survival rate has reached about 80%. Therefore, osteosarcoma can be treated, and the earlier the treatment, the better the outcomes.

Other Voices

doctor image
home-news-image
Written by Guan Jing Tao
Orthopedics
52sec home-news-image

Can patients with osteosarcoma have children?

Whether osteosarcoma patients can have children requires comprehensive consideration. One factor is that the patient's age should not be too old. Additionally, one must consider the individual's response after surgery and subsequent performance after treatment. Besides, regular check-ups should be conducted, and attempts to conceive can be made if there is no obvious abnormality or other pathological changes in the body. However, it is essential to conduct regular follow-ups and be mentally prepared. The possibility of various problems during pregnancy should not be ruled out, such as a decrease in immune response, which could trigger a recurrence of the bone tumor or other conditions, potentially leading to health issues for the child or the mother. Thus, a comprehensive and thorough evaluation is necessary.

doctor image
home-news-image
Written by Na Hong Wei
Orthopedics
1min 7sec home-news-image

What are the symptoms of osteosarcoma?

The main symptom of osteosarcoma is localized pain, primarily at the distal end of the femur, the proximal end of the tibia, and the proximal end of the humerus. This pain tends to worsen continuously, with nighttime pain often more severe than during the day, which is a significant characteristic of osteosarcoma. The second symptom is the presence of a local mass, which is often spindle-shaped and generally located near a joint. This mass often leads to limited joint mobility, and the skin over the mass typically has a high temperature. Sometimes, it may also be accompanied by visible swelling of superficial veins. The third symptom involves systemic cachexia, which includes unexplained weight loss, generalized weakness, and even an anemic condition. The fourth point pertains to osteolytic osteosarcoma, which often leads to bone destruction, reduced bone strength, and consequently, even minor external forces can cause fractures. These are called pathological fractures. Thus, the symptoms of osteosarcoma generally include these four points.

doctor image
home-news-image
Written by Guan Yu Hua
Orthopedic Surgery
1min 21sec home-news-image

Is a fracture in osteosarcoma very dangerous?

Osteosarcoma is a malignant tumor of the bone, commonly found in adolescents and young adults, primarily occurring near the proximal tibia, distal femur, and proximal humerus, mostly at the metaphyseal ends. The tumor itself can lead to bone destruction and periosteal reactions. Pathological fractures may occur, which are frequently observed clinically. If a fracture occurs, radiographic examination can generally detect it, often showing a Codman's triangle or sunburst pattern. Early detection and treatment are crucial. Once a pathological fracture is observed, it typically indicates a middle to late stage of the disease, with a particularly high likelihood of lung metastasis. The situation with just a pathological fracture is quite severe, and unlike other fractures that might be managed with steel plates or intramedullary pins, treatment here is conservative, possibly requiring amputation, though limb-sparing approaches may also be necessary. Detecting the condition early, before distant metastasis, and combining treatment with radiotherapy or chemotherapy, can result in a five-year survival rate above 50%. The threat posed by pathological fractures alone is significant, and amputation may be necessary, with chemotherapy likely required post-surgery.

doctor image
home-news-image
Written by Guan Yu Hua
Orthopedic Surgery
1min 27sec home-news-image

Symptoms of osteosarcoma metastasis to the lungs

Osteosarcoma is a malignant tumor of the bone, most commonly found in adolescents and young adults. The most frequent sites are the distal femur, the proximal tibia, or the proximal humerus. Early-stage patients often experience lung metastases, which are quite common. Initially, there are no symptoms; however, as the disease progresses, symptoms such as lumps, significant pain especially at night, increased local skin temperature, dilated veins, and weight loss may appear. At this stage, radiographic examinations are imperative to identify the tumor presence, indicated by findings such as a Codman triangle or sunray appearance, which are suggestive of osteosarcoma, though confirmation through pathology is essential. Furthermore, comprehensive body scans are necessary to check for metastases. Early-stage lung metastases might not show symptoms, but as the disease advances, symptoms like coughing, coughing up blood, and pleural effusion, possibly bloody, may develop. Severe cases can lead to respiratory difficulties and cachexia. Early detection and treatment, combined with postoperative chemotherapy, can lead to a five-year survival rate of over 50%. However, the disease is often diagnosed in its intermediate to late stages due to the absence of early symptoms, making it challenging to detect.

doctor image
home-news-image
Written by Wang Cheng Lin
Orthopedics
50sec home-news-image

Does osteosarcoma require amputation?

Do osteosarcomas require amputation? In the past, the likelihood of amputation for treating osteosarcoma was very high. However, currently, the rate of amputation is very low, and the limb-salvage rate is very high. This is due to a new chemotherapy protocol in medical practice, which involves initial chemotherapy followed by surgery, and then continued chemotherapy post-operatively. The limb-salvage rate with this treatment plan can reach about 75% to 80%. Therefore, currently, most osteosarcoma patients do not require amputation. Unlike the past, where amputation rates were very high, today's medical approach is very advanced, generally resulting in a very high rate of limb preservation for osteosarcoma patients.