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Pediatric and Adolescent Osteosarcoma pp 125–145Cite as

Surgical Management of Primary Osteosarcoma

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Part of the book series: Cancer Treatment and Research ((CTAR,volume 152))

Abstract

Surgical strategies for the primary tumor for patients with extremity and pelvis osteosarcoma have evolved from the ablative to limb-sparing approaches over the past three decades. Favorable oncologic and functional outcomes with contemporary tissue-conserving techniques consistently observed in skeletally mature patients have prompted the application of similar approaches to a growing number of eligible skeletally immature patients.

In response to emerging long-term outcome data, current strategies have focused principally on refining the nature and scope of surgical resection to preserve uninvolved tissues, and on the adoption of novel biological and nonbiological skeletal and soft-tissue reconstruction methods to optimize function.

We focus on these clinical issues and discuss current efforts to advance the surgical management of the primary tumor and address the limitations of the definitive treatment of the primary tumor, including locally recurrent disease and complications of skeletal reconstructions.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Northwestern University, Feinberg School of Medicine, Orthopaedic Oncology, Chicago, IL, USA

    Alan W. Yasko

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  1. Alan W. Yasko
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Correspondence to Alan W. Yasko .

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Editors and Affiliations

  1. MD Anderson Cancer Center, University of Texas, Holcombe Blvd. 1515, Houston, 77030-4095, U.S.A.

    Norman Jaffe

  2. Dept. Medical Oncology, Norwegian Radium Hospital, Ullernschaussee 70, Oslo, 0310, Norway

    Oyvind S. Bruland

  3. Orthopädische Klinik, Olgahospital, Bismarckstraße 8, Stuttgart, 70176, Germany

    Stefan Bielack

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Yasko, A.W. (2009). Surgical Management of Primary Osteosarcoma. In: Jaffe, N., Bruland, O., Bielack, S. (eds) Pediatric and Adolescent Osteosarcoma. Cancer Treatment and Research, vol 152. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-0284-9_6

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  • DOI: https://doi.org/10.1007/978-1-4419-0284-9_6

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  • Online ISBN: 978-1-4419-0284-9

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