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A radio-sensitive primary osteosarcoma in the lung

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Abstract

We report an unusual case of a primary osteosarcoma of the lung in an asymptomatic 77-year-old male, who underwent lobectomy with complete resection of the lung lesion. His pattern of relapse was to multiple lymph nodes. The first relapse was 11 weeks after lobectomy in subcarinal lymph nodes, confirmed on needle aspiration to be consistent with sarcoma. Given his excellent performance status, this was treated with radical radiotherapy to 70 Gy in 35 fractions with good control. He relapsed to other lymph node regions. A biopsy of the external iliac lymph node was done and revealed osteoid production, consistent with osteosarcoma. He received palliative radiotherapy to several nodal areas with good clinical response. We review the literature of this rare tumor with an unusual pattern of relapse.

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Conflict of interest

No author has any conflict of interest.

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Authors and Affiliations

  1. Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada

    Sandra Wajstaub

  2. Department of Pathology, University of Toronto, Mount Sinai Hospital, Toronto, ON, Canada

    David Howarth

  3. Trillium Health Centre, Mississauga, ON, Canada

    Michael H. King

  4. Department of Radiation Oncology, University of Toronto, Princess Margaret Hospital, 610 University Avenue, Room 5-810, Toronto, ON, M5G 2M9, Canada

    Andrea Bezjak & Charles N. Catton

Authors
  1. Sandra Wajstaub
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  2. Andrea Bezjak
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  3. David Howarth
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  4. Michael H. King
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  5. Charles N. Catton
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Corresponding author

Correspondence to Andrea Bezjak.

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Wajstaub, S., Bezjak, A., Howarth, D. et al. A radio-sensitive primary osteosarcoma in the lung. Int J Clin Oncol 16, 67–70 (2011). https://doi.org/10.1007/s10147-010-0113-2

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  • DOI: https://doi.org/10.1007/s10147-010-0113-2

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