Osteosarcoma with lung metastases

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Abstract

Osteosarcoma is the bone tumor that most commonly affects children and adolescents. Before the introduction of polychemotherapy > 90% of patients with osteosarcoma died from pulmonary metastases. Despite development of new protocols of therapy in 30–40% of patients the disease is recurrent, more than 80% of them detected pulmonary metastasis. In this review we discussed the problems of detection of metastatic lung lesions and current approaches of methods of detection and marking of small sized metastatic lung lesions. An additional option in the treatment of lung metastases is intraoperative isolated lung perfusion, surgical approaches of which were also discussed.

About the authors

I. V. Zhilkin

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation

Author for correspondence.
Email: izhilkin@gmail.com
ORCID iD: 0000-0002-6922-1077

Correspondence: Ilya V. Zhilkin, МD, pediatrician of Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation.

Address: Russia 117997, Moscow, Samory Mashela st., 1 Russian Federation

D. G. Akhaladze

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation

ORCID iD: 0000-0002-1387-209X
Moscow Russian Federation

D. V. Litvinov

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation

ORCID iD: 0000-0002-7461-0050
Moscow Russian Federation

N. G. Uskova

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation

ORCID iD: 0000-0001-9424-1646
Moscow Russian Federation

M. V. Tihonova

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation

ORCID iD: 0000-0001-5679-8961
Moscow Russian Federation

N. S. Grachev

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation

ORCID iD: 0000-0002-4451-3233
Moscow Russian Federation

A. I. Karachunskiy

Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology Ministry of Healthcare of Russian Federation

Moscow Russian Federation

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Copyright (c) 2019 Zhilkin I.V., Akhaladze D.G., Litvinov D.V., Uskova N.G., Tihonova M.V., Grachev N.S., Karachunskiy A.I.

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This work is licensed under a Creative Commons Attribution 4.0 International License.