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Related Experiment Video

Updated: Mar 21, 2026

Modeling Primary Bone Tumors and Bone Metastasis with Solid Tumor Graft Implantation into Bone
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Follow-up practices for high-grade extremity Osteosarcoma.

Christian Rothermundt1, Beatrice M Seddon2, Palma Dileo2

  • 1Division of Oncology/Haematology, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland. christian.rothermundt@kssg.ch.

BMC Cancer
|May 8, 2016
PubMed
Summary

Routine follow-up (FU) for osteosarcoma patients detects local recurrence and lung metastases. More frequent surveillance in the first two years is recommended, with chest X-rays (CXRs) potentially sufficient for lung metastasis screening.

Keywords:
Follow-upImagingOsteosarcoma

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Area of Science:

  • Oncology
  • Medical Imaging
  • Surgical Oncology

Background:

  • Optimal follow-up (FU) strategies for osteosarcoma patients remain undefined.
  • Current FU guidance relies on oncology society recommendations.
  • FU aims to detect recurrence or metastasis for timely, effective intervention.

Purpose of the Study:

  • To evaluate the effectiveness of current follow-up protocols for high-grade extremity osteosarcoma.
  • To determine optimal surveillance methods and timing for detecting recurrence and metastasis.

Main Methods:

  • Retrospective analysis of 101 high-grade extremity osteosarcoma patients.
  • Routine surveillance utilized chest X-ray (CXR).
  • Computed tomography (CT) scans were employed for patients with initial lung metastases or suspicious findings.

Main Results:

  • 34 of 101 patients relapsed within a median FU of 30.7 months.
  • Relapse-free survival at 5 years was 61%; late relapses (2-5 years) were rare.
  • Routine FU detected 25 relapses, including all 8 local recurrences (clinically noted) and 22 lung metastases (via CXR or CT).

Conclusions:

  • Routine FU facilitates early detection of local osteosarcoma recurrence and lung metastases.
  • CXR appears effective for detecting lung metastases amenable to metastatectomy.
  • More frequent FU is recommended in the initial two years post-treatment; routine CT scans may not be necessary.