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Updated: Jan 21, 2026

Establishment of a Primary Culture of Patient-derived Soft Tissue Sarcoma
Published on: April 11, 2018
[Is there a magic bullet for sarcomas? : Personalised treatment for maligant tumours of bone and soft tissue]
S Scheipl1, B Liegl-Atzwanger2, J Szkandera3
1Univ.-Klinik für Orthopädie und Traumatologie, Medizinische Universität Graz, Auenbruggerplatz 5, 8036, Graz, Österreich. susanne.scheipl@medunigraz.at.
Background:
Personalised tumour therapies aim to selectively target pathways and structures to which a tumour shows an oncogenic addiction.
Objective And Method:
This article aims to provide an overview of relevant genetic alterations in bone and soft-tissue tumours, which might serve as potential therapeutic targets for personalised medicines in the future. Recent approaches towards a personalised treatment of various tumours of bone and soft tissues are reviewed.
Results:
Molecular diagnosis has become an essential tool for the characterisation of bone and soft-tissue tumours. Currently, no targeted therapies are routinely available for bone sarcomas. Denosumab is merely a symptomatic treatment for giant cell tumours of the bone. Imatinib has become the paradigm of a targeted treatment for subgroups of malignant gastrointestinal stromal tumours (GISTs) and dermatofibrosarcoma protuberans. Antiangiogenic multikinase inhibitors, various other tyrosine kinase inhibitors (TKIs) and monoclonal antibodies are currently being evaluated in several (sub-)types of soft-tissue sarcomas. Sorafenib showed promising results in the treatment of aggressive desmoid-type fibromatosis. Histology-tailored chemotherapies did not yield superior results in a prospective randomised multicentre trial.
Conclusion:
More in-depth knowledge is required for many sarcomas to link their genetic alterations to tumorigenesis in order to develop efficient personalised treatment strategies. Clinical trial designs need to be adapted to evaluate new therapeutic strategies in these ultra-rare tumours and their various sub-types more efficaciously.
Insights
Personalized cancer therapies target tumor-specific genetic alterations. While some targeted treatments exist for soft-tissue sarcomas, more research is needed for bone sarcomas and rare tumor subtypes.
Area of Science:
- Oncology
- Genetics
- Pharmacology
Background:
- Personalized tumor therapies target oncogenic addiction pathways.
- Understanding genetic alterations is key for effective cancer treatment.
Purpose of the Study:
- Review genetic alterations in bone and soft-tissue tumors.
- Identify potential therapeutic targets for personalized medicine.
- Summarize recent personalized treatment approaches.
Main Methods:
- Literature review of genetic alterations and targeted therapies.
- Analysis of current treatment strategies for bone and soft-tissue sarcomas.
- Evaluation of clinical trial data for novel therapeutic agents.
Main Results:
- Molecular diagnosis is crucial for tumor characterization.
- Targeted therapies are limited for bone sarcomas; Denosumab offers symptomatic relief.
- Imatinib is effective for specific gastrointestinal stromal tumors (GISTs) and dermatofibrosarcoma protuberans.
- Ongoing trials evaluate kinase inhibitors and antibodies for soft-tissue sarcomas; Sorafenib shows promise for desmoid fibromatosis.
Conclusions:
- Further research is needed to link sarcoma genetic alterations to tumorigenesis for personalized strategies.
- Clinical trial designs require adaptation for ultra-rare tumors and subtypes.
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