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Related Concept Videos

Cancer Therapies02:49

Cancer Therapies

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Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
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Establishment of Cancer Stem Cell Cultures from Human Conventional Osteosarcoma
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Neoadjuvant Chemotherapy for Adults with Osteogenic Sarcoma.

Michael J Robinson1, Elizabeth J Davis2

  • 1Vanderbilt-Ingram Cancer Center, 2220 Pierce Ave, PRB 777, Nashville, TN, 37232, USA.

Current Treatment Options in Oncology
|October 17, 2024
PubMed
Summary

Osteosarcoma treatment has stalled for 40 years despite advances in chemotherapy and surgery. Novel therapies like TKIs and CAR T-cells show promise but face challenges for improved patient outcomes.

Keywords:
Chimeric antigen receptor T cellsImmune Checkpoint InhibitorsImmunotherapyMonoclonal antibodiesOsteosarcomaReceptor tyrosine kinasesSystemic therapy

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Cytotoxic Efficacy of Photodynamic Therapy in Osteosarcoma Cells In Vitro
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Area of Science:

  • Orthopedic Oncology
  • Medical Oncology
  • Cancer Therapeutics

Background:

  • Osteosarcoma is the most common primary bone cancer in adolescents and adults.
  • Current standard of care, methotrexate, doxorubicin, and cisplatin (MAP) chemotherapy with surgery, has not improved survival in 40 years.
  • Metastatic osteosarcoma has a poor 5-year survival rate of 10-20%.

Purpose of the Study:

  • To review the current neoadjuvant standard of care for osteosarcoma.
  • To discuss contemporary therapeutic options beyond MAP chemotherapy.
  • To identify challenges and future research directions for osteosarcoma treatment.

Main Methods:

  • Review of current neoadjuvant standard of care (MAP chemotherapy and surgery).
  • Survey of contemporary therapeutic options: tyrosine kinase inhibitors (TKIs), immune checkpoint inhibitors (ICIs), monoclonal antibodies (mAbs), and chimeric antigen receptor (CAR) T cells.
  • Analysis of challenges hindering novel treatment success.

Main Results:

  • The efficacy of MAP chemotherapy has plateaued, leading to persistent poor outcomes for 40 years.
  • Novel therapeutic strategies, including TKIs, ICIs, mAbs, and CAR T-cells, are under investigation.
  • Clinical trials for novel treatments have not yet yielded significant improvements in patient survival.

Conclusions:

  • There is a critical need for improved therapeutic strategies to overcome the treatment plateau in osteosarcoma.
  • Investigating and overcoming challenges associated with novel therapies is crucial for future progress.
  • Further research into targeted therapies and immunotherapies holds potential for advancing osteosarcoma treatment.