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Related Experiment Video

Updated: Jan 13, 2026

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Osteosarcoma: A Comprehensive Morphological and Molecular Review with Prognostic Implications.

Alessandro El Motassime1,2, Raffaele Vitiello1,2, Rocco Maria Comodo1,2,3

  • 1Department of Orthopedics and Geriatric Sciences, Catholic University of the Sacred Heart, 00168 Rome, Italy.

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|October 29, 2025
PubMed
Summary

Osteosarcoma (OS) survival needs improvement. This review integrates pathology, molecular, and immune data to guide precision medicine, focusing on new biomarkers and targeted therapies for better patient outcomes.

Keywords:
bone tumorimmune biomarkersmolecular pathwaysosteosarcomatumor microenvironment

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Area of Science:

  • Oncology
  • Immunology
  • Genetics

Background:

  • Osteosarcoma (OS) is the most common primary bone cancer in adolescents and young adults.
  • Current treatments offer limited survival rates for metastatic or recurrent OS, necessitating new strategies.

Purpose of the Study:

  • To provide a comprehensive understanding of OS biology for precision medicine.
  • To integrate histopathologic, molecular, and immune data for improved prognostic and therapeutic approaches.

Main Methods:

  • Review of histopathologic and radiographic features.
  • Analysis of the tumor microenvironment, including immune cells and checkpoints.
  • Evaluation of emerging molecular markers and dysregulated pathways (WNT/β-catenin, JAK/STAT).

Main Results:

  • Identification of key immune components (lymphocytes, macrophages) and their roles.
  • Assessment of molecular markers (immune risk signatures, ctDNA, gasdermin D) for prognostic value.
  • Examination of pathway dysregulation in metastasis, chemoresistance, and immune evasion.

Conclusions:

  • Integrated biomarker assessment can refine patient stratification in OS.
  • Bridging histopathology, immunogenomics, and translational research is crucial for individualized treatment strategies.