Long-term survival with multiple metastasectomies for pulmonary osteosarcoma: a case report

Abstract Background Repeat pulmonary metastasectomy (PM) considerably improves the prognosis of patients with pulmonary metastases of osteosarcoma. Reports have demonstrated a significantly improved prognosis in patients who have undergone repeat metastasectomy for osteosarcoma; however, there have...

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Main Authors: Satoshi Takamori, Hiroyuki Oizumi, Jun Suzuki, Katsuyuki Suzuki
Format: Article
Language:English
Published: Japan Surgical Society 2021-01-01
Series:Surgical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s40792-020-01106-2
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author Satoshi Takamori
Hiroyuki Oizumi
Jun Suzuki
Katsuyuki Suzuki
author_facet Satoshi Takamori
Hiroyuki Oizumi
Jun Suzuki
Katsuyuki Suzuki
author_sort Satoshi Takamori
collection DOAJ
description Abstract Background Repeat pulmonary metastasectomy (PM) considerably improves the prognosis of patients with pulmonary metastases of osteosarcoma. Reports have demonstrated a significantly improved prognosis in patients who have undergone repeat metastasectomy for osteosarcoma; however, there have been no reports with more than six metastasectomies. Herein, we describe the long-term survival of a patient following resection of multiple tumors and other treatments for metastatic osteosarcoma. Case presentation A 28-year-old woman underwent extensive resection and postoperative adjuvant chemotherapy for right tibial sarcoma. Over the years, she developed repeated pulmonary metastases. First, 116 metastases were removed from the bilateral lungs. After that, multiple PMs of approximately 250 tumors and other treatments for deep metastatic lesions were performed. The patient died of the underlying disease 24 years after the primary surgery. Conclusions This case report demonstrates the long-term survival benefit of a multidisciplinary treatment centered on multiple metastasectomies.
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spelling doaj-art-9f73c34b087f41f19e7382f997737eb72025-08-02T15:16:46ZengJapan Surgical SocietySurgical Case Reports2198-77932021-01-01711510.1186/s40792-020-01106-2Long-term survival with multiple metastasectomies for pulmonary osteosarcoma: a case reportSatoshi Takamori0Hiroyuki Oizumi1Jun Suzuki2Katsuyuki Suzuki3Department of Surgery II, Faculty of Medicine, Yamagata UniversityDepartment of Surgery II, Faculty of Medicine, Yamagata UniversityDepartment of Surgery II, Faculty of Medicine, Yamagata UniversityDepartment of Surgery II, Faculty of Medicine, Yamagata UniversityAbstract Background Repeat pulmonary metastasectomy (PM) considerably improves the prognosis of patients with pulmonary metastases of osteosarcoma. Reports have demonstrated a significantly improved prognosis in patients who have undergone repeat metastasectomy for osteosarcoma; however, there have been no reports with more than six metastasectomies. Herein, we describe the long-term survival of a patient following resection of multiple tumors and other treatments for metastatic osteosarcoma. Case presentation A 28-year-old woman underwent extensive resection and postoperative adjuvant chemotherapy for right tibial sarcoma. Over the years, she developed repeated pulmonary metastases. First, 116 metastases were removed from the bilateral lungs. After that, multiple PMs of approximately 250 tumors and other treatments for deep metastatic lesions were performed. The patient died of the underlying disease 24 years after the primary surgery. Conclusions This case report demonstrates the long-term survival benefit of a multidisciplinary treatment centered on multiple metastasectomies.https://doi.org/10.1186/s40792-020-01106-2Pulmonary metastasectomyOsteosarcomaMultiple surgeryPregnancy
spellingShingle Satoshi Takamori
Hiroyuki Oizumi
Jun Suzuki
Katsuyuki Suzuki
Long-term survival with multiple metastasectomies for pulmonary osteosarcoma: a case report
Surgical Case Reports
Pulmonary metastasectomy
Osteosarcoma
Multiple surgery
Pregnancy
title Long-term survival with multiple metastasectomies for pulmonary osteosarcoma: a case report
title_full Long-term survival with multiple metastasectomies for pulmonary osteosarcoma: a case report
title_fullStr Long-term survival with multiple metastasectomies for pulmonary osteosarcoma: a case report
title_full_unstemmed Long-term survival with multiple metastasectomies for pulmonary osteosarcoma: a case report
title_short Long-term survival with multiple metastasectomies for pulmonary osteosarcoma: a case report
title_sort long term survival with multiple metastasectomies for pulmonary osteosarcoma a case report
topic Pulmonary metastasectomy
Osteosarcoma
Multiple surgery
Pregnancy
url https://doi.org/10.1186/s40792-020-01106-2
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AT hiroyukioizumi longtermsurvivalwithmultiplemetastasectomiesforpulmonaryosteosarcomaacasereport
AT junsuzuki longtermsurvivalwithmultiplemetastasectomiesforpulmonaryosteosarcomaacasereport
AT katsuyukisuzuki longtermsurvivalwithmultiplemetastasectomiesforpulmonaryosteosarcomaacasereport