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Table 2 Histopathological findings after preoperative chemotherapy

From: Dedifferentiated parosteal osteosarcoma of the maxilla: a case report and review of the literature

Reference

Number of cases

Sites

Surgery

Preoperative chemotherapy

Postoperative chemotherapy

Response

Prognosis

Bertoni et al. (2005) [3]

6

Humerus, femur, tibia

Resection

Details unknown

None

Grade II (50–89% necrosis: Huvos grading system)

NED: 4

DOD: 2

Sheth et al. (1996) [4]

10

Femur, tibia

En bloc excision

Intra-arterial cisplatin (dose range, 120–160 mg/m2),

intravenously administered doxorubicin (dose range,60–90 mg/m2),

4.2 cycles (range, 2–12 cycles)

One of the following:

 ▪high-dose methotrexate

 ▪doxorubicin, dacarbazine

 ▪high-dose methotrexate, cisplatin

 ▪high-dose methotrexate, ifosfamide

 ▪high-dose methotrexate, doxorubicin, dacarbazine

Doxorubicin, cisplatin

Good response: 4 (with > 90% necrosis of the high-grade component). Poor response: 6 (with < 90% necrosis of the high-grade component)

NED: 5

DOD: 5

Futani et al. (2001) [11]

1

Fibula

En bloc excision

Intravenously administered high-dose methotrexate (dose range, 9.5–11.4 g/m2), intra-arterial pirarubicin (dose range, 50–80 mg/m2), and dacarbazine (dose range, 400–600 mg/m2) three cycles

None

90% necrosis

NED

  1. DOD dead of disease, NED no evidence of disease