Common Musculoskeletal Tumors of Childhood and Adolescence
Open accessAbstract
Osteosarcoma, Ewing sarcoma, and rhabdomyosarcoma are the most common malignant musculoskeletal tumors in children and adolescents. Today, most patients can be cured. Numerous factors have contributed to improved outcome for these patients over the past several decades. These include multidisciplinary care involving oncologists, radiation oncologists, surgeons, pathologists, and radiologists and enrollment of patients in clinical trials. Better understanding of molecular mechanisms of disease have resulted in studies using molecular targets in addition to standard chemotherapeutic agents, which hopefully will lead to better outcomes in the future. Moreover, new orthopedic techniques and devices as well as new technologies in radiation oncology hold promise for better local control of primary tumors and the potential for fewer late adverse effects. Despite this progress, patients must undergo lifelong follow-up for possible late effects of intense chemotherapy and radiation therapy. We review the diagnosis, prognosis, staging, multidisciplinary therapy, new directions in therapy, and long-term complications of treatment for these tumors. For this review, we searched MEDLINE using the terms rhabdomyosarcoma, osteosarcoma, Ewing sarcoma, biology, and humans and limited the search to articles from 2000 to September 2011. Additional references found in these articles were utilized as appropriate, as well as references from the background information in current therapeutic studies of the Children's Oncology Group. The same database and time frame were searched for articles written by leading authorities in the field.
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The 5-year survival rate for localized osteosarcoma has plateaued at 60-70% since the introduction of systematic chemotherapy.
“The 5-year survival rate has reached a plateau in osteosarcoma patients with localized disease ranging from 60 to 70% since the introduction of systematic chemotherapy [6].”
From Advances on immunotherapy for osteosarcoma (2024) · cites this paper as [6]
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Self-citationDefining the Extracellular Matrix of Rhabdomyosarcoma
Lian, X., Bond, J. S., Bharathy, N., Boudko, S. P., Pokidysheva, E. N., Shern, J. F., Lathara, M., Sasaki, T., Settelmeyer, T. P., Cleary, M. M., et al. (2021) · Frontiers in Oncology · doi:10.3389/fonc.2021.601957 · Cited by 18 · see citing works
- Authors
- Arndt, C. A. S., Rose, P. S., Folpe, A. L., & Laack, N. N.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Arndt, Carola A.S.
- Venue
- Mayo Clinic Proceedings
- Publisher
- Elsevier BV
- Published
- 2012-05
- Volume
- 87
- Issue
- 5
- Pages
- 475-487
- ISSN
- 0025-6196 (ISSN-L)
- PMC
- PMC3538469
- OpenAlex
- W2168779282
- Cited by
- 298
- References
- 184
- Citations by year
- 2026: 14 · 2025: 15 · 2024: 17 · 2023: 21 · 2022: 22 · 2021: 36 · 2020: 32 · 2019: 11 · 2018: 21 · 2017: 16 · 2016: 22 · 2015: 27 · 2014: 19 · 2013: 22 · 2012: 2
- FWCI
- 3.81
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Mayo Clinic Proceedings (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Sarcoma Diagnosis and Treatment
- Health Sciences › Medicine › Rheumatology › Bone Tumor Diagnosis and Treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Acute Lymphoblastic Leukemia research
- Keywords
- osteosarcoma, Ewing sarcoma, rhabdomyosarcoma, childhood cancer, multidisciplinary care, targeted therapy, chemotherapy, radiotherapy, late effects of treatment, long-term follow-up, prognosis, staging, orthopedic reconstruction
- MeSH terms
- Adolescent, Bone Neoplasms, Child, Combined Modality Therapy, Female, Follow-Up Studies, Humans, Male, Musculoskeletal Diseases, Prognosis, Rhabdomyosarcoma, Sarcoma, Ewing, Osteosarcoma, Soft Tissue Neoplasms
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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