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May 11, 2016PLoS ONEOpen Access

Outcomes of Adolescent and Adult Patients with Lung Metastatic Osteosarcoma and Comparison of Synchronous and Metachronous Lung Metastatic Groups

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Key result

In patients with lung metastatic osteosarcoma, median post-lung metastases overall survival was 16 months for those with synchronous metastases compared to 9 months for those with metachronous metastases.

Why the study?

What are the clinicopathological characteristics and outcomes of osteosarcoma patients with synchronous versus metachronous lung metastases?

Population

93 adolescent and adult patients with high-grade osteosarcoma and lung metastases, median age 19 years…

Comparison

Synchronous lung metastases (Group A, n=39) vs Metachronous lung metastases (Group B, n=54)

Design

Cohort

Follow-up

Median 115 months and median 91 months

Authors

ADAyşe DurnalıAnkara Onkoloji Eğitim ve Araştırma HastanesiFTFatma Paksoy TürközBahçeşehir UniversityFYFisun Ardıç YükrükMinistry of Health

Discussion

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Implication

Synchronous lung metastases linked to longer survival than metachronous in osteosarcoma; hypothesis-generating and should not yet change practice.

Study Design

Type

Cohort (n=93)

Multicenter

No

Structured PICO

What are the clinicopathological characteristics and outcomes of osteosarcoma patients with synchronous versus metachronous lung metastases?

P
Population
93 adolescent and adult patients with high-grade osteosarcoma and synchronous or metachronous lung metastases, followed for a median of 115 months.
E
Exposure
Synchronous lung metastases (Group A, n=39)
C
Comparator
Metachronous lung metastases (Group B, n=54)
O
Outcome
Post-lung metastases overall survival (PLM-OS) and overall survival (OS)hard clinical

Main Result

Absolute Event Rate: 16% vs 9%

p-value: p=<0.001

In patients with lung metastatic osteosarcoma, time to lung metastases, number of nodules, pulmonary metastasectomy, and chemotherapy are independent prognostic factors for post-lung metastases survival.

Limitations

  • Retrospective design with missing data and loss to follow-up
  • Small sample size
  • Heterogeneous lung metastatic group including both synchronous and metachronous metastases
  • Retrospective analysis with missing data and lost to follow-up patients
  • Small number of patients due to rarity of adult osteosarcoma
  • Heterogeneous lung metastatic group including synchronous and metachronous metastases

Cite This Study

Durnalı et al. (2016) conducted a cohort in Lung metastatic osteosarcoma (n=93). Synchronous lung metastases vs. Metachronous lung metastases was evaluated on Median post-lung metastases overall survival (PLM-OS) in months (p=<0.001). In patients with lung metastatic osteosarcoma, median post-lung metastases overall survival was 16 months for those with synchronous metastases compared to 9 months for those with metachronous metastases.

synapsesocial.com/papers/6a9e117b554b0eaf29acb40dhttps://doi.org/10.1371/journal.pone.0152621
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Systemic relapse of patients with osteogenic sarcoma. Prognostic factors for long term survival1995 · 190 citations
  2. 2Resection of pulmonary metastases in osteosarcoma. A retrospective analysis of 44 patients1989 · 65 citations
  3. 3Histologic evaluation of necrosis in osteosarcoma induced by chemotherapy regional mapping of viable and nonviable tumor1985 · 278 citations
  4. 4Osteogenic sarcoma with clinically detectable metastasis at initial presentation.1993 · 393 citations
  5. 5Survival of pediatric patients after relapsed osteosarcoma: The St. Jude Children's Research Hospital experience2013 · 129 citations