Current treatment landscape and emerging management options for extremity sarcoma

Malignant tumors of extremity are mostly of mesenchymal origin and arise from bone or extraskeletal soft tissue. Combination chemotherapy has greatly increased the survival of non-metastatic localized osteosarcoma and Ewing's sarcoma; however, there is conflicting evidence regarding the role of...

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Main Author: Siddharth Turkar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Cancer Research, Statistics, and Treatment
Subjects:
Online Access:http://www.crstonline.com/article.asp?issn=2590-3233;year=2018;volume=1;issue=2;spage=121;epage=138;aulast=Turkar
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author Siddharth Turkar
author_facet Siddharth Turkar
author_sort Siddharth Turkar
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description Malignant tumors of extremity are mostly of mesenchymal origin and arise from bone or extraskeletal soft tissue. Combination chemotherapy has greatly increased the survival of non-metastatic localized osteosarcoma and Ewing's sarcoma; however, there is conflicting evidence regarding the role of neoadjuvant and adjuvant chemotherapy in soft tissue sarcoma due to the rarity and heterogeneous population. Despite intensive multimodal therapy and valiant efforts, most of the patients with relapsed and metastatic sarcoma will succumb to their disease. Molecular studies like next-generation sequencing have revealed various targetable biomarkers which can be further explored in the therapeutic landscape with specific targeted therapies. We reviewed all ongoing and completed clinical trials involving chemotherapy, targeted therapy, and immunotherapy valid for patients with extremity sarcoma. We present the current viable therapeutic options for such a cohort of patients in routine clinical practice.
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spelling doaj.art-dd73896d605a4136b398783befbeed6e2022-12-22T00:31:45ZengWolters Kluwer Medknow PublicationsCancer Research, Statistics, and Treatment2590-32332590-32252018-01-011212113810.4103/CRST.CRST_9_19Current treatment landscape and emerging management options for extremity sarcomaSiddharth TurkarMalignant tumors of extremity are mostly of mesenchymal origin and arise from bone or extraskeletal soft tissue. Combination chemotherapy has greatly increased the survival of non-metastatic localized osteosarcoma and Ewing's sarcoma; however, there is conflicting evidence regarding the role of neoadjuvant and adjuvant chemotherapy in soft tissue sarcoma due to the rarity and heterogeneous population. Despite intensive multimodal therapy and valiant efforts, most of the patients with relapsed and metastatic sarcoma will succumb to their disease. Molecular studies like next-generation sequencing have revealed various targetable biomarkers which can be further explored in the therapeutic landscape with specific targeted therapies. We reviewed all ongoing and completed clinical trials involving chemotherapy, targeted therapy, and immunotherapy valid for patients with extremity sarcoma. We present the current viable therapeutic options for such a cohort of patients in routine clinical practice.http://www.crstonline.com/article.asp?issn=2590-3233;year=2018;volume=1;issue=2;spage=121;epage=138;aulast=Turkarewing sarcomaextremityosteogenic sarcomasarcoma
spellingShingle Siddharth Turkar
Current treatment landscape and emerging management options for extremity sarcoma
Cancer Research, Statistics, and Treatment
ewing sarcoma
extremity
osteogenic sarcoma
sarcoma
title Current treatment landscape and emerging management options for extremity sarcoma
title_full Current treatment landscape and emerging management options for extremity sarcoma
title_fullStr Current treatment landscape and emerging management options for extremity sarcoma
title_full_unstemmed Current treatment landscape and emerging management options for extremity sarcoma
title_short Current treatment landscape and emerging management options for extremity sarcoma
title_sort current treatment landscape and emerging management options for extremity sarcoma
topic ewing sarcoma
extremity
osteogenic sarcoma
sarcoma
url http://www.crstonline.com/article.asp?issn=2590-3233;year=2018;volume=1;issue=2;spage=121;epage=138;aulast=Turkar
work_keys_str_mv AT siddharthturkar currenttreatmentlandscapeandemergingmanagementoptionsforextremitysarcoma