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  • Title: [Accomplishments of tumor surgery in bone sarcoma in childhood].
    Author: Joppich I, Sauer O, Liedgens P.
    Journal: Langenbecks Arch Chir; 1988; Suppl 2():519-23. PubMed ID: 3070238.
    Abstract:
    Neither chemotherapy nor surgery alone provided satisfactory treatment of bone sarcomas in children. However, their combination improved the 3-year-survival rate by up to 80% in the last decade. For better life quality, limb-sparing techniques like en-bloc-resection, rotation plasty or endoprosthesis should be preferred instead of amputation, if they are possible within the demands of radical oncological surgery. The significantly higher incidence of pulmonary metastasis of en-bloc-resection compared to that of ablative surgery as shown in the COSS-80-study points out that limb-sparing surgery is still problematic and needs further technical improvement in the future.
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