Variability in the reported management of pulmonary metastases in osteosarcoma.
Bottom Line: Thoracotomy was the preferred technique for surgical resection.When only unilateral findings were present, the majority of physicians did not explore the contralateral lung.The majority of respondents did not recommend resection if the pulmonary nodule disappeared following chemotherapy.
Affiliation: Division of Pediatric Hematology/Oncology, Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York.Show MeSH
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Mentions: The majority of physicians (63%) chose to manage a unilateral 2 cm nodule after neoadjuvant chemotherapy was completed, whereas 10% chose to manage the nodule prior to initiation of treatment and 27% deferred management until completion of all planned chemotherapy. The percentage of respondents addressing the nodule at the time of completion of neoadjuvant chemotherapy decreased significantly when presented with the scenarios of 0.5 cm nodule and multiple bilateral nodules (51%, P = 0.03, and 46%, P = 0.002, respectively) (Fig.1).
Affiliation: Division of Pediatric Hematology/Oncology, Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York.