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The type of cancer she has started in her leg. WHen they first found
it they said they might have to amputate her leg. That is what was
always done. Malignant fiberous hysteo sarcoma. It was what one of the Kennedy kids had - and htey amputated his leg. If the cancer does spread, it does show up in thelungs - as hers did. It's in the lymph glands now. I probably won't have access to a computer until I get back from
winter break.
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Osteosarcoma/Malignant Fibrous Histiocytoma of Bone
Metastatic Osteosarcoma
Treatment may be one of the following:
Chemotherapy followed by surgery to remove the cancer followed by adjuvant chemotherapy.
Surgery to remove the cancer followed by adjuvant chemotherapy.
Surgery often includes removal of cancer that has spread to the lungs. Recurrent Osteosarcoma
Treatment depends on where the cancer recurred, what kind of treatment was given before, as
well as other factors. A clinical trial may be a reasonable treatment option.
If the cancer has come back only in the lungs, treatment may be surgery to remove the cancer in
the lungs with or without chemotherapy. If the cancer has come back in other places besides the
lungs, treatment may be combination chemotherapy. Clinical trials are evaluating new
chemotherapy drugs. http://www.emedicine.com/radio/topic420.htm http://www.acor.org/cnet/62698.html
Up to 20% of patients will have radiographically detectable metastases at diagnosis, with the
lung being the most common site.[33] The prognosis for patients with metastatic disease appears
to be determined largely by the site(s) and number of metastases and surgical resectability of
the metastatic disease.[6][33][34][35] Patients who have complete surgical ablation of the
primary and metastatic tumor (when confined to the lung) following chemotherapy may attain
long-term survival, although overall event-free survival remains about 20% to 30% for patients
with metastatic disease at diagnosis.[6][31][33][36] Prognosis appears more favorable for
patients with unilateral rather than bilateral pulmonary metastases, and for patients with
fewer nodules compared to patients with many nodules.[6][34] The degree of necrosis in the
primary tumor after induction chemotherapy remains prognostic in metastatic osteosarcoma.[18]
Patients with multifocal osteosarcoma (more than 1 bone lesion at diagnosis) have a poor
prognosis.[37] Malignant fibrous histiocytoma of bone (MFH) is generally treated according to osteosarcoma
protocols, and the outcome for patients with resectable MFH receiving cisplatin and doxorubicin
is similar to the outcome for patients with osteosarcoma.[38] As with osteosarcoma, patients
with a good histological response had a longer survival than those with a poor response.[39] Aggressive management, including surgical removal of primary and/or metastatic disease at the
time of diagnosis or after intensive multiagent regimens, is necessary. All patients should
receive intensive multiagent chemotherapy whether or not the primary and metastatic lesions are
surgically resectable. Information about ongoing clinical trials is available from the NCI Web
site. Treatment options that are accepted approaches include the following: Preoperative chemotherapy followed by surgical ablation of the primary tumor and resection of
metastatic disease. This is followed by postoperative combination chemotherapy. The
chemotherapeutic regimens utilized include high-dose methotrexate, doxorubicin,
cyclophosphamide, cisplatin, high-dose ifosfamide (17.5 g/m2), etoposide, and carboplatin.[6]
Surgical ablation of the primary tumor and metastases, where possible, followed by combination
chemotherapy. The chemotherapeutic regimens utilized in the treatment of metastatic
osteosarcoma include high-dose methotrexate, doxorubicin, cyclophosphamide, cisplatin,
ifosfamide, etoposide, and carboplatin. [] There's more there about the prognosis with mets or recurrence to the bone, since you mention
she uses a cane.
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