000 02891cam a2200361 a 4500
003 EG-GiCUC
005 20250223031708.0
008 170327s2016 ua h f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.19.05.Ph.D.2016.Os.I
100 0 _aOsama Mohamed Elrefaey
245 1 0 _aIntensive chemotherapy for resectable high grade osteosarcoma of the extremities /
_cOsama Mohamed Elrefaey ; Supervised Emad Ebeid , Walid Ebeid , Magdy Elsherbiny
246 1 5 _aتقييم نتائج العلاج الكيماوى المكثف فى علاج حالات أورام العظام - أستيوساركوما
260 _aCairo :
_bOsama Mohamed Elrefaey ,
_c2016
300 _a146 P. :
_bfacsimiles ;
_c30cm
500 _aOn the page title faculty of medicine
502 _aThesis (Ph.D.) - Cairo University - National Cancer Institute - Department of Pediatric Oncology
520 _aOsteosarcoma is a primary malignant tumor of bone, derived from primitive bone forming mesenchyme and characterized by the production of osteoid tissue or immature bone by the malignant proliferating spindle cell stroma. This prospective study was designed to determine whether postoperative dose intensification with etoposide and ifosfamide can improve outcome for standard responders to preoperative chemotherapy. This retrospective study was carried out in the pediatric oncology department of the National cancer institute (NCI), Cairo university and Naser institute during the period from April 2010 to March 2012. Ninety two patients presented with histopathological diagnosis of osteosarcoma were eligible for entry in the treatment protocol. The age of the 92 patients included in the study ranged from 5 years to 35 years with a mean age of 15.6 years and a median age of 15 years. In our study sex, extent of the intial disease pathological type, tumor necrosis and tumor size were statistically significant both DFSand OS. The 3 years DFS in male group was 48.9% while in female group was 78.6%. The difference between 2 groups was statistically significant (P=0.007). The tumor size was calculated and categorized into two groups, one group with tumor{u2264}10cm, the other group with tumor >10cm. fifty patients (50/87, 57.4%) fit into the less than or equal 10cm category and thirty seven patients (37/87, 42.5%) fit into greater than 10 cm category, with DFS at 3 years of 86%and 32% respectively
530 _aIssued also as CD
653 4 _aIntensive chemotherapy
653 4 _aOsteosarcoma
653 4 _aResectable high grade
700 0 _aEmad Ebeid ,
_eSupervisor
700 0 _aMagdy Elsherbiny ,
_eSupervisor
700 0 _aWalid Ebeid ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aSamia
_eCataloger
942 _2ddc
_cTH
999 _c60434
_d60434