Denosumab does not decrease the risk of lung metastases from bone giant cell tumour
| Autor: | Yasuhito Tanaka, Kanya Honoki, Giulio Leone, Andreas F. Mavrogenis, Costantino Errani, Alberto Righi, Manabu Akahane, Piergiuseppe Tanzi, Akira Kido, Davide Maria Donati, Shinji Tsukamoto |
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| Přispěvatelé: | Tsukamoto, Shinji, Mavrogenis, Andreas F., Leone, Giulio, Righi, Alberto, Akahane, Manabu, Piergiuseppe, Tanzi, Kido, Akira, Honoki, Kanya, Tanaka, Yasuhito, Donati, Davide Maria, Errani, Costantino |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Oncology medicine.medical_specialty Lung Neoplasms Multivariate analysis Bone Neoplasms Metastasi Metastasis 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Orthopedics and Sports Medicine Stage (cooking) Adverse effect Lung Retrospective Studies Giant Cell Tumor of Bone 030203 arthritis & rheumatology 030222 orthopedics Bone Density Conservation Agents business.industry respiratory system medicine.disease respiratory tract diseases Denosumab medicine.anatomical_structure Giant cell Orthopedic surgery Female Surgery business Giant cell tumour of bone medicine.drug |
| Zdroj: | International Orthopaedics. 43:483-489 |
| ISSN: | 1432-5195 0341-2695 |
| DOI: | 10.1007/s00264-018-4085-6 |
| Popis: | Purpose: There are conflicting reports on the effect of denosumab on lung metastases in patients with giant cell tumor (GCT) of bone. To address these reports, we performed this study to determine if denosumab prevents lung metastasis and to evaluate univariate and multivariate predictors for lung metastases in these patients. Materials and methods: We retrospectively studied 381 GCT patients with surgery alone and 30 GCT patients with surgery and denosumab administration. The median follow-up was 85.2months (IQR, 54.2–124.4months). We evaluated lung metastases and local recurrences, univariate and multivariate predictors for lung metastases, response, and adverse events of denosumab administration. Results: The occurrence of lung metastases was similar (surgery alone 4.7%, 18 patients; denosumab administration 3.3%, 1 patient); however, the occurrence of local recurrences was significantly higher in the patients with denosumab administration. Denosumab administration was not an important predictor for lung metastases; Campanacci stage and type of surgery were the only univariate predictors for lung metastases, and type of surgery and local recurrence were the only multivariate predictors for lung metastases. Histology showed viable tumour in all tumor specimens of the patients with denosumab administration. Conclusion: Denosumab does not decrease the risk of lung metastases in patients with bone GCT; the only important predictors for lung metastases in these patients are type of surgery and local recurrence. However, because the number of patients with lung metastases was small for a multivariate analysis, the possibility of denosumab’s effect could not be completely eliminated. |
| Databáze: | OpenAIRE |
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