title: [An autopsy case of pulmonary and central nervous system metastatic osteosarcoma treated with thirty-six courses of chemotherapy over four years].
abstract: A 32-year-old man presented with cough, dyspnea and orthopnea ten years after amputation of the right humerus because of osteosarcoma. Chest radiographs and chest computed tomographs showed left pleural effusion, pericardial effusion and a giant intrathoracic mass, which was histologically diagnosed as a recurrence of the osteosarcoma. After 4 courses of chemotherapy combined with CDDP, the mass in the left upper lobe of the lung decreased in size, and it was then resected. Three months later, new metastatic lesions were detected in the thoracic area. Therefore, 29 additional courses of chemotherapy were administered (36 courses in total over 4 years; including regimens combined with CDDP, carboplatin, high-dose methotrexate, ifosfamide, dacarbazine, vindesine, etoposide, vincristine, taxotere and gemcitabine). In spite of the several courses of chemotherapy, brain and spinal cord metastases appeared, and the patient eventually died of cerebral hemorrhage. During the four years after the first recurrence he had good quality of life as a result of the chemotherapy.
authors.affiliation: Department of Respiratory Disease, Tokyo Teishin Hospital, 2-14-23 Fujimi, Chiyoda-ku, Tokyo 102-8798, Japan.
authors.forename: Toshio
authors.initials: T
authors.lastname: Ito
authors.forename: Akihiko
authors.initials: A
authors.lastname: Mochida
authors.forename: Keisuke
authors.initials: K
authors.lastname: Saito
authors.forename: Kiyomi
authors.initials: K
authors.lastname: Nishi
authors.forename: Shinichi
authors.initials: S
authors.lastname: Sasaki
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Hisada
authors.forename: Hajime
authors.initials: H
authors.lastname: Morinari
authors.forename: Kazuki
authors.initials: K
authors.lastname: Nakahara
authors.forename: Minoru
authors.initials: M
authors.lastname: Tahara
authors.forename: Sadahiko
authors.initials: S
authors.lastname: Masuda
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Yakumaru
mesh_terms: D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001859:Bone Neoplasms / Q000473:pathology*; D001932:Brain Neoplasms / Q000188:drug therapy* / Q000473:pathology / Q000556:secondary; D016190:Carboplatin / Q000008:administration & dosage; D002945:Cisplatin / Q000008:administration & dosage; D003606:Dacarbazine / Q000008:administration & dosage; D003841:Deoxycytidine / Q000008:administration & dosage / Q000031:analogs & derivatives*; D000077143:Docetaxel; D004334:Drug Administration Schedule; D005047:Etoposide / Q000008:administration & dosage; D006801:Humans; D007069:Ifosfamide / Q000008:administration & dosage; D008175:Lung Neoplasms / Q000188:drug therapy* / Q000473:pathology / Q000556:secondary; D008297:Male; D008727:Methotrexate / Q000008:administration & dosage; D012516:Osteosarcoma / Q000188:drug therapy* / Q000473:pathology / Q000556:secondary; D017239:Paclitaxel / Q000008:administration & dosage / Q000031:analogs & derivatives*; D013120:Spinal Cord Neoplasms / Q000188:drug therapy* / Q000473:pathology / Q000556:secondary; D017741:Survivors; D043823:Taxoids; D014750:Vincristine / Q000008:administration & dosage; D014751:Vindesine / Q000008:administration & dosage; D000093542:Gemcitabine
chemical_list: D043823:Taxoids; D003841:Deoxycytidine; D000077143:Docetaxel; D014750:Vincristine; D005047:Etoposide; D003606:Dacarbazine; D016190:Carboplatin; D017239:Paclitaxel; D002945:Cisplatin; D014751:Vindesine; D007069:Ifosfamide; D008727:Methotrexate; D000093542:Gemcitabine