Zur Heilchance bösartiger Knochentumoren

Summary

In 1967, especially experienced collegues from the departments of Surgery, Orthopedics and Radiology joined in an “Interdisciplinary team for bone tumors”. In a retrospective study more than 500 primary malignant bonetumors were collected. From 452 cases, the data of case history, stage of tumor, localisation, histological diagnosis, treatment and subsequent medical history were compiled by means of a computerized questinaire. A 5 year survival rate was reached for osteosarcomas in 26%, for chondrosarcomas in 36%, for myelogenous sarcomas in 11% and for fibrosarcomas in 25%. For osteosarcomas, which were treated surgically only, a final cure could affected in 35%. Therefore, osteosarcomas have a chance of healing which is definitely comparable with other malignant tumors. The time of survival depends upon the degree of tumor expansion at the onset of therapy. Good results can only be achieved by early diagnosis and immediate radical surgical tumor therapy. Irradiation without surgery does not provide sufficient results. In our opinion the “delayed indication of surgical treatment” cannot be justified.