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Opportunites to Improve Quality of Life of Patients with Osteosarcaoma

Opportunites to Improve Quality of Life of Patients with Osteosarcaoma

Opportunites to Improve Quality of Life of Patients with Osteosarcaoma

Veterinary Cancer Society
Veterinary Cancer Society
on behalf of Missouri Veterinary Medical Association

$FREE $ FREE $ FREE

$ FREE $ FREE $ FREE
$ 12.50 $ 12.50 $ 12.50
Normal Price: FREE $12.50

Review:

Launch date: 14 Apr 2015

Expiry Date:

Last updated: 06 Nov 2017

Reference: 150631

Exam is embedded in the course
No Exam Available

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This course is only available to trainees days after purchase. It would need to be repurchased by the trainee if not completed in the allotted time period. This course is no longer available. You will need to repurchase if you wish to take the course again.

Description

Modern treatment of osteosarcoma is a multidisciplinary effort can be improved with a “family centered care” approach to imaging, diagnosis and treatment. This is a partnership between the family taking care of the patient and all providers. The talk will highlight some means we now more easily achieve this including putting information discussed on a flash drive for the family to keep including articles, chemo info sheets, calendars, web links, powerpoint of critical x-ray or scans images so they can share with others and know what they are up against. For biopsy tumor resection path results: make a pdf of the report. If print- circle the key diagnosis and write what it is (“osteosarcoma= bone forming cancer”).

The key to good outcomes is excellent and rapid local control. Limb salvage is common but about 20-25% still get amputations. Surgery for lung metastases has come a long way: bilateral thoracotomy is more common and involves 1 operation. Perhaps the most intriguing possible therapy in the future that is relevant to both humans and dogs would low dose internal alpha-emitting radiation (radium-223) and sterotactic radiation (1-5 large fractions of external beam RT). The talk will discuss advantages of both types of RT.

Chemotherapy agents with good activity in the neoadjuvant and adjuvant setting include doxorubicin, cisplatin, HDMTX/LV, ifosfamide/mesna, and the combination of gemcitabine + taxane chemotherapy. Some means to reduce toxicity of each agent will be discussed. Use of portable pumps has improved how hydration is done and allows “home chemo and/or hydration”. Better anti-emetics are available including not only 5HT inhibitors, but also aprepitant. A glutamine + diasaccharide suspension (“Healios”) can reduce mucositis and improve nutrition; dexrazoxane reduces cardiotoxicity and mucositis, too. Continuous infusion ifosfamide+ mesna reduces encephalopathy. Infection reduction is possible using not only growth factors, but also better hygiene. Finally the importance of lymphocyte recovery and how this is associated with a better prognosis will be discussed.

In summary, we now have the means (and gumption) to provide better local control with improved function as well as less toxic chemotherapy in the outpatient setting. There are MANY opportunities for oncologists treating osteosarcoma to improve not only duration of tumor control, but also quality of life on therapy, too.

Objectives

Objectives
This talk will highlight some means we now more easily achieve including putting information discussed on a flash drive for the family to keep including articles, chemo info sheets, calendars, web links, and powerpoints of critical x-ray’s or scanned images so that they can share with others and know what they are up against.
Veterinary Cancer Society

Author Information Play Video Bio

Veterinary Cancer Society
on behalf of Missouri Veterinary Medical Association

Pete Anderson MD. PhD Director, Pediatric Hematology/Oncology/BMT, Levine Children’s Hospital/Levine Cancer Institute, 1001 Blythe Blvd, Medical Center Plaza, Suite 601, Charlotte, NC 28203

Current Accreditations

This course has been certified by or provided by the following Certified Organization/s:

  • Missouri Veterinary Medical Association
  • 0.50 Hours -
    Exam Attempts: 3
    -
    Exam Pass Rate: 50

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