Changes to This Summary (08/18/2008)
The PDQ cancer information summaries are reviewed regularly and updated as
new information becomes available. This section describes the latest
changes made to this summary as of the date above.
Purpose of This PDQ Summary
Added text about level-of-evidence designations that are intended to help readers assess the strength of the evidence supporting the use of specific interventions or approaches.
General Information
Added text to state that pathologic fractures do not appear to be a prognostic factor for ETB (cited Bramer et al. as reference 11).
Added text to state that positron emission tomogrophy (PET) scans using fluorine-18-fluorodeoxyglucose (FDG) have been shown to provide additional information and have a relevant impact on therapy planning (cited Volker et al. as reference 13).
Stage Information
Added text to state that positron emission tomogrophy (PET) using fluorine-18-fluorodeoxyglucose (FDG) is an optional staging modality (cited Volker et al. as reference 2).
Ewing Tumor of Bone: Localized Tumors
Added Bramer et al. as reference 17.
Added text to state that COG-AEWS07P1 is a pilot clinical trial that is investigating the addition of vincristine, topotecan, and cyclophosphamide (VTC) to a treatment regimen for EFT.
Ewing Tumor of Bone: Metastatic Tumors
Revised text to state that the 6-year event-free survival (EFS) for metastatic disease is approximately 28% (cited Miser et al. as reference 2).
Added text to state that in an Intergroup study, increasing dose intensity of cyclophosphamide, ifosfamide, and doxorubicin did not improve outcome compared with regimens utilizing standard dose intensity, and that this regimen increased toxicity and risk of second malignancy without improving EFS or overall survival.
Revised text to state that, for patients with lung/pleural metastases only, cure rates are approximately 40%.
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