Skip to main content
Top
Published in: Radiation Oncology 1/2014

Open Access 01-12-2014 | Case report

A case of radiation-induced osteosarcoma treated effectively by boron neutron capture therapy

Authors: Gen Futamura, Shinji Kawabata, Hiroyuki Siba, Toshihiko Kuroiwa, Minoru Suzuki, Natsuko Kondo, Koji Ono, Yoshinori Sakurai, Minoru Tanaka, Tomoki Todo, Shin-Ichi Miyatake

Published in: Radiation Oncology | Issue 1/2014

Login to get access

Abstract

We treated a 54-year-old Japanese female with a recurrent radiation-induced osteosarcoma arising from left occipital skull, by reactor-based boron neutron capture therapy (BNCT). Her tumor grew rapidly with subcutaneous and epidural extension. She eventually could not walk because of cerebellar ataxia. The tumor was inoperable and radioresistant. BNCT showed a marked initial therapeutic effect: the subcutaneous/epidural tumor reduced without radiation damage of the scalp except hair loss and the patient could walk again only 3 weeks after BNCT. BNCT seems to be a safe and very effective modality in the management of radiation-induced osteosarcomas that are not eligible for operation and other treatment modalities.
Appendix
Available only for authorised users
Literature
1.
go back to reference Patel AJ, Rao VY, Fox BD, Suki D, Wildrick DM, Sawaya R, DeMonte F: Radiation-induced osteosarcomas of the calvarium and skull base. Cancer. 2011, 117: 2120-2126. 10.1002/cncr.25734.CrossRefPubMed Patel AJ, Rao VY, Fox BD, Suki D, Wildrick DM, Sawaya R, DeMonte F: Radiation-induced osteosarcomas of the calvarium and skull base. Cancer. 2011, 117: 2120-2126. 10.1002/cncr.25734.CrossRefPubMed
2.
go back to reference Amendola BE, Amendola MA, McClatchey KD, Miller CH: Radiation-associated sarcoma: a review of 23 patients with postradiation sarcoma over a 50-year period. Am J Clin Oncol. 1989, 12: 411-415. 10.1097/00000421-198910000-00010.CrossRefPubMed Amendola BE, Amendola MA, McClatchey KD, Miller CH: Radiation-associated sarcoma: a review of 23 patients with postradiation sarcoma over a 50-year period. Am J Clin Oncol. 1989, 12: 411-415. 10.1097/00000421-198910000-00010.CrossRefPubMed
3.
go back to reference Cahan WG, Woodard HQ, Higinbotham N, Stewart F, Coley B: Sarcoma arising in irradiated bone; report of 11 cases. Cancer. 1948, 1: 3-29. 10.1002/1097-0142(194805)1:1<3::AID-CNCR2820010103>3.0.CO;2-7.CrossRefPubMed Cahan WG, Woodard HQ, Higinbotham N, Stewart F, Coley B: Sarcoma arising in irradiated bone; report of 11 cases. Cancer. 1948, 1: 3-29. 10.1002/1097-0142(194805)1:1<3::AID-CNCR2820010103>3.0.CO;2-7.CrossRefPubMed
4.
go back to reference Arlen M, Higinbotham NL, Huvos AG, Marcove RC, Miller T, Shah IC: Radiation-induced sarcoma of bone. Cancer. 1971, 28: 1087-1099. 10.1002/1097-0142(1971)28:5<1087::AID-CNCR2820280502>3.0.CO;2-F.CrossRefPubMed Arlen M, Higinbotham NL, Huvos AG, Marcove RC, Miller T, Shah IC: Radiation-induced sarcoma of bone. Cancer. 1971, 28: 1087-1099. 10.1002/1097-0142(1971)28:5<1087::AID-CNCR2820280502>3.0.CO;2-F.CrossRefPubMed
5.
go back to reference Murray EM, Werner D, Greeff EA, Taylor DA: Postradiation sarcomas: 20 cases and a literature review. Int J Radiat Oncol Biol Phys. 1999, 45: 951-961. 10.1016/S0360-3016(99)00279-5.CrossRefPubMed Murray EM, Werner D, Greeff EA, Taylor DA: Postradiation sarcomas: 20 cases and a literature review. Int J Radiat Oncol Biol Phys. 1999, 45: 951-961. 10.1016/S0360-3016(99)00279-5.CrossRefPubMed
6.
go back to reference Patel RD, Gadgil NM, Khare M, Majethia N: Radiation-induced intracranial osteosarcoma: a case report. J Postgrad Med. 2014, 60: 218-219. 10.4103/0022-3859.132379.CrossRefPubMed Patel RD, Gadgil NM, Khare M, Majethia N: Radiation-induced intracranial osteosarcoma: a case report. J Postgrad Med. 2014, 60: 218-219. 10.4103/0022-3859.132379.CrossRefPubMed
7.
go back to reference Imai R, Kamada T, Tsuji H, Tsujii H, Tsuburai Y, Tatezaki S: Cervical spine osteosarcoma treated with carbon-ion radiotherapy. Lancet Oncol. 2006, 7: 1034-1035. 10.1016/S1470-2045(06)70978-0.CrossRefPubMed Imai R, Kamada T, Tsuji H, Tsujii H, Tsuburai Y, Tatezaki S: Cervical spine osteosarcoma treated with carbon-ion radiotherapy. Lancet Oncol. 2006, 7: 1034-1035. 10.1016/S1470-2045(06)70978-0.CrossRefPubMed
8.
go back to reference Mankin HJ, Hornicek FJ, Rosenberg AE, Harmon DC, Gebhardt MC: Survival data for 648 patients with osteosarcoma treated at one institution. Clin Orthop Relat Res. 2004, 429: 286-291. 10.1097/01.blo.0000145991.65770.e6.CrossRefPubMed Mankin HJ, Hornicek FJ, Rosenberg AE, Harmon DC, Gebhardt MC: Survival data for 648 patients with osteosarcoma treated at one institution. Clin Orthop Relat Res. 2004, 429: 286-291. 10.1097/01.blo.0000145991.65770.e6.CrossRefPubMed
9.
go back to reference Granados-Garcia M, Luna-Ortiz K, Castillo-Oliva HA, Villavicencio-Valencia V, Herrera-Gomez A, Mosqueda-Taylor A, Aguilar-Ponce JL, Poitevin-Chacon A: Free osseous and soft tissue surgical margins as prognostic factors in mandibular osteosarcoma. Oral Oncol. 2006, 42: 172-176. 10.1016/j.oraloncology.2005.06.027.CrossRefPubMed Granados-Garcia M, Luna-Ortiz K, Castillo-Oliva HA, Villavicencio-Valencia V, Herrera-Gomez A, Mosqueda-Taylor A, Aguilar-Ponce JL, Poitevin-Chacon A: Free osseous and soft tissue surgical margins as prognostic factors in mandibular osteosarcoma. Oral Oncol. 2006, 42: 172-176. 10.1016/j.oraloncology.2005.06.027.CrossRefPubMed
10.
go back to reference Kawabata S, Hiramatsu R, Kuroiwa T, Ono K, Miyatake S: Boron neutron capture therapy for recurrent high-grade meningiomas. J Neurosurg. 2013, 119: 837-844. 10.3171/2013.5.JNS122204.CrossRefPubMed Kawabata S, Hiramatsu R, Kuroiwa T, Ono K, Miyatake S: Boron neutron capture therapy for recurrent high-grade meningiomas. J Neurosurg. 2013, 119: 837-844. 10.3171/2013.5.JNS122204.CrossRefPubMed
11.
go back to reference Kawabata S, Yang W, Barth RF, Wu G, Huo T, Binns PJ, Riley KJ, Ongayi O, Gottumukkala V, Vicente MG: Convection enhanced delivery of carboranylporphyrins for neutron capture therapy of brain tumors. J Neuro-Oncol. 2011, 103: 175-185. 10.1007/s11060-010-0376-5.CrossRef Kawabata S, Yang W, Barth RF, Wu G, Huo T, Binns PJ, Riley KJ, Ongayi O, Gottumukkala V, Vicente MG: Convection enhanced delivery of carboranylporphyrins for neutron capture therapy of brain tumors. J Neuro-Oncol. 2011, 103: 175-185. 10.1007/s11060-010-0376-5.CrossRef
12.
go back to reference Miyashita M, Miyatake S, Imahori Y, Yokoyama K, Kawabata S, Kajimoto Y, Shibata MA, Otsuki Y, Kirihata M, Ono K, Kuroiwa T: Evaluation of fluoride-labeled boronophenylalanine-PET imaging for the study of radiation effects in patients with glioblastomas. J Neuro-Oncol. 2008, 89: 239-246. 10.1007/s11060-008-9621-6.CrossRef Miyashita M, Miyatake S, Imahori Y, Yokoyama K, Kawabata S, Kajimoto Y, Shibata MA, Otsuki Y, Kirihata M, Ono K, Kuroiwa T: Evaluation of fluoride-labeled boronophenylalanine-PET imaging for the study of radiation effects in patients with glioblastomas. J Neuro-Oncol. 2008, 89: 239-246. 10.1007/s11060-008-9621-6.CrossRef
13.
go back to reference Blattmann C, Oertel S, Schulz-Ertner D, Rieken S, Haufe S, Ewerbeck V, Unterberg A, Karapanagiotou-Schenkel I, Combs SE, Nikoghosyan A, Bischof M, Jakel O: Non-randomized therapy trial to determine the safety and efficacy of heavy ion radiotherapy in patients with non-resectable osteosarcoma. BMC Cancer. 2010, 10: 96-10.1186/1471-2407-10-96.PubMedCentralCrossRefPubMed Blattmann C, Oertel S, Schulz-Ertner D, Rieken S, Haufe S, Ewerbeck V, Unterberg A, Karapanagiotou-Schenkel I, Combs SE, Nikoghosyan A, Bischof M, Jakel O: Non-randomized therapy trial to determine the safety and efficacy of heavy ion radiotherapy in patients with non-resectable osteosarcoma. BMC Cancer. 2010, 10: 96-10.1186/1471-2407-10-96.PubMedCentralCrossRefPubMed
14.
go back to reference Bortolussi S, Ciani L, Postuma I, Protti N, Luca R, Bruschi P, Ferrari C, Cansolino L, Panza L, Ristori S, Altieri S: Boron concentration measurements by alpha spectrometry and quantitative neutron autoradiography in cells and tissues treated with different boronated formulations and administration protocols. Appl Radiat Isot. 2014, 88: 78-80. 10.1016/j.apradiso.2013.12.001.CrossRefPubMed Bortolussi S, Ciani L, Postuma I, Protti N, Luca R, Bruschi P, Ferrari C, Cansolino L, Panza L, Ristori S, Altieri S: Boron concentration measurements by alpha spectrometry and quantitative neutron autoradiography in cells and tissues treated with different boronated formulations and administration protocols. Appl Radiat Isot. 2014, 88: 78-80. 10.1016/j.apradiso.2013.12.001.CrossRefPubMed
15.
go back to reference Ferrari C, Zonta C, Cansolino L, Clerici AM, Gaspari A, Altieri S, Bortolussi S, Stella S, Bruschi P, Dionigi P, Zonta A: Selective uptake of p-boronophenylalanine by osteosarcoma cells for boron neutron capture therapy. Appl Radiat Isot. 2009, 67: S341-S344. 10.1016/j.apradiso.2009.03.059.CrossRefPubMed Ferrari C, Zonta C, Cansolino L, Clerici AM, Gaspari A, Altieri S, Bortolussi S, Stella S, Bruschi P, Dionigi P, Zonta A: Selective uptake of p-boronophenylalanine by osteosarcoma cells for boron neutron capture therapy. Appl Radiat Isot. 2009, 67: S341-S344. 10.1016/j.apradiso.2009.03.059.CrossRefPubMed
16.
go back to reference Mitin VN, Kulakov VN, Khokhlov VF, Sheino LN, Bass LP, Kozolofskaya NG, Zaitsev KN, Potnov AA, Yagnikov SA, Shiraev SV: BNCT for Canine Osteosarcoma from Advances in Neutron Capture Therapy 2006. In Proceedings of 12 th International Congress on Neutron Capture Therapy. 9-13 October 2006. Edited by Nakagawa Y. 2006:135-138., Mitin VN, Kulakov VN, Khokhlov VF, Sheino LN, Bass LP, Kozolofskaya NG, Zaitsev KN, Potnov AA, Yagnikov SA, Shiraev SV: BNCT for Canine Osteosarcoma from Advances in Neutron Capture Therapy 2006. In Proceedings of 12 th International Congress on Neutron Capture Therapy. 9-13 October 2006. Edited by Nakagawa Y. 2006:135-138.,
17.
go back to reference Hsu CF, Lin SY, Peir JJ, Liao JW, Lin YC, Chou FI: Potential of usingboric acid as a boron drug for boron neutron capture therapy for osteosarcoma. Appl Radiat Isot. 2011, 69: 1782-1785. 10.1016/j.apradiso.2011.03.003.CrossRefPubMed Hsu CF, Lin SY, Peir JJ, Liao JW, Lin YC, Chou FI: Potential of usingboric acid as a boron drug for boron neutron capture therapy for osteosarcoma. Appl Radiat Isot. 2011, 69: 1782-1785. 10.1016/j.apradiso.2011.03.003.CrossRefPubMed
18.
go back to reference Kato I, Ono K, Sakurai Y, Ohmae M, Maruhashi A, Imahori Y, Kirihata M, Nakazawa M, Yura Y: Effectiveness of BNCT for recurrent head and neck malignancies. Appl Radiat Isot. 2004, 61: 1069-1073. 10.1016/j.apradiso.2004.05.059.CrossRefPubMed Kato I, Ono K, Sakurai Y, Ohmae M, Maruhashi A, Imahori Y, Kirihata M, Nakazawa M, Yura Y: Effectiveness of BNCT for recurrent head and neck malignancies. Appl Radiat Isot. 2004, 61: 1069-1073. 10.1016/j.apradiso.2004.05.059.CrossRefPubMed
19.
go back to reference Miyatake S, Kawabata S, Kajimoto Y, Aoki A, Yokoyama K, Yamada M, Kuroiwa T, Tsuji M, Imahori Y, Kirihata M, Sakurai Y, Masunaga S, Nagata K, Maruhashi A, Ono K: Modified boron neutron capture therapy for malignant gliomas performed using epithermal neutron and two boron compounds with different accumulation mechanisms: an efficacy study based on findings on neuroimages. J Neurosurg. 2005, 103: 1000-1009. 10.3171/jns.2005.103.6.1000.CrossRefPubMed Miyatake S, Kawabata S, Kajimoto Y, Aoki A, Yokoyama K, Yamada M, Kuroiwa T, Tsuji M, Imahori Y, Kirihata M, Sakurai Y, Masunaga S, Nagata K, Maruhashi A, Ono K: Modified boron neutron capture therapy for malignant gliomas performed using epithermal neutron and two boron compounds with different accumulation mechanisms: an efficacy study based on findings on neuroimages. J Neurosurg. 2005, 103: 1000-1009. 10.3171/jns.2005.103.6.1000.CrossRefPubMed
20.
go back to reference Coderre JA, Morris GM: The radiation biology of boron neutron capture therapy. Radiat Res. 1999, 151: 1-18. 10.2307/3579742.CrossRefPubMed Coderre JA, Morris GM: The radiation biology of boron neutron capture therapy. Radiat Res. 1999, 151: 1-18. 10.2307/3579742.CrossRefPubMed
21.
go back to reference Miyatake S, Kawabata S, Hiramatsu R, Furuse M, Kuroiwa T, Suzuki M: Boron neutron capture therapy with bevacizumab may prolong the survival of recurrent malignant glioma patients: four cases. Radiat Oncol. 2014, 9: 6-10.1186/1748-717X-9-6.PubMedCentralCrossRefPubMed Miyatake S, Kawabata S, Hiramatsu R, Furuse M, Kuroiwa T, Suzuki M: Boron neutron capture therapy with bevacizumab may prolong the survival of recurrent malignant glioma patients: four cases. Radiat Oncol. 2014, 9: 6-10.1186/1748-717X-9-6.PubMedCentralCrossRefPubMed
Metadata
Title
A case of radiation-induced osteosarcoma treated effectively by boron neutron capture therapy
Authors
Gen Futamura
Shinji Kawabata
Hiroyuki Siba
Toshihiko Kuroiwa
Minoru Suzuki
Natsuko Kondo
Koji Ono
Yoshinori Sakurai
Minoru Tanaka
Tomoki Todo
Shin-Ichi Miyatake
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Radiation Oncology / Issue 1/2014
Electronic ISSN: 1748-717X
DOI
https://doi.org/10.1186/s13014-014-0237-z

Other articles of this Issue 1/2014

Radiation Oncology 1/2014 Go to the issue