Treatment of metastatic osteosarcoma

Lung metastasis

Bone metastasis or Bone with Lung metastasis

Chemotherapy to the primary tumor

Followed by

Surgery to remove the primary tumor

Followed by

Postoperative combination chemotherapy

Followed by

Surgery to remove the cancer in the lung

Postoperative chemotherapy

or

Clinical trial

Chemotherapy

Followed by

Surgery to remove the primary tumor and the cancer that has spread

Followed by

Postoperative chemotherapy

Surgery to remove the primary tumor

Followed by

Chemotherapy and surgery to remove the cancer that has spread

Followed by

Postoperative chemotherapy

Radiation therapy to the tumor in the bones

Clinical trial