Primary hepatic osteosarcoma: a case report and literature review. (PubMed, Front Oncol)
The patient underwent transhepatic arterial chemotherapy with epirubicin 30mg/m² and cisplatin 40mg/m², succeeded by 3 cycles of MAP regimen chemotherapy (methotrexate, doxorubicin, cisplatin) in conjunction with sorafenib-targeted therapy, achieving a recurrence-free survival (RFS) of 21 months. The literature analysis and our case report point to TP53 mutations and aberrant SATB2 expression as possible genetic markers that could close the diagnostic gap for this uncommon and frequently misdiagnosed illness. Preliminary findings indicate that multimodal therapies-surgery, chemotherapy, and targeted therapy-hold promise for improving patient survival despite PHO's high malignancy and poor prognosis.