Evidence map›Paper›PMID 41154810›Full record

ReviewBiology2025

Osteosarcoma: A Comprehensive Morphological and Molecular Review with Prognostic Implications.

Alessandro El Motassime, Raffaele Vitiello, Rocco Maria Comodo, Giacomo Capece, Guido Bocchino, Maria Beatrice Bocchi, Giulio Maccauro, Cesare Meschini

Abstract readReview
In one paragraph

Review in Biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Translational cancer research · 2026
    Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alessandro El MotassimeDepartment of Orthopedics and Geriatric Sciences, Catholic University of the Sacred Heart, 00168 Rome, Italy.ORCID 0009-0001-8331-0826
Raffaele VitielloDepartment of Orthopedics and Geriatric Sciences, Catholic University of the Sacred Heart, 00168 Rome, Italy.ORCID 0000-0003-2321-9665
Rocco Maria ComodoDepartment of Orthopedics and Geriatric Sciences, Catholic University of the Sacred Heart, 00168 Rome, Italy.ORCID 0009-0001-7059-935X
Giacomo CapeceDepartment of Orthopedics and Geriatric Sciences, Catholic University of the Sacred Heart, 00168 Rome, Italy.ORCID 0009-0000-9565-6691
Guido BocchinoDepartment of Orthopedics and Geriatric Sciences, Catholic University of the Sacred Heart, 00168 Rome, Italy.
Maria Beatrice BocchiDepartment of Orthopedics and Geriatric Sciences, Catholic University of the Sacred Heart, 00168 Rome, Italy.
Giulio MaccauroDepartment of Orthopedics and Geriatric Sciences, Catholic University of the Sacred Heart, 00168 Rome, Italy.
Cesare MeschiniDepartment of Orthopedics and Geriatric Sciences, Catholic University of the Sacred Heart, 00168 Rome, Italy.ORCID 0000-0003-2470-1189

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Osteosarcoma (OS) is the most common primary malignant bone tumor, predominantly affecting adolescents and young adults. Despite advances in surgery and multi-agent chemotherapy, survival rates for metastatic or recurrent OS remain poor, highlighting the need for novel prognostic and therapeutic strategies. This review integrates histopathologic, molecular, and immune perspectives to provide a comprehensive understanding of OS biology in the context of precision medicine. We discuss classic morphologic and radiographic features alongside recent insights into the tumor microenvironment, including the role of tumor-infiltrating lymphocytes, tumor-associated macrophages, and immune checkpoint expression. Emerging molecular markers, such as gene expression-based immune risk signatures, circulating tumor DNA, and gasdermin D overexpression, are evaluated for their prognostic and therapeutic relevance. Key dysregulated pathways, including WNT/β-catenin and JAK/STAT, are examined in relation to metastasis, chemoresistance, and immune evasion, with emphasis on current targeted approaches under development. By bridging histopathology, immunogenomics, and translational research, this work outlines how integrated biomarker assessment can refine patient stratification and guide the implementation of individualized treatment strategies in OS.

Indexed as

bone tumorimmune biomarkersmolecular pathwaysosteosarcomatumor microenvironment

Identifiers

PMID41154810
PMCPMC12561861

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.