{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T15:30:58Z","timestamp":1765294258433},"reference-count":19,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"4","license":[{"start":{"date-parts":[[2007,4,1]],"date-time":"2007-04-01T00:00:00Z","timestamp":1175385600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2007,4]]},"abstract":"<jats:p>The incidence of metastatic osteosarcoma is increasing because of improved results following multi-agent chemotherapy and resection of the primary tumour. Metastases occur most commonly in the lungs, whereas bowel metastases are rare. We describe a 25-year-old female who presented with melaena six years after successful resection of an osteosarcoma of her right femur, and one year after resection of a solitary pulmonary metastasis. Imaging revealed a lesion arising within both the duodenum and the pancreas for which a Whipple\u2019s pancreatoduodenectomy was carried out, achieving complete resection. Histological examination confirmed the diagnosis of metastatic osteosarcoma. We believe this is only the second such case reported. At 11 months post-operatively she had no detectable disease. Although rare, osteosarcoma can metastasise to the intestine. The surgeon must be aware of this complication, and that bowel metastases are potentially resectable.<\/jats:p>","DOI":"10.1302\/0301-620x.89b4.18535","type":"journal-article","created":{"date-parts":[[2007,4,26]],"date-time":"2007-04-26T17:02:50Z","timestamp":1177606970000},"page":"542-544","source":"Crossref","is-referenced-by-count":18,"title":["Osteosarcoma metastasising to the duodenum and pancreas"],"prefix":"10.1302","volume":"89-B","author":[{"given":"A.","family":"Aarvold","sequence":"first","affiliation":[{"name":"Royal Marsden Hospital, 203, Fulham Road, London SW3, 6JJ, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Bann","sequence":"additional","affiliation":[{"name":"Royal Marsden Hospital, 203, Fulham Road, London SW3, 6JJ, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Giblin","sequence":"additional","affiliation":[{"name":"Royal Marsden Hospital, 203, Fulham Road, London SW3, 6JJ, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Wotherspoon","sequence":"additional","affiliation":[{"name":"Royal Marsden Hospital, 203, Fulham Road, London SW3, 6JJ, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. 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