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Review
. 2025 Sep;18(3):449-470.
doi: 10.1016/j.path.2025.01.009. Epub 2025 Mar 17.

Osteosarcoma

Affiliations
Review

Osteosarcoma

John M Gross et al. Surg Pathol Clin. 2025 Sep.

Abstract

The diagnosis of osteosarcoma can be challenging, given the diverse histologic patterns, limited biopsy samples, lack of tumor-specific molecular alterations, and necessity for radiologic correlation. This review summarizes the key pathologic features of osteosarcoma subtypes with an emphasis on illustrating radiologic, gross macroscopic, and histologic features to help pathologists with classification. In addition, the authors provide an update on recent advances in molecular genetics and summarize pertinent differential diagnoses.

Keywords: Molecular genetics; Osteoid; Osteosarcoma; Radiology; Sarcoma.

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Conflict of interest statement

Disclosures The authors have no relevant financial disclosures.

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