Review Article

At-Risk Populations for Osteosarcoma: The Syndromes and Beyond

Table 2

Li-Fraumeni diagnosis and screening criteria.

Classic Li-Fraumeni Criteria
Proband diagnosed with a sarcoma before age 45
First-degree relative with any cancer before age 45
First- or second-degree relative with any cancer before age 45 or a sarcoma at any age

Li-Fraumeni-like Criteria
Proband with any childhood cancer, sarcoma, brain tumor, or adrenocortical carcinoma before age 45
First- or second degree relative with sarcoma, brain tumor, adrenocortical carcinoma, or leukemia at any age
First- or second-degree relative with any cancer before age 60

2009 Chompret Criteria for TP53 testing
(I) Proband with tumor belonging to LFS tumor spectrum (e.g., soft tissue sarcoma, osteosarcoma, brain tumor, premenopausal breast cancer, adrenocortical carcinoma, leukemia, and lung bronchoalveolar cancer) before age 46 years and at least one first- or second-degree relative with LFS tumor (except breast cancer if proband has breast cancer) before age 56 years or with multiple tumors; or
(II) Proband with multiple tumors (except multiple breast tumors), two of which belong to LFS tumor spectrum and first of which occurred before age 46 years; or
(III) Patient with adrenocortical carcinoma or choroid plexus tumor, irrespective of family history