Orthopedic Oncology:
Orthopedic oncologists at Yashoda Cancer Institutel specialize
in the treatment of bone and soft-tissue tumors. These tumors
include Ewing's sarcoma, osteosarcoma, and other malignancies
that involve the musculoskeletal system.
Multidisciplinary teams of specialists provide comprehensive
evaluation and treatment of patients with musculoskeletal
tumors.
Physicians from the Division of Orthopedic Oncology work
as part of an integrated team of specialists, who provide
efficient, coordinated care for people with tumors of the
bone or soft tissues. The objective of all treatment is
to completely remove the tumor and to kill any tumor cells
that may have spread to other locations. This is achieved
with a combination of surgery, chemotherapy, and radiation
therapy. Some diseases treated within the division are listed
below.
Benign Bone Tumors:
Benign bone tumors do not metastasize or spread to other
areas. Many benign tumors are developmental abnormalities
that do not require treatment. Others can be very aggressive
and destroy bone quickly.
Common benign bone tumors that require
treatment include:
Common benign tumors that may require
treatment include:
Malignant Bone Tumors
All malignant bone tumors require treatment. The likelihood
of treatment success increases when these tumors are diagnosed
and treated early.
Soft Tissue Sarcomas:
Soft tissue sarcomas are very rare. As the name implies,
soft tissue sarcomas develop in soft tissues, such as muscle
or fat, rather than bone. Most occur in the extremities
or pelvic area. There are many types of soft tissue sarcomas,
but most are treated in the same way. Some common soft tissue
sarcomas include:
Treatment
Chemotherapy (cancer-killing drugs) is used to treat bone
and soft tissue cancer in two ways. Primary chemotherapy
is given before surgery to reduce the size of the tumor
so that it can be more easily removed. Adjuvant chemotherapy
is used after surgery to destroy any cells that may remain
or that may have spread to other parts of the body.
Radiotherapy relies on high-energy X-rays to shrink or destroy
malignant tumor cells.
Cancer affecting the bone usually requires surgery, but
not necessarily amputation. The surgeon tries to remove
the primary cancer completely. A second goal is to minimize
the impact of the surgery on the function and appearance
of the affected part of the body.
Patients who undergo surgery receive a thorough evaluation
by an anesthesiologist prior to surgery. If a patient will
benefit from chemotherapy or radiation prior to surgery,
medical and radiation oncologists work with the surgeon
to coordinate the most appropriate preoperative and postoperative
therapy.
Inpatient and outpatient surgery are performed at Yashoda
Cancer Hospital. Intraoperative radiation and brachytherapy
are available if appropriate for the patient. Critical care
services, medical subspecialists, and ancillary support
for the very latest in postoperative care are available
to patients undergoing complex surgical resection and reconstruction.