Osteosarcoma is a form of bone cancer. While most types of “bone cancer” actually start in other organs and spread to the bones, Osteosarcoma starts in the bone. It is seen mostly in adolescents and occasionally in the elderly. Treatment generally involves chemotherapy and surgery. Survival varies based on whether the tumor has spread beyond the bone in which it started and individual patient response to chemotherapy. In most cases, we are able to avoid amputation and save the affected limb. The links below contain more information about osteosarcoma.
Ewing’s Sarcoma is another form of primary bone cancer. As with osteosarcoma, this cancer originates in the bone whereas most other forms of “bone cancer” actually originate in another organ and spread to the bone. This is mostly seen in children in the late first and second decades of life. Treatment generally includes chemotherapy and surgery and may include radiation. In the vast majority of cases, we are able to avoid amputation and save the limb. The links below contain more information about Ewing’s Sarcoma.
Chondrosarcoma is another form of primary bone cancer. As with osteosarcoma, this cancer originates in the bone whereas most other forms of “bone cancer” actually originate in another organ and spread to the bone. Chondrosarcoma is generally treated with surgery because it is relatively resistant to chemotherapy and radiation. However, a specific form of chondrosarcoma called dedifferentiated chondrosarcoma may be treated with chemotherapy. Limb sparing surgery is can generally be performed to avoid amputation. The link below contains more information about chondrosarcoma.
Soft Tissue Sarcoma
Soft tissue sarcomas are a group of malignant tumors that arise from the musculoskeletal system. Some examples are Malignant Fibrous Histiocytoma, Synovial Sarcoma, Fibrosarcoma, and Malignant Peripheral Nerve Sheath Tumor. These tumors are generally treated with surgery. Some of the larger and/or deep tumors are also treated with radiation. Chemotherapy is unpredictably effective in this group of tumors and occasionally is given as part of the initial treatment. Chemothearpy is also used if the tumor has spread to other parts of the body – a process called metastasis. The links below contain more information about soft tissue sarcoma.