Orthopedic Oncology

Orthopedic Oncology

This is field of orthopaedics which deals with the treatment of benign and malignant tumors of the bone, soft tissues and skin.
This field deal with diagnosis and treatment of complex tumors affecting the musculoskeletal system.

How to diagnosis bone tumors:

The person can have persistent pain, swelling in the limb more around the joints. The pain is usually present during rest and on movement as compared to arthritis pain. Sometimes patients present with broken bones with trivial injury or weakness in the limb etc.

Bone and soft tissue tumors can be seen in children, adults and in old age.
With these symptoms people are advised to consult an Orthopaedic surgeon or Orthopedic Oncosurgeon for examination and investigations. Failing which the Tumor can grow and lead to irreversible damage and treat to life.

Early diagnosis and treatment can improve the chance of cure and better functional outcome.

Types of Musculoskeletal tumor

Benign tumor is a destruction of the bone locally and it does not spread to other parts of the body and hence it is not life threatening.

Malignant tumors or cancer of the bone or soft tissue involves locally and also can spread to other parts of the body particularly the lung and can lead to death.

Investigations needed

Patients with the above symptoms are generally suggested xray of the part, chest xray, MRI scan or sometimes CT scan. To confirm the diagnosis a procedure called Biopsy may be done by the Orthopaedic Oncosurgeon. Here a small part of the tumor is removed using a needle or small open surgery and sent for investigation. Ones the tumor is confirmed, if it is a cancer, further investigations are done to find out if the timor has spread to other parts of the bone using a PET CT scan, CT Scan of the lung, Bone scan.

Treatment of Musculoskeletal Tumors

For benign tumors surgical procedure is recommending.
For Malignant tumor of Cancer – Chemotherapy, Surgery and Radiotherapy may be recommended. A combinations of therapy may be recommended.
The treatment may take 4-6 months.

Types of Primary Bone and soft tissue tumors

  • Giant Cell Tumor
  • Aneurysmal bine cyst
  • Simple bone cyst
  • Osteiod Osteoma
  • Osteoblastoma
  • Chondromyxiod fibroma
  • Fibrous dysplasia
  • Osteosarcoma
  • Ewings Sarcoma
  • Chondrosaroma
  • Pleomorphic sarcoma
  • Leimyosarcoma
  • Multiple Myeloma
  • Soft tissue sarcoma

Services provide by Orthopaedic oncology department at Prakriya hospital:

  • Biopsy
  • Curettage and bone grafting or cementing
  • Radiofrequency ablation (RFA)
  • Limb salvage surgery
  • Megaprosthesis
  • Expandable Megaprosthesis for children
  • Soft tissue sarcoma excision
  • Skin excision and plastic reconstruction with skin graft or flap
  • Extracorporeal radiotherapy
  • Spinal decompression and fixation
  • Allograft reconstruction