Bone cancer treatment includes several therapeutic measures and procedures depending on the type of cancer, its stage, and the patient’s health condition. Bone cancer develops in the skeleton and destroys tissues, and it can spread to distant organs, such as the lungs. There are two main types, primary and secondary bone cancer. Primary bone cancer develops in bone cells. Treatment for bone cancer includes surgery, chemotherapy, radiation, or a combination of them.
Surgical Bone cancer treatment
The main goal of surgery is to completely remove cancer because if some cancer cells are left behind, they can grow, multiply, and create a new tumor.
To make sure that this does not happen, the surgeon removes the tumor in addition to some of the normal tissues that surround it, and in this case, it is called Wide-excision With Clean Margins, as removing some normal tissues helps ensure that the cancer is completely removed, and reduces the risk of cancer growing again in the place. from which it originated.
Bone cancer surgeries include:
Limb salvage surgery:
- The goal of limb salvage is to completely remove cancer and get rid of symptoms of bone cancer while keeping the patient’s leg or arm functioning. In more than 90% of patients with bone cancer in a limb, the limb remains without amputation, and it is usually performed when cancer has not spread. Outside the bone, it is possible to rebuild and repair the bone.
- This type of surgery is very complicated, as the surgeon tries to remove the entire tumor while preserving the nearby tendons, nerves, and blood vessels, and this is not always possible if cancer has grown significantly, the surgeon will need to remove them in addition to the tumor, which may lead to Sometimes a limb is painful or difficult to perform, and amputation may be the best option in this case.
- In this type of surgery, a wide resection is performed to remove the tumor and get rid of the symptoms and complications of bone cancer.
- An artificial bone or an artificial joint is used to replace the bone that has been removed, and the artificial joint may be made of metal and other materials, and it can be very advanced, because it may be used in children in the growth stage, as it allows it to be lengthened without any additional surgery during the period Child growth.
- Patients who undergo limb-saving surgery may need more surgeries over the next five years, some of which may eventually require amputation.
- The removed part of the bone can later be replaced with a metal implant called a prosthesis, or a piece of bone called a bone graft from elsewhere in the body. If the cancer is near a joint such as a knee, it may be possible to remove the joint and replace it with an artificial joint.
- Amputation is surgery to remove part or all of a limb (arm or leg).
- Amputation may be required if complete removal of cancer requires removal of underlying nerves, arteries, and muscles that would leave the limb without good function.
- Doctors usually resort to it if the tumor is very large, or has spread to important nerves or blood vessels, which makes it difficult to completely remove it and leave the functional limb.
- The surgeon determines the amount required to be amputated from the injured arm or leg based on the results of the MRI scans and examination of the tissues collected at the time of the surgery, after which the patient will need to install a prosthesis instead of the removed limb to be able to perform its various functions as much as possible.