Primary bone cancers include osteosarcoma, Ewing’s sarcoma, and chondrosarcoma. Osteosarcoma, the most common bone cancer, occurs most often in children and adolescents. It usually develops in the midzone of the long bones, specifically the distal femur, proximal tibia, and proximal humerus.
They represent less than 1% of cancers diagnosed each year, however bone is much more commonly the site of metastasis or spread from other types of cancer and is associated with significant morbidity and mortality.
Timely diagnosis is challenging due to late patient presentation, non-specific symptoms of the malignant tumor, which mimic common musculoskeletal injuries, and low suspicion by clinicians.
Plain radiography is the preferred diagnostic test. Radiographic suspicion of bone cancer should prompt prompt referral to a cancer center for multidisciplinary care.
Signs and Symptoms
If you have one or more of the symptoms below, it doesn’t mean you have bone cancer. Often, the signs and symptoms of bone cancer do not appear until the disease is in more advanced stages, although they can sometimes appear earlier.
If you notice any of the symptoms, contact a health professional.
The surgical alternatives for the treatment of bone tumors are invasive and, depending on the location of the tumor, imply a long postoperative hospitalization. There are therapeutic deficiencies in the general concept of treating bone metastases.
Thermal ablation is primarily used for the treatment of small, unresectable tumors, for patients who have been resistant to chemo/radiotherapy treatment or who are NOT surgical candidates, such as:
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