Diagnosis and Treatment of Sarcoma
The Musculoskeletal Oncologic program brings together specialists in radiology, interventional radiology, pathology, radiation oncology, medical and pediatric oncology, and surgical oncology from the departments of Orthopedics, Otolaryngology, and General and Pediatric Surgery. The team approach includes:
- Enhanced quality care for complex cases
- Multidisciplinary sarcoma conference
- Limb and organ preservation
- Physical therapy, occupational therapy, and prosthetics
- Genetic risk assessment and counseling
- Pathological expertise, including immunohistochemical stains, cytogenetics and molecular genetics, and borderline specimen interpretation
Particular strengths of individual departments or sections include:
Radiology
- Advanced imaging with 3-D reconstruction
- Magnetic resonance (MR) spectroscopy
- Interventional radiology techniques
- PET (positron emission tomography) scan staging
Radiation Oncology
- 3D Conformal radiation with advanced immobilization
- IMRT (intensity modulated radiation therapy, the latest advance in 3-D technology)
- IORT (Intra-operative radiotherapy)
- Brachytherapy (placement of radioactive materials at the tumor site)
Surgery
- Skilled management of complex cases with attention to limb and organ preservation
- Advanced, full service rehabilitation
- Heated limb perfusion
Oncology
- Active adult and pediatric oncology programs
- Access to clinical trials through adult and pediatric cooperative group studies for both bone and soft tissue sarcomas (rhabdomyosarcoma and non-rhabdomyosarcoma soft tissue histologies)
- Novel therapies
For information about the pediatric program see Lucile Packard Children's Hospital.
The sarcoma / bone cancer program provides consultive services to the medical center and the community. The objective of the multidisciplinary sarcoma conference is to provide multidisciplinary consensus and comprehensive management for newly diagnosed patients or those with recurrent disease.
Treatment recommendations are customized to meet individual patients' needs and may include a variety of modalities (surgical, radiotherapeutic, and chemo-or immunotherapeutic) delivered concurrently or consecutively.
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