Osteosarcoma is a severe malignant neoplasm, which often begins to grow from the tissues of the femur. The disease is treatable, but its treatment requires the long-term chemotherapy, surgery and follow-up rehabilitation, which lasts up to 12 months. The likelihood of a successful treatment outcome largely depends on the skills of the surgeon who operates the patient. You can use the services of the best doctors in the leading Cancer and Orthopedic Centers in Germany.
Goals of the surgical procedure
Surgery to treat osteosarcoma can be performed for one of the following two purposes:
- Confirmation of the diagnosis.
- Complete cure of the disease.
These surgical interventions follow one after another. It is better that the same doctor performs them. This will allow him to perform the diagnostic operation with an eye on the treatment, which will reduce the radicalization of the intervention.
Principles of surgical treatment
In sarcoma of the femur, the purpose of the treatment is to completely remove the tumor. The doctor also dissects a part of the healthy tissue. This is required in order to reduce the possibility of the presence of cancer cells. The increased radicalness of the operation is a good prevention of cancer recurrence.
After surgery, the removed tissue will be examined in a laboratory. The doctors assess whether cancer cells remain at the edges of the resection, since this affects further treatment tactics. If the margins are positive, the patient requires additional measures to prevent recurrence, because its risk in this case is assessed as high.
At what stage is the operation possible?
To assess the operability of the neoplasm and determine the optimal treatment tactics, osteosarcoma is classified into the following three types:
- localized resectable;
- localized unresectable;
The tumor grade is also assessed. It can be high or low. Unfortunately, a low grade is rare. The most favorable prognosis is localized resectable osteosarcoma. A radical operation can be performed in any case. In case of low-grade tumors, the treatment can be limited to surgical intervention, but if it is high-grade tumor, complex therapy is required. It includes the following measures:
- Chemotherapy within 10 weeks.
- Tumor removal.
- In a positive resection margin – the second operation or a course of radiation therapy.
- Chemotherapy within 12 months.
With localized unresectable osteosarcoma, the doctor can perform surgery at the time of diagnostics. The most common causes are too large formation and its location near vital structures.
The treatment regimen is similar. The doctors start with chemotherapy. In the case of success, the neoplasm may decrease in size. This will make the tumor resectable. If surgical treatment is not possible, the doctors try to control the disease for some time using radiation and chemotherapy. These methods do not cure the disease, but reduce symptoms and increase life expectancy.
The metastatic sarcoma an be operated, but only in the case that all tumors are resectable. The treatment regimen is the same. The only difference is that the surgical intervention serves to remove not only the tumor, but also metastatic foci.
Surgical treatment options
Osteosarcoma of the limbs can be treated using one of two methods. These are:
- Organ-preserving operation.
If possible, the doctors try to perform organ-preserving surgery to treat osteosarcoma, because it allows a person to maintain working capacity, physical activity and a high quality of life in the future.
The organ-preserving removal of the sarcoma of the femur is considered to be a technically complex operation. It is important that an experienced surgeon performs it. He can remove the neoplasm with the further implantation of the endoprosthesis or perform the replacement of a bone defect with autologous tissues from the donor area. During the operation, the orthopedist strives to preserve tendons, large nerves and blood vessels.
Where can you undergo treatment?
You can undergo treatment of sarcoma of the femur in Germany at the best clinics in this country. Please, contact the specialist of the Booking Health company for this purpose. We will arrange your trip to one of the German Orthopedic Centers for you to get surgical treatment. We provide the following services and benefits:
- Selection of the best clinic for the diagnosis of sarcoma of the femur and the treatment of this disease.
- Reduced financial costs for your treatment up to 50% due to the lack of coefficients and overpricing for foreign patients.
- Booking the operation on the convenient dates for you.
- Preparation of the program, taking into account previously performed examinations.
- Establishment of communication with the doctor of the Department of Orthopedics.
- Monitoring of the program at all its stages.
- Control of invoices and return of unspent funds for unperformed procedures.
- Buying and forwarding of medicines.
- Organization of additional diagnosis of sarcoma of the femur, treatment procedures or rehabilitation.
- Communication with the clinic upon the completion of osteosarcoma treatment.
The Booking Health will provide you with top-class services. We will book a room in the hotel and airline tickets for you, meet you at the German airport and take you to the medical facility or hotel.