Ewing's sarcoma surgery
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Ewing's sarcoma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Ewing's sarcoma surgery On the Web |
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American Roentgen Ray Society Images of Ewing's sarcoma surgery |
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Risk calculators and risk factors for Ewing's sarcoma surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Michael Maddaleni, B.S.
Overview
Surgery
The following are treatment options for all stages of Ewing sarcoma of the bone. The types of treatments given are based on the unique needs of the person with cancer. Rather than using the standard staging system, a simpler system is often used when deciding treatment for Ewing sarcoma. This system divides Ewing sarcoma of the bone into 2 groups: localized and metastatic.
Localized Ewing sarcoma
With localized Ewing sarcoma, the cancer is only in the bone where it started and it has not spread to nearby lymph nodes. There is often a mass or tumour in the soft tissue near the affected bone.
- Chemotherapy is the primary treatment for localized Ewing sarcoma.
- Chemotherapy is used because most people who appear to have localized disease have hidden (occult) metastatic disease.
- Chemotherapy is given before surgery or radiation therapy to:
- Treat possible micrometastases micrometastases Cancer cells that have spread from the original (primary) site to other parts of the body in such small amounts that screening or diagnostic tests cannot find them.
shrink the tumor
It is also given after surgery or radiation therapy to kill all remaining cancer cells.