Overview
What are sarcomas?
A sarcoma is a type of cancer that develops from certain tissues, like bone or muscle. Bone and soft tissue sarcomas are the main types of sarcoma. Soft tissue sarcomas can develop from soft tissues like fat, muscle, nerves, fibrous tissues, blood vessels, or deep skin tissues.
Sarcoma is rare – about one out of 100 cases of adult cancer is a sarcoma. There are more than 50 kinds of sarcoma and grouped into two main categories: soft-tissue sarcoma and bone sarcoma.
What are Bone Sarcomas?
Bone cancer is a sarcoma that starts in the bone. To understand bone cancer, it is important to have an idea of how bones are structured. Bones support the body and they usually are hollow. The main parts of the bones are:
The matrix is the outer part of bones. It is made of fiber-like tissue and is covered with a layer of tissue called the periosteum.
Bone marrow is the soft tissue in the space in hollow bones called the medullary cavity. Cells inside bone marrow include fat cells, red blood cells, white blood cells and platelets, connective tissue and Plasma (in which blood cells are suspended).
Cartilage is at the end of most bones. It is softer than bone, but it is firmer than soft tissue. Cartilage and other tissues, including ligaments, make up joints, which connect some bones.
Why APCC for Bone and Soft Tissue Tumours?
- The centre is well known for the multi-disciplinary team-based approach to deal with every patient and their families. The treatments are individualized based on the patient’s condition, expectations and logistics and to ensure the best possible clinical outcomes for each patient.
- Apart from the routine facilities such as multi-scanner CT scanner, 3T MRI and a range of other facilities, APCC is equipped with High definition PET-CT for an accurate assessment of disease status with 50% less radioactive isotope than the typical PET scanners available in most parts of the country.
- We have modern facilities for safe CT guided and MRI guided biopsy for the minimally invasive and safe obtainment of tissue for histomorphology and molecular diagnosis.
- For the management of bone and soft tissue tumours, we perform Robotic-assisted and minimally invasive surgeries wherever feasible. There is a strong emphasis on limb salvage surgeries and effective reconstructions to enable a reasonably functional and productive life.
- The centre is equipped with modern proton therapy which is capable of treating patients of early-stage as well as locally advanced cancers. The unique feature of Proton therapy allows restricting doses to normal structures thereby leading to significant improvement of clinical outcomes especially in sarcomas which need higher doses of radiation.
- The centre has a modern radiation armamentarium such as 4DCT scans, motion mitigation, management and monitoring strategies apart from a very modern helical tomotherapy which is one of the best photon treatments currently available in the world today.
- The centre has a dedicated genomic/molecular lab where advanced molecular and genetic information of each of the cancers is decoded to ensure individualized treatment strategies.
- APCC routinely offers systemic chemotherapy, targeted therapies and immunotherapies based on the principles and tenets of precision medicine. Patients receive this treatment in modern day care facility aesthetically built to give not just medical support but also provides psychosocial support.
Types of Bone & Soft Tissue Tumours
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