You are looking for information on bone cancer. Specialists for treatment or surgery? Here you will find only experienced specialists and clinics in Germany, Switzerland or Austria. Find out about causes, diagnosis and treatment or contact our experts.
Bone cancer doctors list
Univ.-Prof. Dr. med. Andrea Meurer
Prof. Dr. med. Guido Saxler
Endoprosthetics, knee, shoulder and spine surgery Dormagen
Information about bone cancer
What is bone cancer?
Bone cancer is the term used by physicians to describe malignant tumors that arise primarily from bone tie (osteosarcomas). In this tumor, there is typically a degenerate, uncontrolled new formation of bone cells. Adolescents and young adults are most often affected by this disease. About 2-3 people per 1 million. inhabitants suffer from it and thus it is a rare tumor disease.
In addition to primary bone tumors, these can also develop as offshoots of other tumors ( Bone metastases ) migrate into the bone tie.
What types are there and on which bones do tumors often form??
In addition to the formation of bone metastases often in the spine due to a primary tumor in other organs (breast cancer in women, prostate cancer in men), there are two primary bone tumors:
Osteosarcoma, which occurs more frequently, and Ewing's sarcoma. These form v.a. On the long tubular bones (femur and tibia, humerus and forearm bones) from and very often close to the knee joint.
What are the causes of bone tumors??
The reasons why young people in particular develop bone tumors have not been conclusively clarified. A history of increased radiation exposure and previous chemotherapy are considered risk factors for the disease. Genetic factors also seem to play a role. If young adolescents suffer from chronic bone diseases, the risk of disease also increases. In general, however, it is quite a rare disease.
Bone cancer symptoms
In addition to pain, mainly near the joint (v.a. knee joints), patients may also show typical signs of inflammation such as hyperthermia and redness. Since the affected persons are mostly adolescents, a tumor disease can also occur only after a certain period of time Bone fracture which is not related to an adequate trauma (= pathological fracture, spontaneous fracture). Doctors can explain this by the fact that the normal, stable bone structure is destroyed by the cancer cells and is therefore more susceptible to stress and trauma.
Diagnosis: How bone cancer is diagnosed?
If a patient is suspected of having osteosarcoma, a radiological examination is ordered first. After a conventional X-ray image, the more precise localization of the tumor region is determined by MRI/CT here. The lungs must also be examined for any metastases.
To finally confirm the suspicion of a tumor, a biopsy must also be performed. This means that a small tie sample is taken from the abnormal bone and examined by specialists. A blood test is also performed to check certain values.
Therapy: How is bone cancer treated??
In the case of a confirmed diagnosis, a combination of chemotherapy and radical resection (surgical removal) of the tumor area has proven to be the most effective method of treatment. In most cases, attempts are made to reduce the size of the tumor with cytostatics (chemotherapy) several months before the operation so that surgical removal can be performed with less risk and in a more targeted manner. Metastases must also be removed. In individual cases, radiotherapy can also be used to treat the tumor Radiosurgery or Proton therapy be useful. Chemotherapy is usually continued after surgery.
Life expectancy and chances of cure for bone cancer
As with all cancers, the chance of cure and life expectancy for bone cancer is clearly dependent on the time of diagnosis and the size of the primary tumor. Another ie is the response to cytostatic drugs and surgery. If a patient develops metastases, this also has a negative influence on the prognosis. In general, a 5-year survival rate of 50-70% can be determined at present.
Which doctors and clinics are specialists in bone cancer??
If the diagnosis is confirmed, a specialist or a specialized clinic should be consulted immediately. In the case of adolescent patients, it is advisable to consult a pediatric oncologist and hematologist. In the case of diseased adults, a specialist in oncology and hematology. If a surgical procedure for tumor resection must be performed, this is done by orthopedic clinics, with a specialty in orthopedic oncology.