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Primary Bone Sarcomas

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Primary bone sarcomas, or bone cancers, start in the actual bone cells. They are very rare. Much more common by far are secondary bone cancers that spread from other organs or regions of the body, like the lung, colon or breast, and invade the bone. 

Primary Bone Sarcomas include:

Chordoma
This type of tumor usually grows at the base of the skull or in the spine. Less often, it occurs in other parts of the spine

Chondrosarcoma
This is the second most common primary bone cancer. It develops in cartilage cells, most often around the hip bones. However, it can occur in any bone, including the ribs. 

Ewing Sarcoma or tumor
This cancer affects mainly children and teenagers. Most Ewing tumors start in bone, but they can also occur in the soft tissues of the limbs, such as in muscles. Ewing sarcoma usually occurs in the thigh bone, pelvis, or chest wall, but can occur in any bone. 

Giant Cell Tumors of Bone
These tumors are almost always benign, but in rare cases can be cancerous. They most often occur around the knee or shoulder and sometimes other bones. They don't often spread to other sites, but tend to return after they are surgically removed. 

Osteosarcoma
This is the most common primary bone cancer. It usually starts in bones of the arms or legs near where new bone is made. Most people who get this cancer are between ages 10 and 30, but it can occur at any age. It tends to be more common in males than in females. Most tumors occur near the knee, pelvis, or shoulder, but they can occur in any bone.

Why Choose Sylvester Comprehensive Cancer Center?

High volume experience treating many cases of sarcoma, bone, and soft tissue cancers. Because we see so many patients with sarcoma, bone, and soft tissue cancers, we have the experience needed to provide better outcomes with fewer potential complications.

Targeted therapies and clinical trials for patients with tumor mutations. We provide the most advanced treatment options available in the South Florida region.

Advanced radiation oncology tools. Sylvester is one of only five medical centers in the country with ViewRay™ — MRI-guided radiation therapy. Our RapidArc® radiotherapy system delivers intensity modulated external radiation therapy (IMRT). These tools lead to more efficient and effective treatments, shorter treatment times, pinpoint accuracy in tumor targeting, and less damage to surrounding healthy tissue.

Expertise in custom-designed artificial prostheses, joints, and bone grafts. You can enjoy improved mobility and self-confidence after cancer treatment with help from custom prostheses.

Comprehensive sarcoma tissue bank and registry. You can help future patients by participating in research that helps create tomorrow’s improved therapies.

Questions? We're here to help.

Our appointment specialists are ready to help you find what you need. Contact us today.

Treatments

  • Surgery

    Decisions are based on the size and stage of the cancer, as well as other individual factors. After the doctor removes all the cancer that can be seen at the time of the surgery, patients are then given chemotherapy to kill any cancer cells that are left, or that have spread to other parts of the body. Types of surgery include:

    • Wide Local Excision: In this surgery, your doctor removes the cancer and some healthy tissue around it.

    • Limb-Sparing Surgery: In this procedure, your surgeon removes the tumor in an arm or leg without having to amputate, so the use and appearance of the limb are protected. The tumor is extracted by a wide local excision. If the surgeon removes additional tissue and bone, it may be replaced with a graft or with an implant such as artificial bone.

    • Amputation: Surgery to remove (amputate) an arm or leg is rarely needed. In some cases, it may be the best option. Today, Sylvester surgeons have the ability to replace any joint in the body, including shoulders, knees, hips, or elbows with custom-designed artificial prostheses or bone grafts. The choice of technique depends on your individual situation.

  • Radiation Therapy 

    Precisely targeted to your tumor and delivered from outside the body (called external beam radiation therapy) to treat the cancer or to relieve symptoms. Advanced technology working for you includes intensity modulated external radiation therapy (IMRT) and ViewRay™ MRI-guided radiation therapy. These tools offer you better tumor targeting and less potential damage to surrounding healthy tissue.

  • Chemotherapy

    Chemotherapy is usually given in a treatment plan with surgery or radiation therapy to increase its cancer-killing impact. Typically a combination of cancer-fighting drugs is administered intravenously or by pill orally (by mouth). 

    If you require intravenous (infusion) chemotherapy, you can have it at the Comprehensive Treatment Unit (CTU) at Sylvester's main location in Miami, a 12,000-square-foot unit that includes 33 recliners and 11 private rooms. If you prefer, you may have your infusion treatments at the Kendall and Deerfield Beach locations.    

  • Targeted Therapy

    Designed to attack the molecular changes/alterations that make cancer cells grow and spread. Target therapies are available for select patients, as recommended by your Sylvester oncologist. Some medicines are delivered along with chemotherapy medicines, while others may be used by themselves. The objective of these treatments is to prevent the cancer from growing. It may also be used to direct chemotherapy more effectively to the tumor. 

  • Clinical Trials 

    Clinical trials may be considered and discussed with you as either as a standalone treatment or as an addition to another therapy. Clinical trials are the newest research studies available, focused on creating the improved next-generation standard of care. 

  • Immunotherapy (Biologic Therapy) 

    Drugs or combinations tap into the power of the body’s own immune systems to fight cancer.


Tests

In addition to a physical exam and review of your medical history, the following tests and procedures may be used to diagnose primary bone cancer:

  • X-Ray 

    Doing an X-ray of bones and organs in the region of symptoms can give important information.

  • Computed Tomography (CT or CAT) Scan 

    Computed tomography is a procedure in which detailed pictures are taken inside the body from different angles. A colorful dye helps the organs or tissues to show up clearly. 

  • Magnetic Resonance Imaging (MRI)

    An MRI uses magnets, radio waves, and a computer to create images showing the inside of the body and any abnormalities.     

  • Bone Scan 

    Allows us to see any rapidly dividing cells, such as cancer cells, in the bone. A safe, very small amount of radioactive material is injected into a vein. The material collects in the bones and can be detected by a scanner. 

  • Positron Emission Tomography (PET) Scan 

    Similar to a bone scan, PET scans use a slightly radioactive sugar that is injected into the bloodstream. The radioactive sugars collect in tumors, where it can be detected with a special camera. PET scans help locate tumors and determine if cancer cells are spreading. 

  • Biopsy

    In nearly all cases, the doctor will remove (biopsy) a sample of cells and tissue from your tumor to confirm the diagnosis. A pathologist, or cellular expert, will look at the sample under a microscope to check for cancer.

    • Tumor biopsy: A tumor biopsy occurs when the biopsy and the surgery to remove the tumor are planned together.

    • Light microscopy: With the removed tissue, the pathologist looks for certain changes in the cells. Your surgeon can measure what tissues and length of bone are involved to judge what has to be removed, and what can be saved.

Accepted Insurances

Note: Health plans that are currently contracted with UHealth are listed below. However, please check with your insurance provider to verify that UHealth is part of your provider network.

  • Aetna WC
  • Aetna Affiliates/Signature Adm (ASA)
  • Aetna Behavioral Health
  • Aetna Elect Choice (EPO)
  • Aetna Florida Healthy Kids
  • Aetna HMO
  • Aetna Medicaid HMO
  • Aetna Medicare HMO
  • Aetna Medicare PPO
  • Aetna POS
  • Aetna PPO
  • Aetna UM Employee HMO 1
  • Aetna UM Employee HMO 2
  • Aetna UM Employee POS HRA
  • Aetna/Coventry Institutes of Excellence (IOE)
  • Amerigroup Florida Healthy Kids
  • Amerigroup Medicaid HMO
  • Argus Vision
  • AvMed Choice
  • AvMed HMO/POS
  • AvMed MDC and JHS Groups
  • AvMed Medicare HMO
  • AXIS
  • BCBS Blue Options Network Blue PPO
  • BCBS BlueCare HealthOptions HMO
  • BCBS BlueChoice PPC/PPO
  • BCBS Miami Dade Blue PPO Limited Benefits Plan
  • BCBS of Florida (All products except "SELECT" Plans)
  • BCBS of Florida (Commercial plans exclude HIX Select)
  • BCBS Traditional PHS/PPO
  • Beacon Health (ValueOption)
  • Beech Street PPO
  • Broward Health Medical Center
  • CarePlus Medicare HMO
  • Catholic Hospice
  • CCP/CMS Title XIX (Medicaid Enrolled in South Florida)
  • CCP/CMS Title XXI (Non Medicaid Enrolled in South Florida)
  • CCP/MMA (Broward County residents)
  • Charlotte County Sheriffs Office PPO
  • Cigna Affiliates
  • Cigna Behavioral Health
  • Cigna Dental HMO/PPO
  • Cigna EPO
  • Cigna HMO
  • Cigna Life Source (Intracorp is part of Cigna Lifesource)
  • Cigna MDCPS Jackson Sr. High
  • Cigna POS
  • Cigna PPO
  • Cigna Shared Administration
  • Clear Health Alliance SNP Medicaid HMO
  • Concordia Behavioral Health
  • CorVel WC
  • Coventry First Health WC
  • Coventry Health Care of Florida (HIP) HMO/POS
  • Coventry Health Care of Florida (HIP) PPO
  • Coventry Health Plan of Florida (Foundation) HMO
  • Coventry Health Plan of Florida (Foundation) POS
  • Coventry National PPO
  • Coventry Summit Medicare HMO
  • Coventry Vista Medicare HMO
  • Coventry First Health PPO
  • Delta Dental PPO
  • DentaQuest (ADI)
  • DIKLA
  • Dimension WC
  • Dimension Plus PPO
  • EHN PPO
  • EQUIAN (Health Systems International)
  • Europe Assistance/Global Corporate Solutions (Care Management Network)
  • eyeQuest
  • FCCI WC
  • Florida Healthcare Plan (Affiliate of BCBSFL)
  • Florida PACE (FPC)
  • Freedom Health Medicaid HMO
  • Freedom Health Medicare HMO
  • Gallagher Bassett WC (MDCPS & FCSRMC)
  • Global Excel Mgt PPO
  • Great West (Cigna) HMO/POS
  • Guardian Life PPO
  • HAA Preferred Partners
  • Health First Health HMO/POS
  • Health First Health Medicare HMO
  • Health First Health PPO
  • Health Net Veterans Choice HMO
  • Heritage Summit Healthcare WC
  • Humana Behavioral Health (LifeSynch)
  • Humana Dental/CompBenefits/OHS
  • Humana EPO
  • Humana HMO
  • Humana Medicaid HMO
  • Humana Medicare HMO
  • Humana National Transplant
  • Humana PPO
  • Humana Premier
  • iCare Health Solutions
  • Interlink Health Services
  • International Kids Fund (IKF)
  • League Medical Concepts Federal Inmates
  • Life Trac
  • Magellan Behavioral Health
  • Magellan Complete Care SNP Medicaid HMO
  • MDAbroad
  • Medica Medicare HMO
  • Medical Development In't (MDI)-Federal Inmates
  • Medicus
  • Metlife Dental PPO
  • MHNet Behavioral Network (MHNet)
  • Molina
  • Molina Market Place
  • Molina Medicaid HMO
  • Molina Medicare HMO
  • Morgan White International
  • MultiPlan PPO
  • Naphcare (Federal Prisoners)
  • National Healthcare Solutions Inc.
  • Neighborhood HealthPlan HMO/POS
  • Neighborhood HealthPlan PPO
  • North Broward Hospital District PPO
  • Olympus Managed Healthcare
  • Optum
  • Positive Healthcare SNP Medicaid HMO
  • Positive Healthcare SNP Medicare HMO
  • Prestige Health Choice Medicaid HMO
  • Prime Health Services WC
  • Quality Health Management
  • Religious Order of Jehovah's Witnesses PPO
  • Rockport Healthcare Group WC
  • Royal Caribbean Cruises PPO
  • Sanus Health Corporation
  • Seasons Hospice
  • Simply Healthcare Medicaid HMO
  • Solstice Dental HMO/PPO
  • Start Healthcare Network
  • Sunshine
  • Sunshine AMBETTER
  • Sunshine Healthy Kids HMO
  • Sunshine Medicaid HMO
  • Sunshine Medicare HMO
  • Tricare South Prime HMO
  • Tricare South Standard PPO
  • United Behavioral Health (UBH)
  • UnitedHealthcare Affiliates
  • UnitedHealthcare Healthy Kids HMO
  • UnitedHealthcare HMO/POS
  • UnitedHealthcare Medicaid HMO
  • UnitedHealthcare Medicare Nursing Home Plan
  • UnitedHealthcare PPO
  • University of Miami Athletic Dept PPO
  • VUMI
  • Wellcare/Staywell Healthy Kids HMO
  • Wellcare/Staywell Medicaid HMO
  • Wexford Health State Inmates
  • Worldwide Managed Care