Conventional Osteosarcoma is the most common cancerous bone tumor that produces bone. This type of tumor occurs primarily in the bone of the femur, and humerus.
A Conventional Osteosarcoma is a cancerous bone tumor. It comes from within the bone (intramedullary). It is a cancerous tumor, and can lead to bone destruction. It is a slow growing tumor that will not spread to other parts of the body in most cases.
Conventional Osteosarcomas cancerous aggressive tumors that, if left unchecked, will grow and destroy your normal bone. As the tumor slowly grows, the bone is weakened and you are at an increased risk of breaking the bone due to the tumor (called a pathological fracture). They may also spread to your lungs or other bones.
Radiographic imaging is used to help form a diagnosis. These include X-Ray, MRI, CT and Bone Scans.
An example of a Conventional Osteosarcoma X-Ray is shown.
The form of treatment depends on the grade (how abnormal the cancer cells and tumor tissue are) of the CO. The primary form of treatment is surgical removal (wide excision). This is a surgery that aims to remove the mass so that the patient can get back to normal function. Depending on whether the tumor is slow-growing (low-grade) or fast-growing (high-grade), chemotherapy may need to be considered prior to surgery.
The removal of a tumor from a limb without having to remove the limb itself. The tumor will be removed and samples of tissue will be checked by a pathologist to ensure that only healthy tissue is left after removal. Reconstruction of weight-bearing bones is then undergone using bones from another individual (allograft) or their own (autograft). Once the bone graft is placed, the graft will grow into the original bone and heal. Rejection of a bone graft is rare as the bone itself is inactive.
Chemotherapy is a systemic treatment option for some cancers, meaning the chemotherapy drugs travel throughout the body and can kill the cancerous cells that have metastasized, or spread throughout. Chemotherapy is used to treat cancer, control/prevent cancer from spreading, and ease the symptoms related to the cancer. There are various drugs used in chemotherapy, so the combinations of drugs administered and the number of cycles may differ between each person and tumor. Lastly, chemotherapy may be used in conjunction with other treatments, specifically local treatments such as surgery.
Radiation may be considered if the tumor is unresectable or if a wide margin can not be achieved with surgery such as with large pelvic tumors. Radiation would be used as an adjuvant to eradicate any residual microscopic disease. It is important to note it is not the first treatment option for conventional osteosarcoma.
I've seen many doctors and I can confidently attest Dr. Wittig is the preeminent orthopaedic specialist. He is genuinely kind and caring, as he demonstrated by completely addressing my concerns and compassionately relating to what I was dealing with. He clearly outlined the plan of attack, and recommended the two additional doctors who would become part of my 'team'. Dr. Wittig was so effective in allaying our fears and bringing us optimism. My surgery was significant, but I was up and walking the next day and back at the gym 5 weeks later. This is further testament to Dr. Wittig's skill. He saved my leg and my life, and I feel so very blessed to say he is my doctor. I have already recommended him to others, and I will continue to do so. I would trust him with my closest family and lifelong friends. BEST DOCTOR EVER.
Myself and my amazing team are dedicated to saving your life and your limb. Losing a limb because of a tumor can be a terrifying experience. But, it does not have to be the only option. I’ve spent 20+ years as a Board-Certified Orthopedic Surgeon and Orthopedic Oncologist.
I’ve devoted my career to helping children and adults afflicted with bone and soft tissue masses by performing complex limb saving surgeries. Most patients can have their limb saved, which may require innovative techniques.
Patients afflicted with musculoskeletal tumors have complex conditions that are best taken care of at large hospitals. I am the Chairman of Orthopedics and Chief of Orthopedic Oncology at Morristown Medical Center. My philosophy is a multidisciplinary team approach, working together to tailor treatment to individual patients. Education and research are essential to my practice, providing the best setting for extraordinary patient care. Because of this, we have some of the top results in the country.