Localized osteosarcoma treatment in children - 85% success rate
Oncology department of Sant Joan de Deu Hospital is the leading one in the country. The Hospital is accredited by the National Health Service of Spain. Doctors pay great attention to the psychological support of a child and his (or her) parents. Preference is given to minimally invasive operations to reduce risks and side effects.
At the early stages of osteosarcoma, doctors perform an operation to remove the tumor along with the bone. If the tumor is localized in the limb, an individual endoprosthesis is made, which is put in place of the removed bone. Before the operation, chemotherapy can be performed. Also, doctors use radiotherapy to destroy malignant cells left after the operation. Amputation of the limb is carried out only in the late stages of cancer, when the tumor has spread extensively.
Patients with osteosarcoma at the early stages can avoid amputation in 95% of cases
The Oncology Institute serves a broad population of cancer patients from Israel and throughout the world. The fast-track appointment service enables patients to be seen for their initial visit within 48 hours. The institute’s personalized oncology service offers highly progressive treatment for bone and soft tissue sarcomas and conditions related to the disease.
The surgery is conducted by Professor Jacob Bickels - oncoortopedist, Head of the Department of Metastatic Bone Diseases at All-Israeli Center of Orthopedic Oncology. Dr. Bickel conducted over 2500 successful operations of joint replacement. The consultant is Professor Ofer Merimsky, head of the Sourasky Sarcoma Institute.
The choice of method of treatment depends on the location of the tumor, its size and nature. Also, a doctor takes into account the age and general health of the patient.
The duration of the diagnostics for osteosarcoma (bone cancer) in the Sourasky Medical Center (Ichilov) is about 3-4 days.
Sourasky Medical Center uses the most up-to-date methods of osteosarcoma treatment, which gives a high chances of survival and the preservation of the affected bones and extremities.
Doctors who treating osteosarcoma at Sourasky prefer surgery without amputation. Doctors remove the affected bone and replace it with an endoprosthesis. Amputation is performed only in the late stages of cancer.
Radiation therapy is used in combination with other methods of treatment to destroy cancer cells that may left after the operation.
Chemotherapy is carried out together with radiation after or before surgery. Also, the method is used if cancer spread to adjacent tissues.
Anadolu is a partner of Johns Hopkins Medical Center (USA)
Foreign patients with a diagnosis of osteosarcoma are treated by the Head of the Department of Orthopedics and Traumatology Kaan Erler. Professor Erler worked in the US and Switzerland, he has over 20 years of experience. The doctor is a specialist in the field of orthopedic oncology. Radiation therapy is conducted by the Anadolu leading radiologist- Kayihan Engin.
Before the treatment of osteosarcoma a patient is going through diagnostics that is aimed at determining the location of the tumor, its size and degree of spread.
If you have a biopsy done at your place of residence, you can take them with you to the clinic and Anadolu pathologist will make a revision of the biopsy glasses.
|Revision of the biopsy results||200 - 610 $|
|Consultation of an oncologist||140 - 200 $|
|Lab tests||500 $|
|CT (computer tomography)||250 - 350 $|
If the operation cannot be substituted by other options, resection of the tumor and bone is performed. The affected bone is replaced with a prosthesis. If the tumor is localized in the limb, an amputation may be necessary. However, the doctors of Anadolu resort to amputation only at the last stages of osteosarcoma - when the tumor has spread significantly.
Radiation and chemotherapy are also used.
Essen University Hospital is one of the leaders among high-quality medical services providers in Europe. The hospital has an international authority, successfully combines research work with the treatment of patients. And the development and implementation of innovative treatment techniques, conducting various clinical trials and actively collaborates with leading hospitals around the world as well.
Ramam onco-surgeons perform organ-saving operations and bone replacement with an implant. Sparing chemotherapy regimens are used. This approach reduces disability and increases the survival rate of patients.
The effectiveness of the treatment of osteosarcoma at the Rambam:
- survival rate of patients with localized forms of osteosarcoma in Rambam Clinic makes up to 70% (stage 1-3a of the disease) in adults;
- more than 80% of children are fully cured.
Patients with osteosarcomas localized in the extremities, have these figures higher by 5% on average.
Diagnosis of osteosarcoma includes examination of the oncologist, orthopedist-traumatologist, if necessary - a hematologist and other related specialists.
To resolve the issue of endoprosthetics, X-rays, scintigraphy and densitometry are performed. PET-CT is recommended in case of a widespread process or high invasiveness of abnormal cells.
In Rambam, microsurgery of the bone is performed - removal of small formations without function loss of the organ. With a bigger tumor, bone resection followed by endoprosthetics.
The main directions of the osteosarcoma treatment at Rambam Medical Center are:
- bone microsurgery, i.e. removal of small formations without organ dysfunction;
- sparing resection, restore of mobility through the endoprosthesis. The Rambam Clinic makes hundreds of joint replacements a year;
- amputation of the affected limb, removal of large metastases;
- chemo and radiation therapy, immunotherapy is carried out to prevent a recurrence;
- chemotherapy can be considered as an option to allogeneic bone marrow transplantation.
More than 90% success rate and preservation of the limb at the early stages of osteosarcoma
The treatment of osteosarcoma is handled by a whole team of doctors led by oncologist Axel Stang. In complex cases, consultations are held with specialists from different fields. Asklepios doctors conduct organ-saving operations, when it is possible.
The hospital offers diagnostics at the early stages, organ preservation surgery, possibility of out-patient treatment, psychological and spiritual support in the palliative care facility and services on the replacement of a part or whole the bone for qualitative implants made of plastic and metal.
The main method of bone tumors resection — minimally invasive operations, replacement some or all of the bone for high-quality implants. At Asclepios doctors also apply pre- and postoperative chemotherapy with the newest drugs.
At the first stage of osteosarcoma the success rate is 90%
In the Assuta Clinic foreign patients with osteosarcoma treated by the Head of the Department of Oncology and Professor Ofer Merimsky.
An authoritative private clinic of Israel Assuta employs some of the leading oncologists and chemotherapists of Israel:
- Prof. Ilan Ron, Head of Oncology;
- Dr. Ella Tepper (an oncologist of the Highest Category Board Certified);
- Dr. Pepper Rafael is an expert on the radiotherapeutic techniques.
- Prof. Shmuel Dekel is one of the most experienced doctors conducted endoprosthesis replacement of the country.
The effectiveness of the treatment of osteosarcoma in Assuta Medical Center:
- 90% when dealing with the 1st stage;
- 75% - 85% 5-year survival at 2nd stage;
- The survival rate is more than 40% at stage 3-4 of osteosarcoma.
Before the appointment of treatment a patient is consulted by an oncologist, a radiologist, an orthopedist. Doctors prescribe the necessary diagnostic procedures. According to their results a decision is made on the method of treatment of osteosarcoma.
The duration of the diagnostics is about 3 days.
Oncologists of Assuta prescribe the innovative regimens of chemotherapy that increase survival rate and curability of patients. Operating rooms are fitted with all necessary equipment for surgical interventions at all stages of osteosarcoma.
Doctors of Assuta Clinic give preference to organ-preserving surgeries. In the case of bone removal, it is replaced with an endoprosthesis. Amputation is used only in extreme cases.
Also, targeted therapy with monoclonal antibodies can be used.
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patients received a treatment program
Severance Cancer Center cooperates with well-known American Anderson Cancer Center and Johns Hopkins University
Severance Hospital in Korea is an international multidisciplinary clinic at Yonsei University, located in Seoul. Severance Cancer Center along with other specialized departments belongs to Yonsei Severance Hospital's Health System. The Hospital has been certified by JCI (Joint Commission International) and serves 1.6 million outpatients annually.
Treatment of osteosarcoma involves a surgical operation to remove the affected bone.If the limb can not be saved, amputation is performed. During the treatment affected bone is replaced by an implant.
Chemotherapy and radiation therapy are provided if necessary.
The cost of irradiation is indicated for 25-30 courses.
The cost of chemotherapy is indicated for 1 course.
Shiba Hospital is Israel's largest medical institution, on the basis of which the Oncology Institute is located. The head of the Sarcoma Center is Roni Weizen, MD.
The clinic uses the «360° Oncology Care» treatment and care program, which ensures the maximum quality of the patient's life at all stages of treatment. The program includes a unique approach to each patient: individual characteristics, attention to the emotional state.
Sheba doctors remove the tumor with surgical and radiosurgical methods. Preference is given to procedures that allow to preserve organ. Immunotherapy, treatment with monoclonal antibodies, radio and chemotherapy are also used.