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Bone Cancer (Bone Carcinoma) Treatment in Lucknow | Advanced Oncology Care | I D Cancer Center

Advanced Orthopedic Oncology • Precision Radiotherapy • Compassionate Care
At I D Cancer Center, Lucknow


Overview

Bone carcinoma, also called primary bone cancer, develops in the cells of the bone itself. It is different from cancers that spread to the bone from other organs (bone metastasis).
Although rare, bone cancer requires specialized and timely treatment, involving a combination of imaging, biopsy, orthopaedic oncology, and advanced radiotherapy.

At I D Cancer Center, we provide a multidisciplinary approach to accurately diagnose and treat bone cancer using modern technologies and patient-centered care.


Types of Bone Carcinoma

1. Osteosarcoma

  • Most common primary bone cancer

  • Usually affects children, adolescents, and young adults

  • Common sites: long bones (femur, tibia, humerus)

2. Chondrosarcoma

  • Develops in cartilage cells

  • More common in adults

  • Often occurs in pelvis, thigh bone, or shoulder

3. Ewing’s Sarcoma

  • Affects children and young adults

  • Involves bones and surrounding soft tissues

  • Aggressive but highly treatable

4. Chordoma

  • Rare tumour developing in the spine or skull base

  • Slow-growing, requires specialized management


Common Symptoms

Bone cancer symptoms may resemble other bone or joint conditions.
Seek evaluation if you notice:

  • Persistent bone pain (worse at night or with activity)

  • Swelling or lump near a bone

  • Bone weakness or fractures without major injury

  • Reduced movement or stiffness

  • Fatigue, weight loss, or fever (in advanced cases)

Early diagnosis significantly improves treatment success.


Risk Factors

Though many cases occur without known cause, some risk factors include:

  • Previous high-dose radiation exposure

  • Genetic syndromes (e.g., Li-Fraumeni syndrome)

  • Paget’s disease of the bone

  • Family history (rarely)

  • Certain bone disorders


Diagnosis at I D Cancer Center

We follow a systematic and thorough diagnostic process:

1. Imaging Studies

  • X-ray (initial evaluation)

  • MRI for local spread

  • CT scan

  • PET-CT for distant disease

  • Bone scan (when needed)

2. Biopsy

  • Core needle biopsy

  • Open biopsy (if required)
    Confirms the exact tumour type and grade.

3. Lab Tests

  • Basic blood tests

  • Alkaline phosphatase levels (in osteosarcoma)

4. Multidisciplinary Evaluation

All cases undergo tumour board discussion for personalized treatment planning.


Treatment Options

1. Surgery

Primary treatment for most bone cancers.
Types include:

  • Limb-sparing surgery (preferred)

  • Tumour resection with reconstruction

  • Amputation (only in select cases)

  • Spine/pelvic surgeries for specialized cases


2. Chemotherapy

Used primarily for:

  • Osteosarcoma

  • Ewing’s sarcoma

Roles include:

  • Neoadjuvant (before surgery) to shrink tumour

  • Adjuvant (after surgery) to prevent recurrence


3. Radiation Therapy

Highly effective for:

  • Ewing’s sarcoma

  • Chordoma

  • Inoperable tumours

  • Tumour-bed therapy after surgery

  • Pain relief in advanced cases

At I D Cancer Center, we use precision techniques:

  • IMRT

  • IGRT

  • VMAT

  • SBRT (Stereotactic Body Radiotherapy)

Benefits:
✔ High accuracy
✔ Organ and limb preservation
✔ Reduced damage to healthy tissue


4. Targeted Therapy & Immunotherapy

Used in selected bone cancers depending on mutation profile and tumour biology.


5. Palliative Care

For advanced cases:

  • Pain management

  • Fracture stabilization

  • Symptom control

  • Psychological support


Prognosis

Prognosis depends on:

  • Tumour type and grade

  • Stage at diagnosis

  • Response to chemotherapy

  • Surgical completeness

  • Age and overall health

With modern multimodal therapies, survival rates continue to improve, especially in children and young adults.


Why Choose I D Cancer Center?

  • Expert oncology care by Dr. Sunil Kumar

  • Advanced precision radiotherapy (IMRT/IGRT/VMAT/SBRT)

  • Multidisciplinary tumour board decisions

  • Orthopaedic oncology referral and coordination

  • Personalized treatment plans

  • Compassionate patient and family support