Treatment depends on the location of the disease and the aggressiveness of the tumors. Because<unk> s are rare, they are treated at specialist hospitals with Sarcoma Centers. Surgery is the main form of treatment for<unk> . Musculoskeletal tumor specialists or orthopedic oncologists are usually chosen to treat<unk> , unless it is located in the skull, spine, or chest cavity, in which case, a neurosurgeon or thoracic surgeon experienced with sarcomas is chosen. Often, a limb-sparing operation can be performed, but in some cases amputation is unavoidable. Amputation of the arm, leg, jaw, or half of the pelvis (called a hemipelvectomy) may be necessary in some cases. There are two kinds of hemipelvectomy – internal and external. * External hemipelvectomy – is removal of that half of the pelvis with the amputation of the leg. It is also called hindquarter amputation. * Internal hemipelvectomy – is removal of that half of the pelvis, but the leg is left intact. Amputation at the hip is called hip disarticulation and amputees who have had this amputation are also called hip disartics. Chemotherapy or traditional radiotherapy are not very effective for most<unk> s, although proton therapy is showing promise with local tumor control at over 80%. Complete surgical ablation is the most effective treatment, but sometimes this is difficult. Proton therapy radiation can be useful in awkward locations to make surgery more effective. Recent studies have shown that induction of apoptosis in high-grade<unk> , both directly and by enhancement of response to chemotherapy and radiation, is a valid therapeutic strategy.
Chondrosarcoma
Enchondroma
Fibrosarcoma
Myxoid cyst
Chondroma
Osteoblastoma
Liposarcoma
Synovial sarcoma