The Department of Bone and Soft Tissue Oncology is dedicated to the comprehensive diagnosis and treatment of rare tumors, including Sarcomas (cancers of the bone, muscle, fat, and connective tissues). Our central focus is Limb Salvage Surgery, utilizing highly advanced techniques to remove the tumor completely while saving the limb's function and structure. Our multidisciplinary approach, driven by expert Orthopedic Oncologist, Medical Oncologist, and Radiation Oncologist, ensures patients receive personalized, high-precision care aligned with the rigorous standards of NCCN and ASCO.
Cancers affecting the bones and soft tissues (Sarcomas) are complex and uncommon, requiring a dedicated team with specialized experience. Our department brings together experts in Orthopedic Oncology (musculoskeletal surgeon), Medical Oncology, and Radiation Oncology to manage these tumors, which often occur in the arms, legs, pelvis, or trunk.
Expertise in Rare Tumors: We specialize in the full spectrum of Sarcomas (e.g., Osteosarcoma, Ewing Sarcoma, Chondrosarcoma) and benign but aggressive bone and soft tissue tumors.
Limb Preservation Focus: Our primary surgical goal is not just cancer removal but maximizing the long-term function and structure of the affected limb, avoiding amputation whenever medically appropriate.
Multidisciplinary Treatment Sequencing: Sarcomas almost always require a Multidisciplinary treatment. We use the Tumor Board model to meticulously plan the sequence of therapy, often administering chemotherapy and/or radiation before surgery (neoadjuvant therapy) to shrink the tumor and improve the chances of successful limb preservation.
Treating bone and soft tissue cancer demands highly specialized surgical techniques and coordinated medical management. Our services are focused on delivering precision oncology with advanced reconstructive capabilities.
Surgical removal of the tumor with wide, negative margins (R0 resection) followed by immediate reconstruction using specialized implants (e.g., Mega-prostheses) or biological materials (e.g., bone grafts or vascularized free tissue transfer).
Saving the Limb: Our expert surgeons remove the tumor entirely while safely preserving the blood vessels and nerves. We then rebuild the bone and joint using custom-designed metal implants or transplanted bone, allowing you to keep and use your arm or leg.
Sarcomas are typically treated with a combination of Chemotherapy (e.g., to treat Osteosarcoma or Ewing Sarcoma) and Radiation Therapy (either pre-operative to shrink the tumor, or post-operative to eliminate residual microscopic cells).
Combined Attack: We rarely rely on just one treatment. We use powerful medicine (chemotherapy) and highly focused radiation in a strategic order—often before surgery—to shrink the cancer, making it easier for the surgeon to save your limb.
Includes complex endoprosthetic replacement (using modular metal implants) and specialized biological reconstructions (like Rotationplasty for lower limb sarcomas in children) to achieve the best functional outcome over the patient's lifetime.
Custom Rebuilding: For replacing large bone sections, we use custom metal implants designed specifically for you. For children, a specialized surgery called Rotationplasty can be used to convert the ankle joint into a functioning knee joint for prosthetic attachment.
Uses image guidance for initial biopsies (essential for accurate diagnosis) and for local therapies like embolization (blocking tumor blood supply) or ablation (using heat or cold to destroy small tumors).
Precise Diagnosis: The initial diagnosis is made safely and accurately using a small needle biopsy guided by CT or ultrasound. These same techniques can also be used to precisely deliver localized, internal treatments.
Due to the rarity of Sarcomas, true expertise requires a high volume of cases. Our program is a high-volume referral center, meaning our surgeons and oncologists manage these complex tumors routinely, leading to better functional outcomes and superior local control rates.
We have fellowship-trained Orthopedic Oncologists who specialize exclusively in musculoskeletal tumors, ensuring the highest level of surgical skill in delicate limb preservation procedures.
Every treatment plan is a collaborative consensus reached during our Sarcoma Tumor Board meeting, involving surgical oncology, medical oncology, radiation oncology, radiology, and pathology. This ensures all treatment steps are optimally sequenced, as mandated by the NCCN guidelines.
We seamlessly integrate physical and occupational therapy immediately following surgery to maximize recovery and ensure the best functional results from complex reconstructions.
Our team is actively involved in clinical research and cooperative groups, providing access to emerging drug protocols for rare and advanced sarcomas, including novel Immunotherapies and Targeted Agents specific to molecular subtypes.
MBBS, DNB - Ortho Surg (2011), D'Ortho (2009), Fellowship (Orthopaedic Oncology & Paediatric Orthopaedics)
Senior ConsultantBone & Soft Tissue Oncology