Adam Frederick was 26 years old and training for a triathlon when he began to feel pain in his right leg. Doctors discovered a Ewing's sarcoma, a type of bone cancer, in his pelvis.
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Osteosarcoma is a type of bone cancer mostly found in teenagers. This aggressive malignant tumor can be found around the knee, causing pain or forming a mass. Gregory Domson, MD, explains this rare condition and the best treatment options available.

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Osteosarcoma is a primary malignancy of bone. It arises mostly in teenagers, typically around the knee, in the lower portion of the thigh bone or the upper portion of the shin bone. It is an aggressive malignant tumor.

It’s pretty rare, maybe 3,000 cases or so a year in the United States. Osteosarcoma typically presents with bone pain or a mass. Occasionally, patients will present with a fracture where they’ve had some soreness, and then they’re involved in sports, and because of the tumor weakening the bone, they have a fracture there.

The treatment for osteosarcoma is also a team approach. These patients are almost always pediatric. So, we get the pediatric hematology-oncology doctors involved. So, they give what we call neoadjuvant chemotherapy, which is chemotherapy before the surgery. That’s designed to kill the tumor and allow us to be more aggressive with our limb salvage surgical options, where we can resect the tumor, spare the limb, and reconstruct the leg or the arm. And then the pediatric hematology doctor is also involved in post-operative care, giving more chemotherapy to treat any systemic disease.

This type of cancer grows in the cartilage cells, the connective tissue, in the body. Chondrosarcoma is typically found in the femur, arm, pelvis, knee and spine. Gregory Domson, MD, explains this bone cancer and the treatment options.

For more information: https://uvahealth.com/services..../bone-cancer/chondro

Chondrosarcoma is a malignancy. It’s a type of cancer that arises from cartilage cells. So, cartilage is really that kind of smooth surface on the end of your bones that helps with gliding of the joints.

Chondrosarcoma, like most bone cancers, starts with bone pain or a mass. The treatment options for chondrosarcoma are usually surgery alone. Cartilage tumors don’t respond as well to radiation treatment and chemotherapy, and so typically surgery is the standard of care.

Surgery for chondrosarcoma can be radical surgery, like an amputation. It can be limb salvage surgery, where we resect a portion of the bone and reconstruct the bone. Also, it can be less invasive surgery where we scrape out the tumor and reconstruct the bone. Not many surgeons are familiar or very comfortable doing resection of chondrosarcoma and reconstruction once the tumor is out. And so often times they go to a tertiary care center to seek a musculoskeletal oncologist, like myself here at UVA.

Shelbee shares her story of being diagnosed with a rare type of bone cancer called Ewing’s sarcoma, and how it has affected her physically. You can also hear from her friend, Jess, about the importance of maintaining strong relationships. The information in this video is correct as of 2017.

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Hear Dr. Martin Palmeri, Medical Oncologist at Messino Cancer Centers, share the benefits of targeted therapy on gallbladder and bile duct cancers.

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In this webcast from the '2019 ESMO World Congress on Gastrointestinal Cancer', Dr. Laura A. Dawson discusses whether there are any indications for radiotherapy in the treatment of localized bile duct cancer.

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