How to treat bone cancer surgically

In recent years, bone cancer has become one of the major diseases that endangers society and human health, and it has brought great pain and distress to humans. In order to reduce the incidence of bone cancer, we humans should master the treatment methods of bone cancer:

Benign tumors or tumor-like lesions are mainly treated by surgical curettage or resection. The operation should be thorough to avoid recurrence or malignant changes, but limb function should be preserved as much as possible. For malignant tumors, the main purpose is to save lives, and limb preservation can only be considered if the survival rate is not reduced. Currently, the commonly used surgical methods include curettage, resection, amputation, limb resection and distal replantation of the bone tumor segment, amputation, and joint disarticulation.

Curettage is to cut open the bone wall containing the tumor and scrape out the tumor tissue. This operation is suitable for enchondroma, bone cyst, bone eosinophilic granuloma and small-scale giant cell tumor of bone in the metacarpal bones. The cavity left after tumor curettage can be filled with bone graft.

Resection is a surgery to remove a tumor that protrudes out of the bone from its base, which is mainly applicable to osteochondroma. The resection should include the cartilage cap of the tumor, the fibrous tissue surrounding the cap, and the entire base.

Resection is the removal of the entire section of the bone where the tumor is located. It is suitable for giant cell tumors with a large destruction range and some low-grade malignant tumors such as fibrosarcoma and chondrosarcoma. Some defects left after bone resection do not need to be repaired, such as the proximal fibula and the distal ulna, but most of them need to be repaired with artificial joints, allogeneic bones or autologous bones.

Tumor segment excision and distal replantation is a new development in limb replantation. The entire segment of the limb where the tumor is located, including the skin, muscles, nerves, blood vessels and bones, is excised, and then the distal limb is transplanted to the proximal part. This surgery is suitable for low-grade malignant tumors of the upper limbs such as fibrosarcoma, chondrosarcoma, etc.

The above is the surgical treatment method for bone cancer. Expert Tip: If you have symptoms of disease, do not delay diagnosis and go to a regular hospital for treatment in time to avoid delaying the disease and causing serious consequences. If you have other questions, please consult our online experts or call for consultation.

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