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Bone Cancer Treatment

Bone Cancer Treatment Cost in India|HealthcaretripIndia

Bone Cancer Treatment

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Bone Cancer constitutes only 1% of all cancers. It may arise from any bone of the body but most commonly affect the bones of the pelvis and long bones of the arms and legs.

 

Malignant bone tumors are referred to as Bone Cancer.

 

Bone tumors are abnormal growth of cells in the bone.

 

They can be benign (non cancerous) or malignant (Cancerous). Most bone tumors are not cancerous. 

 

Bone Cancer may be a Primary or a Secondary Bone Cancer.

 

Primary bone cancer begins in a bone. However, the Secondary Bone Cancer refers to a cancer that originates in some other organ such as Breast, prostate and spreads to the bone eventually. In such case, it is named as metastatic cancer of the organ of the origin, not the bone cancer. 

 

When we talk about bone cancer, we talk about the Primary bone cancer that starts in the bone. It does not include the cancer that originated in some other organ and spread to the bone over a course of time

 

There are several types of bone cancer. Some predominantly affect children and some only adults.

 

Surgery, Chemotherapy and Radiation therapy are the treatment options for a bone cancer patient.

 

The treatment plan is determined by the multi-disciplinary team of specialists after taking into account several factors such as type of bone cancer, stage of bone cancer, age and general health of the patient.

 

HealthcaretripIndia connects you to the best health care providers to help you get an affordable bone cancer treatment in India. We have done thorough research on the Best Hospital for Bone Tumor Treatment in India, best bone cancer treatment cost and Top cancer doctors for bone cancer treatment in India. You will get everything under one roof.

 

India is recognized as the most coveted destination for bone cancer treatment. Patients from developed countries get an attractive combination of high medical expertise at affordable prices, including that for high end surgeries. India offers remarkable cost savings to the International medical travelers, when compared to the healthcare costs incurred in countries such as USA, UK, Australia, Canada to name a few.

 

We are affiliated with the best Cancer Hospitals of India. JCI accredited or its National equivalent NABH world class cancer hospitals with patient centric approach, high end technology in place and state of the art infrastructure. 

 

Indian Oncologists have expertise in cancer treatment, International fellowships and International board certification.

 

Patients who have benefited with bone cancer surgery treatment  in India are from USA, Australia, UK, Bangladesh, Nigeria, Ethiopia, Uganda, Nepal, Pakistan, Uzbekistan, Kenya, Afghanistan, Tanzania, Sri lanka, Canada, Zambia, New Zealand and Congo.

 

Plan your Bone Cancer Treatment in India with HealthcaretripIndia

 

 

Get the most affordable high quality medical treatment from best hospitals of India

Scan and send your medical reports at contacthealthcaretripIndia@gmail.com or contact@healthcaretripIndia.com

 

 

Frequently Asked Questions: Bone Cancer Treatment and Surgery in India|HealthcaretripIndia

 

Q1What is not considered as bone cancer?

A1 The term Bone Cancer does not include those cancers that initiated in some other organ or tissues such as Breast and spread to the bone. Such types of cancers are better referred to as Breast Cancer that has metastasized or spread to the bone. Furthermore, it does not include blood cell cancers that originated in the jelly like substance in the bones, the bone marrow, where the blood cells are produced.

 

Q2 What is the cause of Bone Cancer?

A2 Not known. It is believed to be either hereditory or a prior exposure to radiation.

 

Q3 What are the risk factors for Bone cancer?

A3 Risk factor refers to anything that makes a person more prone to develop Primary bone Cancer. Although there is no fixed criteria, there may be no risk factor still the person gets bone cancer or there may be high risk factors involved and there is no bone cancer.  The awareness of the risk factors does influence a person's life style choices and help him make an informed decision.

These factors are not directly responsible for causing cancer but they influence development process of bone cancer.

Risk factors for bone cancer may be:

  • Genetics

  • Previous Radiation Therapy

  • Chemotherapy taken as treatment for some other cancer

  • Presence of benign bone tumors or other bone conditions.

 

Q4 What are the types of Bone Cancer?

A4 Bone cancer may fall into the following categories based on the type of cell it affects:

  1. Osteosarcoma

    • Most common type of Bone Cancer.

    • Cancerous cells form bone.

    • Occurs predominantly in children and young adults.

    • Most commonly affects long bones of the arms and legs. 

    • It has an high grade aggresive sub type or variety called Extra skeletal Osteosarcoma or Extra Osseous Osteosarcoma that arises from soft tissue outside of bone. It is a rare tumor with poor outcome. Usually affect middle age and older adults and may affect bones of thighs, shoulder, buttocks, chest and abdomen (trunk). It is a soft tissue sarcoma. It has the property of returning and it spreads to other parts of the body. This particular subtype of osteosarcoma is rare in children and adolescents.

  2. Ewing's Sarcoma

    • Rare cancerous tumor of the bone or the soft tissue around bone such as cartilage.

    • Primarily seen in children and young adults

    • Often starts in the bone in the legs, arms or pelvis

    • Can be cured with high success rate

  3. Chondrosarcoma

    • Second most common form of Primary Bone Cancer.

    • Cancer of cartilage producing cells.
  4. Spindle cell sarcoma

    • ​​Found in the bones of arms, legs and pelvis

    • Most commonly diagnosed in people over 40 yrs of age

    • Constitues 2-5% of all primary bone cancer cases.

  5. Chordoma

    • Rare

    • Slow growth

    • Occurs in the bones of skull base and spine

    • Constitutes 3%of the bone tumors and 20% of the primary spinal tumors

    • Most common tumors of the sacrum and cervical spine

    • Can occur at any age but more commonly diagnosed in people in their 50s or 60s. 

    • Complex tumors posing problems in treatment as these involve critical structures such as brain stem, nerves, spinal cord and arteries.

    • Can recur and metastasize (spread)

  6. Angiosarcoma

  • Very rare

  • Aggressive, grows at a very fast rate.

  • Angiosarcoma is the cancer(malignant tumor) that originates in the cells of the inner lining of the blood vessels (Endothelial cells). Uncontrollable growth of abnormal endothelial cells is Angiosarcoma.It can literally develop any where in the body. Any organ can be affected. Breast, skin, liver, heart or bones are the most commonly affected ones.

  • Angiosarcoma of the bone constitutes less than 1% of all Primary Bone Cancers and 6% of all the Angiosarcoma cases.

  • Angiosarcoma of the bone most commonly originates in the shin bone (Tibia), thigh bone(Femur) or hip bone (Pelvis), the spine and the long bone in the arm (humerus). Long tube like bones and the bones such as that of skull, spine and rib cage that constitute the axial skeleton are the ones that are the most commonly affected.

Q5 Can bone cancer be prevented?

A5 Bone Cancer prevention is the subject which the researchers are still working on. Till date, there is no known way to prevent bone cancer. People with known risk factors can go for regular check ups and discuss their probability of getting bone cancer and how to go ahead. Early detection leads to successful treatment. Risk factors could be presence of Li Fraumeni Syndrome, Retinoblastoma or any medical condition with inherited sarcomas.

There may be no known risk factor, still the person may get bone cancer.

 

Q6 What are the signs and symptoms of Bone Cancer?

A6 Bone Cancer patient may present with

  • Bone Pain with the following characteristics

    • Pain that comes and goes initially, then gets steady and severe.

    • Worsens at night and with movement

    • No relief in pain even after pain medications
  • Tenderness and swelling where the tumor is located.

  • Weak bone leading to fracture or broken bone. Limping may be a pronounced symptom in case of advanced bone cancer.

  • Tiredness to an extreme that interferes with the daily activities

  • Unexplained weight loss

  • Rarely, fever

Q7 How is bone cancer diagnosed?

A7 Bone cancer diagnosis

A series of investigations are done to look out for the presence of cancer, bone cancer precisely, to identify if it is a benign bone tumor or the cancerous (malignant). Furthermore, in case it is a bone cancer, whether it is a Primary bone cancer or the secondary (metastatic) which has spread to the bone from some other organ.

 

Initially, the physical examination, signs and symptoms and details like your age, general condition, results of prior tests will give your doctor a clue about a probable bone cancer or may be its type as well. After detailed evaluation, your doctor may prescribe some investigations from the list of tests as mentioned below:

 

Tests and Diagnosis

 

Imaging Tests

  • X Ray

  • CT (Computed Tomography Scan)

  • PET (Positron Emission Tomography) or PET-CT

  • MRI (Magnetic Resonance Imaging)

  • Bone Scan 

Blood test

Biopsy: Confirms the diagnosis of bone cancer. Biopsy refers to taking out a small part of tissue and studying it under the microscope.

 

Q8 What are the different stages and grades of bone cancer?

A8   Stages of Bone Cancer

When we use the term staging, it describes the details of the cancer such as location of the cancer, whether it has spread and if yes, where and how much. Diagnostic tests are carried out to define the stage of the cancer. Staging of cancer is significant as it helps the doctor to determine the best treatment plan for the patient as well as predict the patient's chances of recovery (Prognosis).

 

Doctors follow TNM system, a tool used in order to stage the cancer. TNM, where

T stands for Tumor, where and how big?

N stands for Node, whether the cancer or tumor has spread to the nodes. If Yes, then where and how many nodes?

and M stands for Metastasis, whether the cancer has spread to other organs. If yes, then how far and how much?

 

The results derived from T, N, M and G classifications are combined to assign the stage of the cancer for each patient. In most Primary bone cancers, there are five stages, starting from 0 to IV

 

Stage IA

Stage IB

Stage IIA

Stage IIB

Stage III

Stage IVA

Stage IVB

 

Q9 What is the treatment of Bone Cancer?

A9 Bone Cancer Treatment comprises of Surgery, Chemotherapy, Cryosurgery and Targeted therapy. Treatment options may be combined or one particular best treatment option amongst all, is carried out. Treatment option/s choice is determined by the type of bone cancer, its location, size of the cancer, patient's age and general health.

 

Bone Cancer Surgery Surgery is usually the most recommended treatment option for bone cancer. The surgeon makes sure that the entire tumor is removed and it has negative margins. The negative margins means that the edges of the removed tumor are free of cancer cells in order to make sure that no cancer is left behind. Furthermore, the surgeon makes every effort to minimize the removal of surrounding healthy tissue alongwith the tumor. In order to do so, he adopts certain specialized surgical approaches or techniques.

 

Considerable improvement in surgical techniques and treatment of the bone cancer before surgery (Pre operative treatment) in case of cancer affecting bones of the limbs, helps avoid the removal of the entire limb, commonly referred to as Radical Surgery. However, reconstructive surgery may be required in such patients who undergo limb sparing surgery, to acquire limb function again.

 

Chemotherapy Administration of drugs that kill cancer cells is referred to as chemotherapy. It may be a viable treatment option alongwith other treatment modalities. It offers ample benefits in some types of bone cancer such as Ewing's Sarcoma or Osteosarcoma. Generally, a combination of anti cancer drugs are given before surgery.

 

Radiation Therapy or Radiotherapy, as it may be called, is delivering high energy X rays in order to kill cancer cells. It may be coupled with other treatment options such as surgery, like after surgery to kill the remaining cancer cells. It can be adminstered even without surgery, at times. 

 

Cryosurgery This treatment option uses Liquid Nitrogen to freeze and destroy cancer cells. At times, it replaces conventional surgery to treat bone tumor.

 

Targeted Therapy This treatment option uses drugs that are meant to target a specific molecule that contributes in the growth and spread of cancer cells. That specific molecule may be a cancer specific gene, protein or tissue environment that is conducive for the cancer growth and sustenance.

 

Q10 What are the types of bone cancer surgery?

A10 Bone Cancer Surgery is one of the most viable treatment option for bone cancer patient. There are several different types of bone cancer surgeries and the best amongst those for you will be determined by the location of primary bone cancer, its size and whether it has encroached nearby tissues or has spread at distant organs or tissues. Furthermore, it also depends upon your response to the chemotherapy. Chemotherapy helps shrink the bone cancer prior to the surgery and may change the need from removal of limb surgery (amputation) to limb sparing or limb salvage surgery.

 

The main objective of the bone cancer surgery is to eliminate all the cancer. Even a few remaining cancer cells are enough to form a new tumor again. In order to avoid it, the cancer along with some healthy tissue is taken out. This procedure is referred to as Wide Excision.

 

After the tumor along with some healthy tissue is excised or removed, it is examined by the pathologist to confirm if it has negative margins. Negative margins means that the edges of the tumor are free of the cancer cells, this assures the surgeon that the cancer was removed completely and will not recur. On the other hand, if the margins of the removed tissue come out to be positive or containing cancer cells, it clearly indicates that the cancer cells are left behind and the cancer may recur.

 

Wide excision with clear negative margins is the main objective of the surgery to alleviate the potential risk of bone cancer recurrence.

Types of Bone Cancer Surgery

When the bone cancer is in the limbs (arms or legs)

  • Surgery that removes the cancer and the limb 

  • ​At times, the entire limb has to be removed for removing all the cancer out.  Such surgery is referred to as Amputation Surgery.

  • Surgery that removes the cancer and spares the limb

  • ​​​​​Most often, amputation may be avoided. Cancer is removed without amputation. Such surgery is referred to as Limb Salvage or Limb Sparing Surgery.

 

Q11 What is Limb Salvage Surgery for the treatment of Bone Cancer?

A11 Limb salvage or Limb Sparing Surgery, as the name suggests is a surgery that spares the leg or arm from amputation, when removing cancer. The objective of the surgery is to remove the cancer and leave the perfectly fine working limb behind. Fortunately, most patients with bone cancer in the limbs may be benefited from Limb Sparing bone Cancer Surgery.

It is indeed a complex surgery which calls for a highly competent surgeon to carry out the surgery to remove the cancer while saving the nearby tendons, nerves or blood vessels. If the nearby tissues such as nerves or blood vessels have been encroached by the bone cancer, then they also have to be removed, leaving a painful or a non working limb. In such cases, amputation bone cancer surgery is a better treatment option.

 

Q12 Which is the best bone cancer hospital in India?

A12  List of Best Bone Cancer Hospitals in India

 

Indraprastha Apollo Hospital, Delhi

 

Max Hospital, Saket

 

Medanta Medicity, Gurugram, Delhi-NCR

 

HCG Hospital, Bangalore

 

Cytecare Hospitals, Bangalore

 

Bone Cancer Treatment in India|HealthcaretripIndia

 

  • Most economical cost

  • No waiting period

  • Best Super Specialty hospitals with state of the art infrastructure equipped with most advanced technology.

  • Hospitals accredited with international organizations such as JCI (Joint commission International) for quality standards.

  • Globally trained, highly experienced surgeons

  • Strict infection control practices are followed

  • Team approach- Holistic approach is taken with multidisciplinary team of specialists contributing their expertise with the backbone of evidence based approach, right from the screening, diagnosis, treatment and follow up.

  • Prompt addressal of complications, if need be.

  • Organ Specific Expertise

  • Great ambience

  • Compassionate staff to look after

  • Language no barrier. English speaking people and if required,translators are available for your convenience.

  • Most affordable accommodation available at a walking distance from the hospital. Wide range of options starting from guest house, service apartments to five star hotels, best suited to your budget and choice.

 

 

 

 

 

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Bone Cancer Specialist Doctors in India| HealthcaretripIndia

 

Bone Cancer Specialists in Delhi|Bone Cancer Treatment in India



Dr Akshay Tiwari

MBBS, MS (Orthopedics)

Fellowship in Musculoskeletal Oncology, Italy

Diploma in Tissue Banking, Singapore

Associate Director & Head - Musculoskeletal Oncology

Max Super Specialty Hospital, Saket

 

Dr Manish Pruthi

MBBS, MS (Orthopedics), DNB(Orthopedic Surgery)

Orthopedic Consultant

Rajiv Gandhi Cancer Institute & Research Centre

 

Dr Vivek Verma

MBBS, DNB (Orhtopedic Surgery)

Clinical Fellowship in Trauma & Joint Replacement, Germany

Fellowship in Orthopedic Oncology, Tata Memorial Centre, Mumbai

Consultant Orthopedic Oncosurgeon

Max SuperSpecialty Hospital, Delhi

 

Dr AK Anand

MBBS, MD (Radiotherapy)

Senior Director, Radiation Oncology

Max Super Specialty Hospital, Saket, Delhi

 

Best Bone Cancer Specialists in Bangalore|Bone Cancer Treatment in India

 

Dr Radheshyam Naik

MBBS, DNB (General Medicine), DM (Oncology)

Medical Oncologist

HealthCare Global Hospitals, Bangalore

 

Dr Pramod S Chinder

MBBS, MS (Orthopedics)

Fellowship in Musculoskeletal oncology

Fellowship in Hand & Reconstructive Microsurgery

Director & Head, Dept. of Orthopedic Oncology

HealthCare Global Hospitals, Bangalore

 

Dr Deepak G Shivarathre

MBBS, FRCS (Trauma & Orthopedic Surgery), MRCS (UK)

Senior Consultant, orthopedic Oncology

Cytecare Hospitals, Bangalore

 

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