Often, referring physicians send only the patient's existing tissue samples and imaging studies for initial interpretation by our expert radiologists and our bone pathologists. Because Hopkins physicians have extensive expertise in reviewing the results of these imaging tests, they often can detect benign tumors without the need for surgical biopsy. Surgery, however, is the primary treatment for most bone cancers. Before the advent of limb-salvage surgery, amputation frequently was performed. At Hopkins, orthopedic and surgical oncologists remove the cancer while preserving the crucial structures of the limb, such as the major nerves.
Plastic surgeons are able to reconstruct defects with innovative techniques.
Radiation oncologists implant temporary catheters and use 3-D imaging to deliver radiation treatments more precisely and spare normal tissues. Patients are examined at regular intervals to detect any recurrence. Hopkins has an active basic science research program, supported by a large grant from the National Institutes of Health. This grant involves the study of implant design, to better anchor the prosthesis to bone and muscles and anchor tendons to the prosthesis. In advanced cases of bone and soft tissue cancer, amputation may be necessary.