Oncology
Bone Tumours

The tumour that grows in the bone  spreads over time to healthy tissues, causing healthy tissues to be replaced by abnormal tissues and weakening the bone, leading to pathological fractures. Most bone tumours do not know the cause. If necessary, measures are not taken, it can cause functional insufficiency and even death within the organ system in which they develop.

Most bone tumours are benign, and benign tumours are not life-threatening. In malignant ones, cells can spread throughout the body, forming metastasis. The cancer that begins in the bone (primary) and the (secondary) cancer that starts from the other part of the body and settles in the bone are different.

Malignant tumours include:

  • Metastatic Bone Tumours: Malignant tumours that spread to the bone from other organs.
  • Multiple Myeloma: Multiple Myeloma is the most common primary bone cancer. It's a malignant tumour of the bone marrow. It can affect any bone and occurs in patients between the ages of 50 and 70.
  • Osteosarcoma: Osteosarcoma is the second most common bone cancer. It often occurs in adolescence and in the knee area.
  • Ewing's sarcoma: Ewing's sarcoma often occurs between the ages of 5 and 20; it forms bone damage along with a large soft tissue mass.
  • Chondrosarcoma: Chondrosarcoma is a type of bone tumour that often occurs between the ages of 40 and 70 with mass in the hip area, pelvis, and shoulder.

Most patients with tumours show symptoms with constant and blunt pain. Physical activities do not affect the pain and the pain worsens at night. Pathological fractures may occur, which increases pain. Some tumours cause fever and night sweats. Sometimes they come up with painless masses.

Although the treatment of benign bone tumours varies according to the type of tumours and the age of the patient, observation is sufficient in most cases. In some, medical treatment relieves pain. Others disappear spontaneously over time (especially in children). In some cases, the doctor recommends removing the tumours; this prevents possible pathological fractures. However, in some types of tumours, even if the mass is removed, it may re-occur. Some benign tumours can also turn into malignant tumours over time.

It is the type and stage of the tumours that is decisive in the treatment of malignant bone cancers.  Surgical treatment can only be in the form of removal of the tumours or in the form of removal of tumours tissue together with the intact tissue around it. Radiation therapy and Chemotherapy can be applied in the treatment along with other treatment methods. 

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