Orthopedic Oncology Services
The Department of Orthopedic Oncology at Rajiv Gandhi Cancer Institute & Research Centre, headed by Dr Akshay Tiwari, boasts of dedicated Bone and Soft Tissue tumor services with specialists trained in the management of these tumors. All patients presenting with benign or malignant bone and soft tissue tumors are managed by a Multispecialty Team consisting of Orthopedic Oncologists, Radiologists, Pathologists, Medical Oncologists, Reconstructive Surgeons, Surgical and Radiation Oncologists, Physiotherapists, Counselors and Nurses. The patients managed by the Orthopedic Oncology unit include those with:
It has been established beyond doubt that the outcome of bone and soft tissue tumors is best when managed at a specialized centre dedicated to the management of these rare and complex diseases. At centers such as ours, more than 85 percent of patients having cancers of bone are treated with limb saving surgery. It is strongly recommended that the biopsy of a bone or soft tissue sarcoma should be performed at the centre where the patient is going to be managed ultimately, because following an incorrectly performed biopsy, it may not be possible to save the limb if a curative surgery is planned. Hence, a timely consultation at an appropriate centre is vital for optimal outcome of these diseases.
A large number of highly specialized surgeries are performed by the orthopedic oncology unit at Rajiv Gandhi Cancer Institute and Research Centre, all of which aim at adequately removing the tumor while preserving the form and function of the limb. These include limb salvage surgery with endoprosthetic replacement, vascularised bone autografts, extracorporeal radiotherapy and re implantation of tumor bone and total femur and total humerus replacement. Limb salvage surgery for soft tissue sarcomas, internal hemipelvectomies, en bloc resections of primary spinal tumors and extended curettage of benign aggressive bone tumors are some of the other specialized surgeries performed by the unit. A strict adherence to evidence based principles combined with innovations individualized to the needs of the patient form the basis of Orthopedic Oncology management at Rajiv Gandhi Cancer Institute & Research Centre.