Rohilkhand Cancer Institute

Bone cancer

Although bone cancer can start in any bone in the body, the pelvis or the long bones in the arms and legs are the most frequently affected. Less than 1% of all malignancies are bone cancers, making them extremely uncommon. In actuality, benign bone tumours are significantly more prevalent than malignant ones.

The phrase “bone cancer” excludes tumours that start in other parts of the body and “metastasize” (spread) to the bone. Instead, those tumours are given their original starting points as names, such as bone metastasizing breast cancer.

While some types of bone cancer usually affect adults, others mostly affect youngsters. The most common form of treatment is surgical removal, but chemotherapy and radiation therapy are other options. The type of bone cancer being treated determines whether surgery, chemotherapy, or radiation therapy should be used.


1 Chondrosarcoma

An uncommon kind of cancer called chondrosarcoma normally starts in the bones but can occasionally develop in the soft tissue next to the bones. Chondrosarcoma most frequently develops in the shoulder, hip, and pelvis. In the spine’s bones, it can happen less frequently.

Most chondrosarcomas are slow-growing and may not initially manifest many signs and symptoms. Some uncommon types of cancer can be challenging to treat because they grow quickly and are very likely to spread to other parts of the body.

The most common form of chondrosarcoma treatment is surgery. Chemotherapy and radiation therapy could be further choices.


Since chondrosarcoma often grows slowly, it may not initially manifest any symptoms. The following are examples of chondrosarcoma signs and symptoms that may manifest:

 Expanding hurt
A developing bulge or swollen region
  If the cancer presses on the spinal cord, it could cause weakness or issues with bowel and bladder control.


The exact cause of chondrosarcoma is unknown. Doctors are aware that when a cell experiences DNA changes (mutations), cancer develops. The instructions directing a cell’s actions are encoded in its DNA. When healthy cells would die, the instructions tell the cell to proliferate swiftly and keep alive. The collecting cells create a tumour, which can spread and engulf healthy body tissue. Eventually, cells may separate and disperse (metastasise) to other parts of the body.

Risk elements.

The following factors can raise the likelihood of developing chondrosarcoma:

 Advancing years.

Chondrosarcoma can affect anyone, however, it most frequently affects middle-aged and older adults.

 Other bone problems

Noncancerous bone growths (enchondromas) are conditions that are brought on by Ollier’s disease and Maffucci’s syndrome. These growths can occasionally develop into chondrosarcoma.

2 Sarcoma of Ewing

Ewing sarcoma is an uncommon kind of cancer that develops in the soft tissue surrounding the bones or in the bones themselves.

Ewing sarcoma can develop in any bone, however, it typically starts in the pelvic and leg bones. Less frequently, it begins in the limbs, abdomen, chest, or other soft tissues.

Ewing sarcoma can develop at any age, however, it is more frequent in children and teenagers.

The prognosis for those who have Ewing sarcoma has improved as a result of significant developments in the disease’s management. It is advised that patients be monitored for the rest of their lives to look out for any potential long-term effects of aggressive chemotherapy and radiation.

Ewing sarcoma symptoms and signs include:
swelling, tenderness, or discomfort close to the affected area
A bone ache
Unaccounted for fatigue
without a known cause, a fever
shedding pounds without trying
Whenever to visit a doctor

If you or your child exhibits any persistent symptoms that worry you, schedule a visit with your doctor.


The exact cause of Ewing sarcoma is unknown.

Doctors are aware that when a cell experiences DNA alterations, Ewing sarcoma starts to form. The instructions that inform a cell what to do are encoded in its DNA. When healthy cells would typically perish, the alterations instruct the cell to reproduce swiftly and to continue to exist. The end consequence is an aberrant cell mass (tumour) that can invade and obliterate good bodily tissue. The malignant cells have the capacity to separate and disperse (metastasize) throughout the body.

The EWSR1 gene is the one most frequently affected by DNA alterations in Ewing sarcoma. Your cancer cells may be examined for mutations in this gene if your doctor suspects that you have Ewing sarcoma.

Risk elements

Ewing sarcoma risk factors include:

Your age

Ewing sarcoma can strike anyone at any age, but adolescents and teenagers have a higher chance of developing it.

Your family tree

People of European heritage are more likely to get Ewing sarcoma. East Asians and persons of African descent experience it far less frequently.


Ewing sarcoma and its treatment-related complications include:

Spreading (metastasizing) cancer

The spread of Ewing sarcoma can complicate therapy and recovery since it might affect locations other than the original site. The lungs and other bones are where Ewing sarcoma most frequently metastasizes.

long-term adverse effects of treatment.

The harsh therapies required to control Ewing sarcoma can have significant short- and long-term negative effects. Your medical team can assist you in coping with any side effects that arise during treatment and can provide you a list of side effects to be on the lookout for in the years after treatment.

3 Osteosarcoma

An instance of bone cancer that starts in the cells that create bones is osteosarcoma. Although it can begin in any bone, osteosarcoma is more frequently detected in the long bones, more frequently the legs but occasionally the arms. In extremely rare circumstances, it can happen in soft tissue away from the bone.

Although it can affect younger children and older adults, osteosarcoma often affects teenagers and young adults.

Chemotherapy, surgery, and occasionally radiation therapy are used as treatments in most cases. Based on the osteosarcoma’s origin, size, kind, and grade, as well as if it has spread outside of the bone, doctors choose a course of treatment.

Over time, advancements in osteosarcoma treatment have significantly improved the outlook (prognosis) for this malignancy. It is advised that patients be monitored for the rest of their lives to look out for any potential long-term repercussions of their aggressive therapies.


The following are examples of osteosarcoma symptoms and signs:

A swelling close to a bone
Joint or bone ache
Bone damage or shatter without apparent cause

When to see a doctor

If your kid exhibits any persistent signs or symptoms that worry you, schedule a visit with the doctor. Since sports injuries and numerous other more prevalent disorders share symptoms with osteosarcoma, your doctor may start by looking into those possibilities.

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