Patient education: Bone cancer (The Basics)

What is bone cancer? — 

This is when normal cells in the bone change into abnormal cells and grow out of control.

There are different types of bone cancer, depending on the cells involved. The most common type is osteosarcoma. Other common types of bone cancer are chondrosarcoma and Ewing sarcoma.

People can also get cancer in their bones after cancer from another part of the body spreads to the bones. This is not called bone cancer. If the cancer started in the lung or breast, it is called "metastatic" lung or breast cancer. This article discusses cancer that starts in the bone.

What are the symptoms of bone cancer? — 

Bone cancer usually causes pain and swelling in the area of the cancer. The pain can come and go, but it usually gets worse over weeks to months. The pain is sometimes worse at night and with exercise. Some people with bone cancer also see or feel a lump on their bone or in the tissues around the bone.

All these symptoms can also be caused by conditions that are not bone cancer. But if you have these symptoms, tell your doctor or nurse.

Is there a test for bone cancer? — 

Yes. Your doctor will first order an X-ray of your bone.

If the X-ray shows you might have bone cancer, you will have other tests. These will probably include:

●Blood tests

●Imaging tests – These create pictures of the inside of the body. These might include an MRI or CT scan to check the affected area. They can also include a full-body bone scan, PET scan, or other imaging test to check for bone cancer in other parts of the body.

●Biopsy – The doctor removes a sample of the area suspected to have cancer. Then, another doctor looks at the sample under a microscope to check.

What is cancer staging? — 

This is a way to find out if a cancer has spread past the layer of tissue where it began, and, if so, how far.

The right treatment for you depends a lot on the type of bone cancer you have, its stage, and your other medical problems.

How is bone cancer treated? — 

Depending on the type of bone cancer, treatment includes 1 or more of the following:

●Surgery – Surgery is generally the main treatment for bone cancer. The type of surgery you will have depend on where your cancer is and how big it is. In most cases, surgeons do "limb-sparing" surgery. This is when the surgeon removes the cancer without removing the arm or leg where the cancer is growing. Depending on the type of surgery, the doctor might need to "rebuild" part of a bone after surgery.

Sometimes, when bone cancer is growing in an arm or leg, surgery might need to involve an amputation. This is when the surgeon removes all or part of the arm or leg along with the cancer. After an amputation, some people use a "prosthesis," which is an artificial arm or leg.

●Chemotherapy – These are medicines that kill cancer cells or stop them from growing. Most people with bone cancer have chemotherapy before and after their surgery.

●Radiation therapy – Radiation kills cancer cells. Doctors might use radiation when people can't have surgery or when all the cancer can't be removed safely with surgery.

What happens after treatment? — 

Your doctor will check you regularly to see if the cancer comes back. Follow-up tests can include exams, blood tests, chest X-rays, and imaging tests.

You should also watch for the symptoms listed above. Having those symptoms could mean your bone cancer has come back. Tell your doctor or nurse if you have any symptoms.

What happens if my bone cancer comes back or spreads? — 

You might have more surgery, radiation, or chemotherapy.

What else should I do? — 

Follow all your doctor's instructions about visits and tests. Talk to your doctor about any side effects or problems you have during treatment.

Getting treated for bone cancer involves making many choices, such as what treatment to have. Always tell your doctors and nurses how you feel about a treatment. Any time you are offered a treatment, ask:

●What are the benefits of this treatment? Is it likely to help me live longer? Will it reduce or prevent symptoms?

●What are the downsides of this treatment?

●Are there other options besides this treatment?

●What happens if I do not have this treatment?

More on this topic

Patient education: Chondrosarcoma (The Basics)
Patient education: Ewing sarcoma (The Basics)
Patient education: Bone biopsy (The Basics)
Patient education: Chemotherapy (The Basics)
Patient education: External beam radiation therapy (The Basics)
Patient education: Managing pain when you have cancer (The Basics)
Patient education: When your cancer treatment makes you tired (The Basics)
Patient education: Managing loss of appetite and weight loss with cancer (The Basics)
Patient education: Nausea and vomiting with cancer treatment (The Basics)
Patient education: Hair loss from cancer treatment (The Basics)
Patient education: Medical care during advanced illness (The Basics)