Bone cancer is a type of cancer that starts in the cells of the bone. The most common type of bone cancer is osteosarcoma, which usually affects children and young adults. Other types of bone cancer include chondrosarcoma, Ewing's sarcoma, and fibrosarcoma. This type of cancer can be challenging to treat because it can spread to other body parts. Treatment typically involves surgery, radiation therapy, and chemotherapy. Early diagnosis and treatment are essential for the best possible outcome. There is no sure way to prevent it, but there are some things an individual can do to lower their risk. These include maintaining a healthy weight, avoiding exposure to certain chemicals, and not smoking.
Causes of Bone Cancer
There is no one cause. However, some risk factors may increase the chance of developing the disease. These include:
- Age: The disease is most common in children and young adults under 20.
- Gender: Males are slightly more likely to develop bone cancer than females.
- Family history: A family member with bone cancer may increase an individual's risk.
- Radiation therapy: Radiation therapy used to treat other cancers may increase the risk of developing bone cancer.
- Certain disorders: People with certain disorders that affect the bones, such as Paget's disease, are at higher risk for developing bone cancer.
While these factors may increase the risk of bone cancer, it's important to remember that most people with these risk factors do not develop the disease.
Types of Bone Cancer and Stages
There are several types, each with its symptoms and treatment options. The most common variety is osteosarcoma. Other types include chondrosarcoma, Ewing's sarcoma, and fibrosarcoma.
- Osteosarcoma: Osteosarcoma is the most common type. It usually affects children and young adults between the ages of 10 and 20 and typically starts in the bones around the knee but can occur in any bone. Symptoms may include pain, swelling, and tenderness in the affected area. Treatment typically involves surgery to remove the tumor, followed by radiation therapy or chemotherapy.
- Chondrosarcoma: Chondrosarcoma starts in the cells that make up cartilage. It occurs most often in people over 40 and is more common in males. Chondrosarcoma can happen in any bone but can most likely affect the pelvis, shoulder, or ribs. Bone cancer symptoms may include pain, swelling, and tenderness in the affected area. Treatment typically involves surgery to remove the tumor, followed by radiation therapy or chemotherapy.
- Ewing's Sarcoma: Ewing's sarcoma is bone cancer, usually affecting children and young adults between 10 and 20. It typically starts in the pelvis, leg, or arm bones. Symptoms may include pain, swelling, and tenderness in the affected area. Treatment typically involves surgery to remove the tumor, followed by radiation therapy or chemotherapy.
- Fibrosarcoma: Fibrosarcoma is a type of bone cancer that starts in the connective tissue of the bone. It can occur at any age but is most common in people over 40. and can happen in any bone but most likely affects the pelvis or femur. Symptoms may include pain, swelling, and tenderness in the affected area. Treatment typically involves surgery to remove the tumor, followed by radiation therapy or chemotherapy.
There are also a few different types of benign bone tumors:
- Osteochondroma: Osteochondromas are the most common type of benign bone tumor. They usually affect children and young adults between 10 and 20. Osteochondromas typically occur in the pelvis, shoulder, or knee bones. They may not cause symptoms but can sometimes be associated with pain, swelling, or tenderness in the affected area. Treatment is typically not necessary unless the tumor is causing symptoms or is at risk of turning into cancer.
- Osteoma: An osteoma is a small, benign tumor that starts in the bone. Osteomas usually don't cause symptoms but can sometimes be associated with pain or tenderness in the affected area. Treatment is typically not necessary unless the tumor is causing symptoms or is at risk of turning into cancer.
- Osteoid osteoma: An osteoid osteoma is a small, benign tumor that starts in the bone. Osteoid osteomas usually don't cause symptoms but can sometimes be associated with pain or tenderness in the affected area. Treatment is typically not necessary unless the tumor is causing symptoms or is at risk of turning into cancer.
- Giant cell tumor: A giant cell tumor is a benign bone tumor that usually affects adults between 20 and 50. Giant cell tumors can occur in any bone but are most common in the pelvis, leg, or arm bones. They may not cause symptoms but can sometimes be associated with pain, swelling, or tenderness in the affected area. Treatment is typically not necessary unless the tumor is causing symptoms or is at risk of turning into cancer.
Doctors typically diagnose bone cancer in one of three stages:
Stage I: The cancer confides to the bone.
Stage II: Cancer has spread to nearby tissues or organs.
Stage III: Cancer has spread to distant parts of the body.
Diagnosing and Treating Bone Cancer
Doctors typically diagnose bone cancer after a person experiences symptoms and visits them. Diagnosis begins with a physical exam and medical history. The doctor will ask about an individual's symptoms and risk factors for the disease. They will also perform a physical exam to look for signs of bone cancer.
Imaging tests may also diagnose bone cancer. These tests can create pictures of the inside of the body and are used to look for tumors. Imaging tests used to diagnose bone cancer include:
- X-rays: X-rays create images of the inside of the body. They help look for tumors or other abnormalities.
- CT Scans: CT scans use X-rays and computers to create detailed pictures of the inside of the body. CT scans identify tumors or other abnormalities.
- MRI Scans: MRI scans use magnetic fields and radio waves to create detailed pictures of the inside of the body.
- PET Scans: PET scans use radioactive tracers to create pictures of the inside of the body.
A biopsy is the only way to diagnose bone cancer definitively. If the doctor suspects bone cancer, they will perform a biopsy. A tissue sample is removed from the body during a biopsy and examined for cancer cells.
Treatment for bone cancer depends on the type of cancer, its stage, and the person's age and overall health. Treatment options include surgery, radiation therapy, and chemotherapy.
- Surgery: Surgery is the most common treatment for bone cancer. Surgery aims to remove the tumor while preserving as much normal tissue as possible. Surgery may remove the entire tumor (resectable tumor) or just a portion of it (debulking surgery). Radiation therapy or chemotherapy may be given before or after surgery to kill any remaining cancer cells.
- Radiation Therapy: Radiation therapy uses high-energy X-rays or particles to kill cancer cells. Doctors may also use it to relieve pain in people with bone cancer that has spread to the bone marrow. Before or after surgery, medical professionals may administer radiation therapy.
- Chemotherapy: Doctors administer chemotherapy to kill cancer cells and may give it before or after surgery.
- Targeted Therapy: Targeted therapy is a type of treatment that uses drugs or other substances to identify and attack specific cancer cells without harming normal cells.
- Clinical Trials: Clinical trials are research studies that test new treatments. Clinical trials are an essential option for people with all types of cancer. People with bone cancer may be eligible to participate in clinical trials.
Bone cancer can be difficult for the person diagnosed and their loved ones. There are several resources available to help people cope with it.
The Bone Cancer Society is a nonprofit organization that provides support and information for people with bone cancer. The organization offers various services, including support groups, educational resources, and financial assistance.
CancerCare is a national nonprofit organization that provides free, professional support services for cancer patients. Services include counseling, support groups, education, and financial assistance.
The American Cancer Society also offers a variety of resources for people affected by cancer, including information about treatment options, coping with cancer, and finding support.
Bone Cancer Prevention
There are several things an individual can do to reduce their risk of developing bone cancer.
- Maintain a healthy weight. Obesity increases the risk of developing bone cancer.
- Avoid tobacco use. Smoking cigarettes increases the risk of developing bone cancer.
- Get regular exercise. Exercise helps maintain a healthy weight and strengthens bones.
- Eat a nutritious diet. A healthy diet helps maintain a healthy weight and provides the nutrients for strong bones.
- Limiting alcohol intake. Drinking too much alcohol increases the risk of developing bone cancer.
- Protect skin from the sun. Ultraviolet (UV) rays from the sun can damage DNA and increase the risk of developing bone cancer. Wear sunscreen with an SPF of at least 15 and avoid direct sunlight.
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