Bone cancer treatment in Iran

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Bone cancer treatment in Iran

Bone cancer treatment in Iran

Bone Cancer Treatment  Iran

Bone Cancer Treatment and Surgery in Iran is done by Iranian Oncologists having International fellowships and International Board Certification.
Bone cancer is an uncommon cancer that begins in a bone. Bone cancer can begin in any bone in the body, but it most commonly affects the long bones of the arms and legs.

Several types of bone cancer exist. Some types of bone cancer occur primarily in children, while others affect mostly adults.

The term "bone cancer" doesn't include cancers that begin elsewhere in the body and spread (metastasize) to the bone. Instead, those cancers are named for where they began, such as breast cancer that has metastasized to the bone.

Bone cancer also doesn't include blood cell cancers, such as multiple myeloma and leukemia, that begin in the bone marrow — the jelly-like material inside the bone where blood cells are made.

symptomes:

Bone cancer is an uncommon cancer that begins in a bone. Bone cancer can begin in any bone in the body, but it most commonly affects the long bones of the arms and legs.

Several types of bone cancer exist. Some types of bone cancer occur primarily in children, while others affect mostly adults.

The term "bone cancer" doesn't include cancers that begin elsewhere in the body and spread (metastasize) to the bone. Instead, those cancers are named for where they began, such as breast cancer that has metastasized to the bone.

Bone cancer also doesn't include blood cell cancers, such as multiple myeloma and leukemia, that begin in the bone marrow — the jelly-like material inside the bone where blood cells are made.

causes

It's not clear what causes most bone cancers. Doctors know bone cancer begins as an error in a cell's DNA. The error tells the cell to grow and divide in an uncontrolled way. These cells go on living, rather than dying at a set time. The accumulating mutated cells form a mass (tumor) that can invade nearby structures or spread to other areas of the body.

Risk factors

It's not clear what causes bone cancer, but doctors have found certain factors are associated with an increased risk, including:

  • Inherited genetic syndromes. Certain rare genetic syndromes passed through families increase the risk of bone cancer, including Li-Fraumeni syndrome and hereditary retinoblastoma.
  • Paget's disease of bone. This precancerous condition that affects older adults increases the risk of bone cancer.
  • Radiation therapy for cancer. Exposure to large doses of radiation, such as those given during radiation therapy for cancer, increases the risk of bone cancer in the future.

Prevention

 

These include:

  • Age: Most primary bone cancers occur in teenagers.
  • Previous cancer treatment: Your risk may be slightly higher if you have received high doses of radiotherapy to a bone area.
  • Paget´s disease: If you have this long-term bone disease, your risk might increase.
  • Genetic conditions: Most primary bone cancers are not inherited or passed on in families. But certain genetic conditions can increase your risk.
  • Benign bone tumour: If you have a benign or non-cancerous bone tumour, you may have a higher risk of developing a primary bone cancer. For example, osteochondroma or a chondroma.

How much does a bone cancer treatment cost in iran?

The cost varies depending on the exact drugs used, how many rounds are given and other factors specific to each patient.
The cost of bone cancer treatment in iran start from $3800

Types of bone cancer

Bone tumor treatment in iran

Bone cancers are broken down into separate types based on the type of cell where the cancer began. The most common types of bone cancer include:

  • Osteosarcoma. Osteosarcoma begins in the bone cells. Osteosarcoma occurs most often in children and young adults.
  • Chondrosarcoma. Chondrosarcoma begins in cartilage cells that are commonly found on the ends of bones. Chondrosarcoma most commonly affects older adults.
  • Ewing sarcoma.It's not clear where in bone Ewing's sarcoma begins. It's believed that Ewing's sarcoma may begin in nerve tissue within the bone. Ewing's sarcoma occurs most often in children and young adults.

Type of bone cancer treatment

Surgery

Surgery is a very important part of treatment and is used to remove a tumour from the bone.

There have been major improvements in surgical treatments for bone cancer. In the past, it was often necessary to remove (amputate) the limb if cancer was found. But now, it′s usually possible just to remove the affected part of the bone and replace it with a specially designed metal fitting (endoprosthesis), or with a bone from another part of the body (bone graft). If the cancer affects a bone in or near a joint, the whole joint can often be replaced with an artificial one.

These operations, called limb-sparing surgery, have made it possible for many people to avoid amputation. Intense rehabilitative therapy may be necessary after limb-sparing surgery to make the affected arm or leg to become fully functional. Unfortunately, it isn′t always possible to avoid an amputation. Sometimes an amputation may be needed to ensure the cancer has been completely removed. It may also be necessary if your mobility would be better after an amputation than with limb-sparing surgery.

The type of surgery you have will depend on a number of factors. Your surgeon will discuss the different types of surgery in detail with you before any decision is made about your treatment.

Surgery if the bone cancer has spread to the lungs

If a bone cancer spreads to the lungs it may still be possible to cure it with an operation to remove the part of the lung that′s affected. This operation is called a thoracotomy. It shouldn′t affect your breathing as it′s still possible to breathe properly if part of a lung, or even a whole lung, is removed.

When deciding whether this type of operation is possible, the surgeon will consider several factors including the type of primary bone cancer, the number of secondary cancers in the lungs, their size and where they are in the lungs. They will also take into account your age and general health, as this is a major operation. Sometimes a course of chemotherapy is given first. This can help shrink the secondary cancers and may make an operation possible.

Other treatments if surgery isn′t possible

Occasionally it′s not possible to remove a bone tumour using surgery. This is more likely to happen if the tumour is in a bone deep within the body such as the pelvis, or in a bone that can′t be easily removed without causing serious disability, such as a bone in the spine. In these situations other treatments such as chemotherapy or radiotherapy will be used instead.

Chemotherapy

Chemotherapy is an important part of the treatment for most osteosarcomas, spindle cell sarcomas and Ewing′s sarcomas.

Chemotherapy is usually given before you have surgery or radiotherapy. When given before surgery, it can shrink the tumour and make it easier to remove. It can also reduce symptoms such as pain and reduce the chances of the cancer spreading.

If you have an osteosarcoma or Ewing′s sarcoma, you will also have chemotherapy after surgery or radiotherapy. This is to destroy any remaining cancer cells that may have spread to other parts of the body. It′s given because tiny amounts of cancer may be present, especially in the lungs, that are too small to be detected by a scan.

A central line - Chemotherapy drugs are usually given by injection into a vein (intravenously). Sometimes, to make this easier and to avoid you having frequent injections, a fine plastic tube called a central line can be put into a vein in your chest. The line is put in under a general or local anaesthetic.

Peripherally Inserted Central Catheter Line (PICC line) - Instead of a central line, a tube may be put into a vein in the crook of your arm. This is known as a PICC line (peripherally inserted central catheter line).

An implantable port - A tube with an injectable port just under the skin can also be used. This is known as an implantable port.

Chemotherapy is usually given as a series of sessions of treatment. Each session usually lasts a few days and is followed by a rest period. The session of chemotherapy and the rest period is known as a cycle of treatment. A series of cycles makes up a course of treatment. The number of cycles you have will depend on the type of bone cancer you have and how well it is responding to the drugs.

Chemotherapy will usually mean spending a few days in hospital. Sometimes it may be given to you as an outpatient. In this situation it′s given continuously into a vein through a central line or PICC line. The dose is controlled by a small portable pump.

Radiation therapy

Radiation therapy uses high-powered beams of energy, to kill cancer cells. During radiation therapy, patients lie on a table while a linear accelerator moves around you and aims the energy beams at precise points on the body. At Dharamshila Narayana Superspeciality Hospital, we have the most advanced VMAT Radiation Technology to treat cancer patient.

Preoperative radiation therapy may be used to shrink a bone cancer to increase the likelihood that the surgical oncologist can remove the entire cancer with surgery. In this situation, radiation therapy may be combined with chemotherapy.

Radiation therapy may also be used in people with bone cancer that can′t be removed with surgery. It may also be used after surgery to kill any cancer cells that may be left behind. For people with advanced bone cancer, radiation therapy may help control signs and symptoms, such as pain.

bone cancer treatment iran

preparing for treatment in iran

 

If you have any signs and symptoms that worry you, start by making an appointment with your family doctor or a general practitioner. If your doctor suspects you may have bone cancer, you may be referred to a specialist. Bone cancer is often treated by a team of specialists that may include:

  • Orthopedic surgeons who specialize in operating on cancers that affect the bones (orthopedic oncologists)
  • Doctors who specialize in treating cancer with chemotherapy or other systemic medications (oncologists)
  • Doctors who use radiation to treat cancer (radiation oncologists)
  • Doctors who analyze tissue to diagnose the specific type of cancer (pathologists)
  • Rehabilitation specialists who can help you recover after surgery

How to prepare

Appointments can be brief, and because there's often a lot of ground to cover, it's a good idea to be well prepared. Try to:

  • Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as restrict your diet.
  • Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
  • Write down key personal information, including any major stresses or recent life changes.
  • Make a list of all medications, vitamins or supplements that you're taking.
  • Consider taking a family member or friend along. Sometimes it can be difficult to remember all the information provided during an appointment. Someone who accompanies you may remember something that you missed or forgot.

Questions to ask

Your time with your doctor is limited, so preparing a list of questions can help you make the most of your time together. List your questions from most important to least important in case time runs out. For bone cancer, some basic questions to ask your doctor include:

  • What type of bone cancer do I have?
  • What is the stage of my bone cancer?
  • What is the grade of my bone cancer?
  • Will I need any additional tests?
  • What are the treatment options for my bone cancer?
  • What are the chances that treatment will cure my bone cancer?
  • What are the side effects and risks of each treatment option?
  • Will treatment make it impossible for me to have children?
  • I have other health conditions. How will cancer treatments affect my other conditions?
  • Is there one treatment that you think is best for me?
  • What would you recommend to a friend or family member in my situation?
  • Should I see a specialist? What will that cost, and will my insurance cover it?
  • If I would like a second opinion, can you recommend a specialist?
  • Are there brochures or other printed material that I can take with me? What websites do you recommend?

In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask other questions during your appointment.

What to expect from your doctor 

Your doctor is likely to ask you a number of questions. Being ready to answer them may allow more time to cover other points you want to address. Your doctor may ask:

  • When did you first begin experiencing symptoms?
  • Have your symptoms been continuous or occasional?
  • How severe are your symptoms?
  • What, if anything, seems to improve your symptoms?
  • What, if anything, appears to worsen your symptoms?

Recovery 

The length and complexity of your recovery will depend upon the type of tumor as well as what type of procedure was performed.

When treatment is finished, your doctor may order more x-rays and other imaging studies to confirm that the tumor is actually gone.

After treatment, you will continue to see your doctor for regular follow-up visits and tests every few months. Even though the tumor has disappeared, it is important to monitor your body for signs of recurrence. Tumors that come back may pose serious problems so it is important to detect them early.

consultation in iran

How long do you have to live if you have bone cancer?
For example, if the 5-year relative survival rate for a specific type and stage of bone cancer is 80%, it means that people who have that cancer are, on average, about 80% as likely as people who don't have that cancer to live for at least 5 years after being diagnosed.
What are the chances of surviving bone cancer?
Around 40% of bone cancer is diagnosed at an early stage. The 5-year survival rate for adult bone cancer is 66%. Adults with chondrosarcoma have a 5-year survival rate of 80% compared to a 5-year survival rate of 54% for osteosarcoma.
Can bone cancer go away?
For some people with bone cancer, treatment may remove or destroy the cancer. ... This is very common if you've had cancer. For other people, the cancer might never go away completely. Some people may get regular treatment with chemotherapy or targeted therapy or other treatments to try and help keep the cancer in check.
Where does bone cancer usually start?
Bone cancer can begin in any bone in the body, but it most commonly affects the pelvis or the long bones in the arms and legs. Bone cancer is rare, making up less than 1 percent of all cancers. In fact, noncancerous bone tumors are much more common than cancerous ones.
Does bone cancer spread quickly?
The outlook for a patient with malignant bone cancer depends mainly on whether it has spread to other parts of the body. If the cancer is localized (has not spread), the prognosis is usually good.
Can Bone Cancer kill you?
If calcium continues to go up, it will cause you to become unconscious and eventually die. Cancer cells can affect the bone marrow. Eventually you might not have enough healthy bone marrow to make blood cells. You won't have enough oxygen circulating around your body if you don't have enough red blood cells.
What are the seven warning signs of cancer?
If you have any of these signs, see your doctor. These are potential cancer symptoms. Change in bowel or bladder habits. A sore that does not heal. Unusual bleeding or discharge. Thickening or lump in the breast or elsewhere. Indigestion or difficulty in swallowing. Obvious change in a wart or mole.
Can bone cancer be detected by a blood test?
In addition to a physical examination, the following tests may be used to diagnose bone cancer: Blood tests. Some laboratory blood tests may help find bone cancer. People with osteosarcoma or Ewing sarcoma may have higher alkaline phosphatase and lactate dehydrogenase levels in the blood.
Is bone cancer fast or slow growing?
Chondrosarcoma accounts for 20% of all cancers starting in bone, it is usually a slow growing tumour. The most common sites of disease are the pelvis, ribs and upper thigh, the tumour is rarely found below the knees or below the elbows.
Can you survive lung and bone cancer?
However, once cancer has spread to other organs, the National Cancer Institute advise that it is not curable. ... According to the American Cancer Society, 26 percent of people diagnosed with a late-stage lung cancer that has metastasized to other areas of the body, live for at least one year after diagnosis.

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