How long do you live after being diagnosed with bone cancer?

If bone cancer is diagnosed, the doctor needs to know the stage, or extent, of the disease to plan the best treatment. Staging is a careful attempt to find out whether the disease has spread, and if so, to what parts of the body. The doctor may determine the stage of bone cancer at the time of diagnosis, or may need to give the patient more tests.

AJCC Staging System

One system used to stage all bone cancer is the American Joint Commission on Cancer (AJCC) system.

T stands for features of tumor size, N stands for spread to lymph nodes, M is for metastasis to distant organs, and G is for the grade of the tumor. This information about the tumor, lymph nodes, metastasis, and grade is combined in a process called stage grouping. The stage is then described in Roman numerals from I to IV (1-4).

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T Stages of Bone Cancer

. TX: Primary tumor can't be measured

. T0: No evidence of the tumor

. T1: Tumor is 8 cm (around 3 inches) or less

. T2: Tumor is larger than 8 cm

. T3: Tumor is in more than one place on the same bone

N Stages of Bone Cancer

. N0: The cancer has not spread to the lymph nodes near the tumor

. N1: The cancer has spread to nearby lymph nodes

M Stages of Bone Cancer

. M0: The cancer has not spread anywhere outside of the bone or nearby lymph nodes.

. M1: Distant metastasis (the cancer has spread)

. M1a: The cancer has spread only to the lung

. M1b: The cancer has spread to other sites

Grades of Bone Cancer

. G1-G2: Low grade

. G3-G4: High grade

TNM Stage Grouping

After the T, N, and M stages and the grade of the bone cancer have been determined, the information is combined and expressed as an overall stage. The process of assigning a stage number is called stage grouping. To determine the grouped stage of a cancer using the AJCC system, find the stage number below that contains the T, N, and M stages, and the proper grade.

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. Stage I

All stage I tumors are low grade and have not yet spread outside of the bone.

. Stage IA: T1, N0, M0, G1-G2: The tumor is 8 cm or less.

. Stage IB: T2 or T3, N0, M0, G1-G2: The tumor is either larger than 8 cm or it is in more than one place on the same bone.

. Stage II

Stage II tumors have not spread outside the bone (like stage I) but are high grade.

. Stage IIA: T1, N0, M0, G3-G4: The tumor is 8 cm or less.

. Stage IIB: T2, N0, M0, G3-G4: The tumor is larger than 8 cm.

. Stage III

T3, N0, M0, G3-G4: Stage III tumors have not spread outside the bone but are in more than one place on the same bone. They are high grade.

. Stage IV

Stage IV tumors have spread outside of the bone they started in. They can be any grade.

. Stage IVA: Any T, N0, M1a, G1-G4: The tumor has spread to the lung.

. Stage IVB: Any T, N1, any M, G1-G4 OR Any T, any N, M1b, G1-G4: The tumor has spread to nearby lymph nodes or to distant sites other than the lung (or both).

Even though the AJCC staging system is widely accepted and used for most cancers, bone cancer specialists tend to simplify the stages into localized and metastatic. Localized includes stages I, II, and III, while metastatic is the same as stage IV.

Knowing the stage assists the doctor in determining a prognosis. It also better helps you understand the care and treatment that will be required.

10 common questions about stage 4 bone cancer treatment

1How long do you live after being diagnosed with 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

2What is the survival rate for Stage 4 bone cancer?

What Is the Life Expectancy with Stage 4 Bone Cancer? According to the American Cancer Society, the five-year relative survival rate for the most advanced stage of osteosarcoma is 27 percent. Osteosarcoma is the most common type of bone cancer

3Is Stage 4 always terminal?

Stage 4 is a different ball game because the cancer is deemed to be "metastatic". Not very long ago, a stage 4 colon cancer would be deemed terminal. Today there are odds for survival, but I need you to understand that the official published odds are not good...at all

4How long do you have to live with Stage 4 cancer?

According to the National Cancer Institute, an estimated 27 percent of people in the United States live at least five years after being diagnosed with stage 4 breast cancer. Many factors can affect your chances of long-term survival.

5Is stage four bone cancer terminal?

Stage IVB: The cancer has spread to the lymph nodes, or the tumor is of any size and grade and has spread to another organ besides the lung. Bone cancer experts typically classify bone cancer stages into localized and metastatic. Stage IV bone cancer is the same as metastatic cancer.

6Is bone cancer aggressive?

This is often a very aggressive cancer, and it can spread (metastasize) to the lungs. Ewing's sarcoma is a very aggressive bone cancer. ... It can also spread to the lungs and lymphatic system. Malignant fibrous histiocytoma (MFH) is a rare type of cancer which more commonly arises from soft tissues than from bone

7How long will you live with Stage 4 bone cancer?

Stage 4 Mesothelioma Life Expectancy and Prognosis At stage 4, the cancer is likely to continue to spread, which can lead to respiratory failure. If the tumors spread to the heart the patient may experience heart failure. The median survival rate for stage 4 mesothelioma is about 12 months with treatment.

8What is Stage 5 cancer mean?

Cancer Stage: 5 Important Reasons to Know Yours. ... The extent of cancer at the time of diagnosis—where it's located, if or where it has spread, and whether it's affecting the other parts of the body—is commonly referred to as the "stage" of cancer. The cancer staging process is multifaceted

9Is Stage 4 cancer serious?

In quite a few cancers, stage 4 means the cancer has spread (metastasised) to another part of the body to form secondary cancers (metastases). As a general rule cancers that have spread are difficult to treat and are unlikely to be cured in the long term, although treatment can help to shrink or control them

10Is Stage 4 cancer a death sentence?

But when the disease progresses, those numbers plummet. Stage 4 metastatic patients have a five-year survival rate of just 10 percent. It's not a death sentence, but it's close. As recently as 15 years ago, there was just one drug approved by the Food and Drug Administration to treat stage 4 kidney cancer

How long do you live after being diagnosed with bone cancer?

How long do you live after being diagnosed with bone cancer?

10 common questions about stage 4 bone cancer treatment

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