Ewing Sarcoma Treatment: overview
Ewing’s sarcoma is a neoplasm that affects bone tissue. Makes up 15% of all skeletal tumors. It is considered very aggressive and without urgent therapy gives metastases in 90% of cases. The usual arrangement is tubular bones (50%). It begins to develop from the central part – the diaphysis – and then moves to both ends. Sometimes formation is detected in the pelvis (25%), ribs or blades. Sarcoma is most often diagnosed in childhood and youth. The usual age range is 5-20 years (64%). Boys are more prone to illness.
The causes of the appearance of pathology
Experts identify the following risk factors that affect the appearance of education:
- About half of Ewing’s sarcoma tumors are diagnosed in older children and adolescents aged 10-20 years.
- Ewing sarcoma is somewhat more common in male patients than in female patients.
- Members of the Caucasian race have a higher risk of developing Ewing sarcoma than children of the negroid and mongoloid races.
- The risk is increased in people who have undergone cancer with radiation therapy treatment.
- Ewing’s sarcoma is not inherited.
Treatment
Our Tel Aviv Medical Clinic is the best in Israel. Patients from all over the world come to us. We use unique therapy methods and original drugs. Our doctors have the necessary knowledge and skills to detect and treat bone tumors. The department employees improve their qualifications annually. Treatment for sarcoma depends on which risk group the patient belongs to. In total, three groups are distinguished:
- The tumor is removed and there are no metastases.
- There are metastases in the lungs or the area of the axial skeleton is affected, on which upright posture depends.
- Complete removal cannot be performed; other bones and bone marrow have suffered. This is the highest risk group.
The beginning of treatment is the same for all – 4-5 courses of polychemotherapy. For those who have metastases and do not respond well to chemistry (the number of diseased cells has not dropped to 5%), radiation therapy is given. Ewing’s formations usually respond well to radiation. After chemistry for the first, second and third groups, an operation is performed. Only in case of impossibility of complete removal, partial excision is performed. If the resection was incomplete, then the irradiation is repeated in the future. For completely inoperable patients, several more cycles of chemotherapy are recommended.