The treatment of sarcoma generally requires a multi-disciplinary approach, involving experts in surgery, oncology (chemotherapy) and radiation, as well as orthopedic oncology, surgical oncology, neurosurgery and reconstructive or plastic surgery.
Treatment of bone sarcomas may require up to three months of chemotherapy prior to surgery with yet another course afterward, once the patient has been through the recovery process. Therapy for this type of cancer can take up to a year, assuming there are no complications and there is no need for additional procedures.
The primary treatment for soft tissue sarcomas is surgery. Chemotherapy can be used before surgery to shrink the size of the tumor, which increases the chance of removing the whole cancer. Chemotherapy is also used to treat a sarcoma when it has spread to other organs or other parts of the body. The decision to give radiation before or after surgery—or both—is made on an individual basis.