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Bone cancer surgery is performed to remove malignant tumors that arise within bone tissue, such as osteosarcoma, Ewing sarcoma, or chondrosarcoma, or that have spread to bone from cancer elsewhere in the body. Treatment planning typically begins with imaging, including X-rays, MRI, CT, and bone scans, along with a biopsy to confirm the tumor type and grade, after which a multidisciplinary team decides on the most appropriate combination of surgery, chemotherapy, and radiation. Where feasible, surgeons now favor limb-salvage surgery, removing the tumor along with a margin of healthy tissue and reconstructing the affected bone and joint using a metal endoprosthesis, bone graft, or a combination of both, preserving the limb rather than resorting to amputation, which is reserved for cases where the tumor involves major nerves, vessels, or extensive soft tissue. Surgery is usually performed under general anesthesia and can take several hours depending on tumor size, location, and the complexity of reconstruction required. Indian orthopedic oncology centers offer limb-salvage techniques alongside chemotherapy protocols delivered before and after surgery. Recovery involves a hospital stay of one to two weeks followed by an extended rehabilitation program to regain function, with ongoing surveillance to monitor for recurrence.
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