Ewing’s Sarcoma Treatment

Ewings Sarcoma Treatment in India: Bridging Hope and Healing Through Treatment

Ewings Sarcoma is a scarce type of tumor that grows in the bones. It usually affects patients aged between 10 to 20 years. The good news is that it can be cured. This cancerous tumor often develops during puberty and typically appears in the arms, legs, and pelvis.
Thanks to ongoing research and new ewings sarcoma treatment  treatment options available in India, people suffering from Ewings Sarcoma can now live cancer-free.

Here, we will provide you with every detail about Ewings Sarcoma and how you can get its  treatment from India to avoid sky-rising medical bills.
Let us first learn a bit more about Ewings Sarcoma:

Types of Ewings Sarcoma:

There are three different types of Ewings Sarcoma:

● Ewing Sarcoma of bone is the most common type. It usually appears in thigh bones, ribs, or shoulder blades. It can appear in any bone.
● Soft Tissue Tumor affects the soft tissues of the bones. It can be found in the arms, legs, neck, chest, and abdomen.
● Peripheral primitive neuroectodermal tumor is found in nerves and other parts of the body.

Stages of Ewings Sarcoma

● Localised Ewing Sarcoma
● Metastatic Ewings sarcoma
● Recurrent Ewing Sarcoma

Symptoms

The primary signs and symptoms of Ewings Sarcoma include:

● Pain or swelling in the area where it is growing
● Bone pain
● Tiredness
● Fever without any cause
● Weight Loss
● Broken bones without any injury

Causes

According to doctors, genetic mutation or change in the normal cells to Ewings Sarcoma cells is the primary cause of this disease. These cells, hence, multiply and create cancerous tumors in the bones.

There is no significant reason behind mutation. Doctors also think that it is the second cancer that develops in patients who have been treated with radiation for another type of cancer.

Who is at risk?

● You can develop Ewings Sarcoma at any age. But people who are between 10 and 20 years of age are at more risk.
● It is more common in boys than in girls.
● White people develop it more often than Blacks.

Complications

● Ewings Sarcoma can lead to metastatic cancer. It spreads from the original tumor to other areas that are extremely difficult to treat.
● Ewings Sarcoma can return after initial treatment. It can come back within 5 years of the treatment.
● Some people can develop side effects after its treatment.

Diagnosis

The following tests are done to diagnose Ewings Sarcoma:

Imaging

● X-Ray
● MRI
● CT Scan
● PET Scan
● Bone Scan

Biopsies

● Needle Biopsy is done using a hollow needle to obtain cells, fluids, and tissues from the cancerous lumps.
● Bone marrow aspiration is done to look out for cancerous cells in the liquid found inside the bone marrow.

Blood Tests

● CBC
● Comprehensive Metabolic panel
● LDH

What are the treatment options available?

The treatment will depend on several factors:

● The size of the tumor
● Where it has spread
● Your overall health
● Your preferences.

You have to talk to your healthcare provider in India about what treatment option you are comfortable with.

The treatment options include

Chemotherapy

It is the first line of treatment given by doctors in India. Chemotherapy coupled with medicines are used to kill the cancer cells and stop them from growing. The doctors here can use more than one type of chemotherapy at a time or combine it with surgery or radiation.

Surgery

In this step, the doctors will try to remove the tumor to stop it from spreading. If, in some cases, the cancer has spread a lot, amputation is the ultimate resort.

Radiation therapy

In this treatment option, X-rays are used to kill the cancer cells. Since Ewings sarcoma can return after diagnosis and treatment, you have to be extremely careful.

It is essential to see a doctor if you notice any of the symptoms mentioned above.

Understanding Surgery in Detail

Before the Surgery

● The process begins with a thorough medical evaluation, which includes imaging tests such as X-rays, CT scans, and MRIs.
● You will meet with multidisciplinary medical specialists such as orthopedic surgeons, medical oncologists, radiation oncologists, and pathologists to discuss a treatment plan.
● You have to undergo a physical examination, blood tests, and possibly additional imaging to assess the extent of the tumor and its proximity to critical structures like nerves and blood vessels.
● The surgical team will plan the procedure carefully, taking into account the tumor’s location, size, and proximity to surrounding structures.
● Your surgeon will discuss the risks and benefits of the surgical procedure with you in detail.
● Your medical fitness for general anesthesia will be evaluated before surgery if general anesthesia is required.
● The day before Ewings Sarcoma surgery, you will receive instructions on fasting, medications to take or avoid, and preparations for surgery.
● Emotional support can be helpful after a cancer diagnosis and surgery. For patients and their families, many medical centers offer counseling or support groups.
● Transportation to and from the hospital, home care after surgery, and any necessary adaptations to your living space may be required.

During the Surgery

The first stage in the treatment of Ewings Sarcoma is chemotherapy. Chemotherapy is used to treat its spread to the lungs. Surgery is the next treatment option after chemotherapy

● Surgery is performed under general anesthesia. You will remain unconscious during the surgery.
● The surgery may involve the following things:
● Limb Sparing Surgery: It is performed when the tumor is in the arm or leg. The doctors will remove the cancer and will spare the limb function. In some cases, artificial bone can be used to reconstruct the limb.
● Amputation: if the tumor is too large and has severely damaged the bone, amputation becomes necessary to remove all the cancer cells.
● Chest Wall Resection: When Ewings Sarcoma is in the chest, a small portion of the rib is removed along with the tumor. Reconstruction surgery follows then.
● Surgeons also examine the surrounding lymph nodes. If cancer has spread to surrounding lymph nodes, then they are also removed.
● If the surgery involves the removal of tissue, reconstruction surgery is performed to restore the form and function of the tissue.

After the Surgery

● You will have to stay in the hospital after the surgery. The length of the stay will depend on the type of surgery.
● Limb amputation surgery has more extended hospital stays as compared to limb-sparing surgery.
● You will receive some pain medications. Take them on time to control pain and discomfort.
● Keep your surgical wound clean to avoid any infection.
● Rehabilitation is an essential part of the recovery process. You have to undergo physical therapy to restore limb function.
● In some cases, chemotherapy is performed to kill the remaining cancer cells after the surgery.
● Radiation therapy can also be a part of a treatment plan. It can help to destroy the remaining cancer cells.
● After the surgery, you will have to undergo regular X-rays every six months.
● You will have to take regular CT Scans of the lungs and periodic bone scans to detect recurrence.
● You have to attend regular follow-up visits with your doctor to avoid Ewings Sarcoma cancer from returning.

Ewing’s Sarcoma Prognosis

The factors that affect prognosis are different before and after treatment.

Before any treatment is given, the prognosis depends on the following:

● The location of the tumor.
● How far the cancer has spread.
● Size of the tumor when it’s diagnosed.
● LDH level in blood.
● If the cancer has specific gene changes.
● Whether tumor DNA has been found in the blood.
● Patient’s age.
● Patient’s gender.
● Whether the patient has had treatment for another cancer.
● Whether the tumor has just been diagnosed or has recurred (come back).

After treatment is given, the prognosis is affected by the following:

● Whether the tumor was entirely removed by surgery.
● The tumor’s response to chemotherapy or radiation.

When cancer recurs after initial treatment, the prognosis depends on:

● Whether the cancer came back more than two years after the initial treatment.
● Whether the cancer came back where it first formed and in other parts of the body or whether the cancer came back in only one site.

Complications

● Ewings sarcoma can spread to other areas, which makes treatment and recovery difficult.
● The treatment is aggressive. It can have both long-term and short-term side effects.

Other potential complications include:
● Problems with organs and tissues
● Mood swings and effect on mental health
● Ability to think and learn
● Ability to have children

Advantages of the Surgery

● Surgery will help to remove the tumor
● Surgery will prevent the spread of cancer to nearby areas
● Surgery may prevent limb amputation
● Chemotherapy and Radiation therapy become more effective after the surgery
● Surgery may alleviate pain and help to improve the overall quality of life

Ewings Sarcoma Survival Rate and Recurrence

The recurrence happens a few years after the treatment. In most patients, it returns five years after the surgery.

Once cancer recurs, it becomes difficult to treat. The same chemotherapy drugs that were used before cannot be used again. However, with the advancement in technology, like targeted immunotherapies, the hope for its permanent cure has improved.

Ewings sarcoma Vs Osteosarcoma

Top Hospitals and Doctors Doing Ewings Sarcoma Surgery in India and Ewings Sarcoma

How can you avail yourself of the best Ewings sarcoma surgery in India through a step-by-step process?

Cross Border Care is here for you if you are looking for trustworthy treatment consultants in India. We will help you find the best doctor in India and get your treatment done for JCI-accredited hospitals at the most pocket-friendly rates. Our team includes experienced medical professionals with you at each treatment step. So, if you are planning your ewings sarcoma surgery in India, fill out the form below, and we will help you to choose the best doctor and hospital providing state-of-the-art technology.

We will help you to find the best Ewing’s Sarcoma Treatment Doctors in India.