Sarcoma Resection

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maximum cost
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Things you need to know

1.What is Sarcoma Resection ​?
2.Why do you need it?
3.Why cost vary in philippines?
4.Surgery cost range by city
5.Surgery Procedure
6.Recovery
7.Risk and complications
8.FAQ
9.Conclusion

What is Sarcoma Resection ?

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Why do you need Sarcoma Resection ?

Sarcoma resection is indicated for:

  • Sarcoma:
    • Soft tissue sarcoma (STS, 80% of sarcomas; 0.5–1 per 100,000 in India; common types: liposarcoma, leiomyosarcoma).
    • Bone sarcoma (20% of sarcomas; e.g., osteosarcoma, Ewing sarcoma; more common in children/teens).
    • Common sites: Extremities (60%), trunk (20%), retroperitoneum (15%).
  • Staging and prognosis:
    • Stage I–II: Localized (5-year survival: 60–80%).
    • Stage III: Locally advanced (5-year survival: 40–60%).
    • Stage IV: Metastatic, often to lungs (5-year survival: 10–20%).
  • Associated treatments:
    • Neoadjuvant therapy: Chemotherapy (e.g., doxorubicin) or radiation to shrink tumor pre-op (especially for high-grade sarcomas).
    • Adjuvant therapy: Radiation or chemotherapy post-op to reduce recurrence risk.
    • Limb salvage: Preferred over amputation (80–90% of extremity sarcomas); may involve reconstruction.
  • Timing:
    • Performed in adults (STS, average age 50–70 years) or children/teens (bone sarcomas, 10–20 years); urgency depends on stage and symptoms (e.g., pain, mass effect).

The procedure aims to remove the sarcoma with clear margins (no cancer at edges), preserve function (especially in limbs), and prevent recurrence, often requiring a multidisciplinary approach with reconstruction for large defects.

Why Do Sarcoma Resection Costs Vary in Philippines?

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Sarcoma Resection Procedure

  • Before Surgery Evaluation:
    • Assessment:
      • Imaging: MRI/CT to assess tumor size, location, and involvement of surrounding structures (e.g., nerves, vessels).
      • Biopsy: Confirms sarcoma type and grade (low, intermediate, high).
      • Blood tests: Blood sugar, clotting profile; liver function (if metastasis suspected).
      • PET scan: Checks for metastasis (common to lungs in sarcoma).
    • Preparation: Neoadjuvant therapy (if indicated); plan reconstruction (e.g., flap, prosthesis for bone).
    • Consent: Risks, including recurrence, are explained.
  • Surgical Technique:
    • Sarcoma Resection:
      • Performed under general anesthesia, lasting 2–6 hours (depending on complexity).
      • Process:
        • Wide local excision: Tumor removed with margin (1–2 cm of healthy tissue) to ensure clear margins.
        • Compartmental resection (if needed): Removes entire muscle compartment if tumor invades.
        • Limb salvage (extremity sarcomas): Preserves limb; may involve vessel/nerve grafting or bone reconstruction (e.g., prosthesis, bone graft).
        • Amputation (5–10% of cases): If tumor involves major nerves/vessels or recurrence after limb salvage.
        • Retroperitoneal sarcoma: Removes tumor with adjacent organs (e.g., kidney, colon) if involved.
      • Reconstruction:
        • Soft tissue: Skin grafts or flaps (as you asked earlier) for large defects.
        • Bone: Endoprosthesis, bone graft, or vascularized fibula flap.
      • Closure: Sutures in layers; drains placed to prevent fluid buildup.
    • Intraoperative Tools:
      • Intraoperative MRI: Ensures clear margins (if available).
      • Frozen section: Confirms margins intra-op.
      • Vascular clips: For vessel reconstruction.
  • After Surgery:
    • Hospital stay: 3–7 days (longer with reconstruction).
    • Care: Physiotherapy to regain function (especially for limbs); drains removed in 3–5 days.
    • Pain management: Moderate pain for 3–7 days; managed with painkillers (e.g., paracetamol).
    • Instructions: Avoid strenuous activity for 6–12 weeks; radiation (if needed) starts 4–6 weeks post-op.

Recovery After Sarcoma Resection

  1. Hospital Stay: 3–7 days (longer with reconstruction).
  2. Post-Surgery Care:
    • Pain/Swelling: Moderate pain for 3–7 days; swelling resolves in 2–4 weeks.
    • Activity: Avoid strenuous activity for 6–12 weeks; light activities in 2–3 weeks; physiotherapy for limb function.
    • Incision: Sutures removed in 10–14 days; scar fades in 6–12 months; flap/graft sites monitored for healing.
    • Function: Limb salvage patients regain 70–90% function with rehab (3–6 months); prosthetics for amputation (fitting at 6–8 weeks).
    • Adjuvant therapy: Radiation or chemotherapy starts 4–6 weeks post-op if needed.
  3. Follow-Up:
    • Visits at 1 week (check healing), 1 month, and every 3 months for 2 years, then every 6 months for 5 years (recurrence risk).
    • Imaging: MRI/CT every 3–6 months to monitor for recurrence or metastasis (lungs).

Most resume normal activities in 6–8 weeks (simple resection) or 3–6 months (with reconstruction); full recovery takes 6–12 months. Success rate: 5-year survival for localized sarcoma is 60–80%; 20–40% for metastatic disease.

Risks and Complications

  • Surgical Risks:
    • Bleeding (2–5%): Hematoma at site; may need drainage.
    • Infection (3–5%): At incision or graft site; treated with antibiotics.
    • Anesthesia risks (<1%): Reaction to anesthesia; rare in healthy patients.
  • Post-Surgery:
    • Wound dehiscence (2–5%): Suture line opens; may need reclosure.
    • Nerve injury (5–10%): Numbness or weakness (extremity sarcomas); often temporary.
    • Lymphedema (5–10%): Swelling in limb; managed with compression.
    • Graft/prosthesis failure (3–5%, bone sarcoma): May need revision surgery.
  • Long-Term:
    • Recurrence (20–30%): Local recurrence; 30–50% develop lung metastases; needs regular imaging.
    • Functional limitation (10–20%): Reduced mobility; rehab helps.

Report fever, severe pain, swelling, or reduced limb function promptly.

Frequently Asked Questions (FAQs)

What causes the need for sarcoma resection?

Sarcoma (soft tissue or bone), often due to genetic mutations, radiation exposure, or chronic lymphedema; cause often unknown.

Can I avoid sarcoma resection?

No, if confirmed: Surgery is primary treatment; radiation/chemotherapy alone risks progression for resectable tumors.

Is sarcoma resection painful?

Moderate pain for 3–7 days, managed with medication; resolves in 2–3 weeks.

How soon can I resume normal activities?

Light activities: 2–3 weeks; full recovery: 6–12 months (with rehab); avoid strenuous activity for 6–12 weeks.

Is sarcoma resection covered by insurance in India?

Often covered (medical necessity); confirm with your provider; Ayushman Bharat often subsidizes.

Signs of complications?

Fever, severe pain, swelling, or reduced limb function.

Will I regain full function after surgery?

Varies: 70–90% regain near-normal function with limb salvage and rehab; amputation requires prosthetics.

Lifestyle changes post-surgery?

Physiotherapy, monitor for recurrence, avoid trauma to affected area, and attend follow-ups.

Conclusion

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Looking for Best Hospitals for Sarcoma Resection

Note: we are not promoting any hospitals

We do not promote any hospitals. All details are sourced from Google and hospital websites. Please verify independently. Start with your surgery—here’s the list of government, budget, and superspecialty hospitals accredited by the Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), and Joint Commission International (JCI)

  • click on your city and schedule your surgery now done in good hands.
City Minimum Price (₱) Maximum Price (₱)
Angeles City
Antipolo
Bacolod
Bacoor
Baguio
Butuan
Cagayan de Oro
Caloocan
Cebu City
Dasmariñas
Davao City
General Santos
General Trias
Iligan
Iloilo City
Las Piñas
Makati
Malolos
Manila
Muntinlupa
Parañaque
Pasay
Pasig
Puerto Princesa
Quezon City
San Fernando
San Jose del Monte
Taguig
Valenzuela
Zamboanga City

Disclaimer

This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.

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