Osteogenic Sarcoma Tibia limb Salvage Surgery Chemotherapy

Sample Opinion // Orthopedic Oncology // Osteogenic Sarcoma of Tibia // Limb Salvage Surgery with Reconstruction // Chemotherapy

Based on the shared reports, the patient has osteogenic sarcoma of Right Tibia.

Osteogenic sarcoma (osteosarcoma) of the tibia is a malignant bone tumor that usually begins near the knee in the proximal (upper) tibia. The production of immature bone characterizes it and frequently presents with persistent localized pain, joint swelling, and reduced range of motion.

We will need to perform some investigations to confirm the disease, staging of disease, or any metastatic sites if present, and plan a definitive treatment plan accordingly.

Investigations needed: The patient would need to undergo detailed physical and clinical investigations, which would involve a combination of PET CT and Fresh Biopsy, MRI, Cancer markers, blood tests, and other routine tests.

Possible line of Treatment: The final treatment plan will be shared after complete clinical and physical evaluations of the patient.

In case the tumor is limited and has not spread further, the patient will initially require Limb Salvage surgery with reconstruction and implants.

In case the disease has spread to the other bones or other surrounding tissues, the patient would require 8-10 cycles of chemotherapy in addition to the surgery, depending upon how aggressive the tumor is.

Limb salvage surgery is an advanced procedure to remove cancerous tumors or severe infections while avoiding amputation, utilizing metal prostheses, bone grafts, or expandable implants to replace missing bone. The primary goal is to eliminate the disease while preserving the limb’s strength, mobility, and aesthetic appearance.

Chemotherapy is a systemic cancer treatment that uses powerful medicines to destroy cancer cells and prevent them from growing and dividing. Because it circulates through the body, it can target cancer cells almost anywhere, though it may also affect fast-growing healthy cells.

Kindly note: The advised treatment plan is solely based on the reports shared with us; the final line of treatment will be decided after the patient’s arrival only.

We’d recommend the following hospitals with top doctors as follows:

1. Artemis Hospital // Medical Oncologist:  Dr. Priya Tiwari  //Orthopedic Oncologist: Dr. IPS Oberoi

Kindly have a visual tour of the hospital via the link – https://pin.it/1bs51UAGE

2.  Shalby International Hospital // Orthopedic Oncologist: Dr. Rajesh Verma //Medical Oncologist: Dr. Veenoo Agarwal

Kindly have a visual tour of the hospital via the link – https://pin.it/7KCpv705h  

3. Manipal Hospital // Orthopedic Oncologist: Dr. Rajeev Verma //Medical Oncologist: Dr. Peush Bajpai

Kindly have a virtual tour of the hospital via the link – https://pin.it/4KfvFuqEV

4. Sarvodaya Healthcare // Medical Oncologist: Dr. Dinesh Pendharkar //Orthopedic Oncologist: Dr. Pankaj Walecha 

Kindly have a virtual tour of the hospital via the link – https://pin.it/57aR7umFf

5. Amrita Hospital // Medical Oncologist: Dr. Saphalta Baghmar //Orthopedic Oncologist: Dr. Pritish Singh

Kindly have a virtual tour of the hospital by visiting the link – https://pin.it/6VWWsyyzq

6. BLK Super Specialty Hospital // Medical Oncologist: Dr. Mukesh Patekar //Orthopedic Oncologist: Dr. Rakesh Mahajan

Kindly check the hospital gallery via the link – https://pin.it/1Ji84QapI

Stay in India: The patient will require 1-2 days for initial evaluations on an OPD basis and will require 2-3 days of hospitalization for surgery. Post-discharge, the patient may require 5-6 weeks to finish chemotherapy/prosthesis fitting and training.  

Total Length Stay in India will be approx. 5-6 weeks.

Estimated cost: 

The estimated cost of all investigations will come between USD 600 and USD 800.

The estimated cost of Limb salvage and reconstruction surgery at the various hospitals will be approx.:  

**In case a specific bone implant is required, after the tumor excision, to give the leg natural mobility, the implant cost may come between USD 2000 and USD 4000

The estimated cost of Chemotherapy (per cycle) at the various hospitals will be approx.:  

Inclusions in surgical cost:
 
1.      The cost of all investigations related to the treatment.
2.      The cost of the treatment.
3.      The doctor’s fee and surgery charges.
4.      The stay of the patient and 1 attendant during hospital admission.
5.      All meals for the patient and the attendant as per the available menu while in the hospital.
6.      Medical Consumables and Medicines while in hospital.
7.      The fee for a dietitian and nursing while in the hospital.
8.      It also includes complementary Airport Transfers, Forex Services, and assistance.

9.     In case chemotherapy is done, it will be done as an outpatient.

Exclusions:
1.       Any consultation other than in discussion
2.       Extended stay
3.       Treatment for any other illness

On Arrival:

The patient and attendants will be received at the airport by our Russian-speaking representative. Apart from the medical and nursing team, one Case Manager will take care of all the needs. We shall also assist them with the reasonably charged accommodation near the hospital.  Patient and attendant may arrange 35-50 USD per day toward accommodation and food at the Guest House.

Hope I have been able to give you a satisfactory answer to the query. Do kindly ask for any clarifications needed. I will be happy to answer & shall look forward to assisting you.

Regards,

Ankush