MEDICAL MANAGEMENT
Chemotherapy:
-This is the use of drugs treatment that uses
powerful chemicals to kill fast growing cells
in the body
-Chemotherapy is given before surgery to
shrink the tumor. This is called neoadjuvant
chemotherapy and often takes about 3
months.
- Chemotherapy given after surgery to kill
any remaining cancer cells is called adjuvant
chemotherapy
Pharmacologic Therapy:
-Methotrexate with Leucovorin (Folinic Acid)
-Doxorubicin
-cisplastin or carboplatin
-cyclophosphamide
-dactinomycin
-Bleomycin
Radiation therapy:
-it uses a high doses of radiation to kill cancer
cells and shrink tumor
-radiation may be useful in some cases where
the tumor cannot be completely removed by
surgery
-This is important in osteosarcoma involving
the spine, sacrum, skull, face, and ribs.
NURSING MANAGEMENT
-use non pharmacologic pain
management techniques used to
relieve and increase and increase the
patient’s comfort level (apply warm or
cold compress on the affected area
alternately ( heat helps decrease pain
and muscle spasms and cold helps
decrease swelling and pain.)
-the affected extremities must be
support and handled gently to prevent
pathological fracture
-give external supports such as splints
for additional protection on the
affected part
-provide rehabilitation that may
include physical and occupational
therapy, teaches exercises to help
improve movement and strength, and
to decrease pain.
-provide full explanation of the
possible side effects associated with
chemotherapy and radiation therapy.
SURGICAL MANAGEMENT
Amputation/ Disarticulation
-surgical removal of all part of a limb or
extremity such as an arm, leg or foot.
-If the tumor is large and has gotten into nerves
or blood vessels, may have to amputate or remove
all or part of your child's leg or arm that was
affected.
Limb sparing surgery/ Limb Salvage surgery
-living the limb basically intact
-remove the entire tumor while still saving the
nearby tendons, nerves and blood vessels to
keep as much of the limb’s function and
appearance as possible
Rotationplasty- functional surgical procedure
for children undergoing resection of a malignant
bone tumor around the knee joint.
-the affected bone is resected and the tibia is
rotated 180 degrees to form a functional knee
joint.
Bone Grafting
- bone taken from another part of the body can
be used to replace the bone that was removed
during surgery.
-Autograft-bone tissue from the patient
-Allograft-from a cadaver donor or from other
people