OSTEOSARCOMA

Topic Outline:
•Definition
•Signs & Symptoms
•Pathophysiology
•Diagnostic Exam
•Treatment/Management
•Nursing Care

OSTEOSARCOMA
 DEFINITION
Osteosarcoma is a kind of cancer that begins in the
cells that form bones; it usually affects the large bones
of the arm or leg. It occurs most commonly in young
people and affects more males than females. Also
called osteogenic sarcoma.
 SIGNS & SYMPTOMS

• Swelling or Redness
• Bone Pain/Tenderness
of tumor

• Increased Pain with

• Mass/Lump
Lifting
 SIGNS & SYMPTOMS

• Limping • Unexplained Fever

• Limited Movement • Broken Bone

PATHOPHYSIO
LOGY
DIAGNOSTIC EXAMS

Osteosarcoma Diagnostic Test

To determine whether your symptoms are

related to osteosarcoma, your appointment
with your doctor will include:
 DIAGNOSTIC EXAMS

• Medical History and Physical • Biopsy

Exam • Nuclear imaging:
• Blood test • Positron emission tomography or PET
• Diagnostic imaging tests scans
• X-ray • Radionuclide bone scan
• MRI • Follow-up MRI or CT (both with
• CT scan contrast)
 OSTEOSARCOMA
TREATMENT/MANAGEMENT
 TREATMENT/MANAGEMENT

• Surgery • Amputation

• Limb-sparing surgery • Rotationplasty

 TREATMENT/MANAGEMENT

• Chemotherapy • Targeted therapy:

• Radiation therapy • Clinical trials

NURSING CARE
 NURSING CARE

Provide detailed information to the patient and their

family about osteosarcoma, its treatment options, potential
side effects, and the importance of adherence to the
treatment plan. Address any questions or concerns they
may have and offer resources for additional support.
 NURSING CARE

Assess and manage the patient's pain using a

combination of pharmacological and non-pharmacological
interventions. Monitor pain levels regularly, adjust pain
medications as needed, and provide comfort measures
such as positioning and relaxation techniques.
 NURSING CARE

Assist the patient in maintaining mobility and

independence to the greatest extent possible. Encourage
regular physical activity within the limits of the patient's
condition and provide support for activities of daily
living. Refer to physical and occupational therapy services
as needed for rehabilitation and adaptive equipment.
 NURSING CARE

Monitor the patient's nutritional status and provide

guidance on maintaining adequate nutrition throughout
treatment. Collaborate with dietitians to develop
individualized meal plans and address any nutritional
challenges or side effects of treatment.
 NURSING CARE

Assess the patient's psychosocial needs and provide

emotional support throughout their treatment journey.
Encourage open communication, provide opportunities
for the patient to express their feelings and concerns, and
offer coping strategies and counseling services as needed.
 NURSING CARE

Monitor surgical incisions and wound sites for signs of

infection or complications. Provide appropriate wound
care, including dressing changes, wound assessment, and
education on signs of infection.
 NURSING CARE

If the patient's condition progresses to an advanced

stage or if palliative care becomes necessary, provide
compassionate end-of-life care and support to the patient
and their family. Coordinate with palliative care and
hospice services to ensure the patient's comfort and
dignity are maintained.
REFERENCES:
NCI DICTIONARY OF CANCER TERMS. (N.D.). NATIONAL CANCER INSTITUTE.
https://www.cancer.gov/publications/dictionaries/cancer-terms/def/osteosarcoma
Osteosarcoma - Symptoms and causes - Mayo Clinic. (2023, December 22). Mayo Clinic.
https://www.mayoclinic.org/diseases-conditions/osteosarcoma/symptoms-causes/syc-20351052
Professional, C. C. M. (n.d.). Osteosarcoma. Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/15041-osteosarcoma
Admin_NHT. (2020, September 8). Osteosarcoma: Signs & symptoms. Niruja HealthTech.
https://www.nirujahealthtech.com/osteosarcoma-signs-symptoms/
Siddiqui, S., Singh, A., Ali, S., Yadav, M., Pandey, V., & Sharma, D. (2019). Metallothionein:
Potential therapeutic target for osteosarcoma. Journal of Oncological Sciences, 5(1), 13–18. https://doi.org/10.1016/j.jons.2019.02.002
Osteosarcoma. (2024, February 15). WebMD. https://www.webmd.com/cancer/what-is-osteosarcoma
Professional, C. C. M. (n.d.). Osteosarcoma. Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/15041-osteosarcoma
Bsn, P. M. (2023, October 12). 3 Osteogenic Sarcoma (Osteosarcoma) Nursing Care Plans. Nurseslabs.
https://nurseslabs.com/osteogenic-sarcoma-osteosarcoma-nursing-care-plans/
K. (n.d.). Management for Osteosarcoma. Scribd. https://www.scribd.com/document/481922911/Management-for-Osteosarcoma
THANK
YOU!
ST. DOMINIC COLLEGE OF ASIA

REPORTED BY:
MAQUIRANG,
ED ALBERT

SARIA,
ANNE SHAIRA

BSN 3