Sarcoma treatment in Delhi India | Sarcoma specialist in Delhi
World-class and best treatment of sarcoma in India, expert sarcoma treatment in Delhi from AIIMS Gold Medalist cancer specialist. Chemotherapy, targeted therapy and immunotherapy for sarcoma treatment. Treatment of liposarcomas, leiomyosarcomas, pleomorphic sarcomas, rhabdomyosarcomas, osteosarcoma, and all soft tissue sarcomas in Delhi with ethical affordable and scientific treatment. भारत दिल्ली में सार्कोमा का पक्का इलाज. Sarcoma specialist in Delhi formerly at AIIMS for more than 12 years.
What is sarcoma?
Sarcoma is a subtype of cancer which arises from connective tissues. This means that these tumors arise from tissues like bone, muscle, fat, joints, cartilage or vascular tissues.
Sarcomas are different from carcinomas which arise from the lining cells in various organs. Carcinomas include most of the common cancers such as breast, lung, colon, mouth, tongue, cervix, bladder etc
How is sarcoma different from other cancers?
First of all, sarcomas are rarer than other tumors. Since the proportion of sarcomas is much lesser than the proportion of other tumors, it means that treatment by an expert team is exceptionally important for these tumors. Not every cancer specialist has experience in the treatment of sarcomas.
Secondly, sarcomas have a different behaviour than other tumors. They commonly arise in different sites, spread in a different pattern, need treatment with special, distinct drugs and have a different prognosis than other common tumors. For example, sarcomas are commonly resistant to drugs which are active in other tumors and sensitive to different drugs.
Thirdly, sarcomas contain many different types of cancers. It is estimated that the term “sarcoma” includes more than 50 different cancers each of which has differences in behaviour, genetics, and treatment.
I don’t use tobacco or alcohol and have a healthy lifestyle. Why did I develop sarcoma?
Unfortunately, in the majority of patients there is no apparent cause of sarcoma. Sarcoma can even affect children. Research indicates that cells may get damaged and turn into cancer even without any known causative factors. Thus, it is common for people to develop sarcoma even if they have no risk factors whatsover.
If I develop sarcoma, are my relatives at risk of developing sarcoma also?
Sarcoma usually does not run in families. Some sarcomas have a familial component, although this is uncommon. Your oncologist can guide you regarding testing for familial sarcoma.
Can my sarcoma spread from me to my family members?
Sarcoma is not a communicable disease and cannot spread from one person to another.
What are some common types of sarcoma?
Some common types of sarcoma include:
Bone sarcomas (cancer arising in bones): Osteosarcoma, Ewing sarcoma, Primitive neurectodermal Tumor (PNET)
Gut sarcomas (cancer arising from intestines, stomach, etc): Leiomyosarcoma, Gastrointestinal Stromal Tumor (GIST)
Muscle sarcomas (cancer arising in muscles): Leiomyosarcoma, Rhabdomyosarcoma
Fat sarcoma: Liposarcomas (many types)
Blood vessel sarcoma: Angiosarcoma
Miscellaneous: Pleomorphic sarcoma, poorly differentiated sarcoma, Malignant fibrous histiocytoma, synovial sarcoma, Dermatofibrosarcoma protruberans (DFSP) and many others.
There are dozens of different types of sarcomas, and many other subtypes also exist.
What are some common symptoms of sarcoma?
The most common symptom of sarcoma is the development of a swelling or mass anywhere in the body. Swellings due to sarcoma can be painful or painless. Sometimes, swellings in the limbs may prevent use of the limb, and the patient may have difficulty in walking or using an arm. Sarcomas of the abdomen may lead to abdominal pain, a lump in the abdomen, constipation, or blood in stools.
Sarcomas can also spread to other organs such as lungs (causing breathlessness, cough, chest pain or blood in sputum), bones (Causing pain), liver (Causing jaundice, pain or fluid in the abdomen) or bone marrow (causing weakness, infections and bleeding).
How is sarcoma diagnosed? What tests are usually required before treatment?
To diagnose a sarcoma, a biopsy is almost always needed. During the biopsy, a small amount of tissue is removed using a needle (or by surgery) and this is looked at by a pathologist under a microscope to confirm a diagnosis. Sarcoma biopsy should be done by an expert and carefully planned to ensure that future treatment is not spoiled.
Additional tests may be required in selected cases:
- CT scan and/or MRI scan of the local tumor site
- CT scan of the chest
- Molecular tests on the biopsy specimen
- Bone scan or PET scan
- Bone Marrow biopsy
- Blood tests
How is sarcoma treated? Can it be cured?
Sarcoma is curable. Sarcoma treatment in Delhi requires a combined effort from multiple specialties for its treatment.
- Surgeons to remove the sarcoma from the body by performing an operation
- Medical oncologists to prevent the sarcoma from coming back by giving chemotherapy or targeted therapy
- Radiation oncologists to prevent the sarcoma from coming back by giving radiotherapy
With a concerted effort from multiple specialists, sarcoma can be cured permanently so that it never comes back.
What is limb-salvage surgery (LSS)?
Traditionally, treatment of sarcomas in the limbs required amputation of the limb. However, in recent decades, there have been refinements and advancements in surgical technologies that now allows removal of the cancer without amputating the limb. This is called limb-salvage surgery (LSS). LSS allows for cure of cancer without having to lose a limb.
I have been told that my sarcoma has spread in my body. Can I be cured?
Sometimes, sarcoma is found to have spread in the body, commonly to the lungs, and sometimes to other organs like liver, bones or bone marrow. This is called metastatic sarcoma. Metastatic sarcoma that has spread in the body can also be cured. This is not possible in every patient but a cure can often be achieved with intensive therapy with coordination of multiple specialists.
What is bone sarcoma, osteosarcoma, ewing sarcoma, PNET? How are they treated?
Bone sarcomas include osteosarcoma, ewing sarcoma, chondrosarcoma and some other tumors. They are curable cancers that generally require a combination of chemotherapy and surgery for complete cure. Learn more about bone sarcomas in the detailed article here.
Learn more about bone sarcomas (Hindi Video)
What is rhabdomyosarcoma (RMS)? How is it treated?
Rhabdomyosarcoma is a cancer that arises from muscle cells. It is a frequently seen cancer which affects several age groups including small children and young adults.
RMS is curable but generally requires a combination of chemotherapy, surgery and radiotherapy for cure. Expert RMS treatment in Delhi is available and results in complete cure. More information
What is gastrointestinal stromal tumor (GIST)? How is it treated?
GIST is a cancer that arises from cells that lie within the gastrointestinal tract. It can arise from any location in the gut, but most frequently arises from the stomach. Note that GIST is a rare cancer, and most stomach cancers are adenocarcinomas.
What is soft-tissue sarcoma (STS)?
Soft-tissue sarcoma is an umbrella term that includes dozens of different entities which are all individually rare. Most of the different types of sarcomas described above fall in the category of soft-tissue sarcoma. There are marked differences between different types of STS and an expert opinion is strongly recommended for treatment of soft tissue sarcoma in Delhi.
Why is chemotherapy used for sarcoma?
Chemotherapy is often an integral part of sarcoma treatment. Chemotherapy has the following roles:
- Reducing the size of cancer so it can be removed more easily by surgery
- Destroying spread cancer cells so that it can be cured more completely
- For control of cancer in incurable cases
What is the cost of sarcoma chemotherapy in Delhi?
The cost of chemotherapy for sarcoma is guided mostly by the cost of chemotherapy drugs. Many older drugs are cheap and allow very affordable treatment of sarcoma in Delhi. Some newer drugs may be more expensive. It is important to remember that more expensive does not always mean better. In many cases, cheaper, older drugs may be as effective as expensive newer drugs. In this case, an expert opinion can help in designing the most cost-effective and most beneficial chemotherapy regimen.
What is pazopanib (votrient)? Can it be used instead of chemotherapy for sarcoma?
Pazopanib (also known as “Votrient“) is a commonly used drug in metastatic sarcoma. Pazopanib is a targeted therapy, meaning it expoits characteristics that make cancer cells different from normal cells and selectively damages cancer cells while leaving normal cells unaffected. It is a tablet that needs to be taken once or twice daily on an empty stomach.
Pazopanib falls into the class of angiogenesis inhibitors. Cancer cells need to create a blood supply for themselves using a process called angiogenesis, a process which is blocked by pazopanib. Pazopanib is a safe and well-tolerated treatment in most cases, and can be used instead of chemotherapy in specific cases.
What is immunotherapy? Is immunotherapy for sarcoma available in India?
Immunotherapy is a novel way to treat cancer that uses the body’s own immune system to kill cancer cells. It has revolutionized the treatment of some cancers like lung and kidney cancer. Sarcomas do respond to immunotherapy in selected cases, however the response rate of sarcomas to immunotherapy overall is lower than chemotherapy. Thus, it is currently considered a suitable approach in selected sarcoma patients who have failed chemotherapy.
Video introduction to immunotherapy in cancer (hindi)
Why is important for me to consult a sarcoma specialist in Delhi?
Due to the rarity and complexity of sarcomas, even experienced oncologists often lack expertise in their treatment. Therefore, the best treatment can only be offered by an expert team. Inappropriate frontline treatment can lead to relapse of disease which can be incurable and lead to risk of death. Recently, there has been an explosion of data about personalized medicine, molecular aspects, targeted therapy, immunotherapy and new chemotherapies. Only an expert can help you navigate this complexity.
INTERNATIONAL GUIDELINES RECOMMEND THAT SARCOMAS SHOULD ALWAYS BE TREATED BY AN EXPERT!
Access scientific treatment for sarcoma in Delhi NCR. More information here.
Where can I get more information about the best treatment for sarcomas in Delhi?
Delhi is one of the best cities in the world for expert treatment of Sarcoma. Dr Vineet Govinda Gupta is a gold medalist (AIIMS) medical oncologist trained at the best institute in the country (AIIMS New Delhi) with expertise in all kinds of sarcomas and their treatment. He has also published research about sarcoma in Indian and international reputed medical journals.
Access the detailed curriculum vitae.
I want to learn more about treatment options in sarcoma!
You can visit our patient education pages on this website for detailed information about treatment aspects in sarcoma. Some common topics are linked below. If you need more information, you can access these resources using the menu bar above or the search box. If you cannot find your topic of interest, send us a E-consultation below.
- General information about cancer
- Bone sarcomas – detailed information
- Chemotherapy for sarcoma
- Targeted therapy and anti-angiogenic therapy for sarcoma
- Immunotherapy for sarcoma
Free E-consultation with a sarcoma specialist in Delhi!
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