Orthopedic Oncology | Bone & Soft Tissue Tumor Care

Overview of the Specialty
The Department of Orthopedic Oncology provides comprehensive care for benign and malignant tumors of the bones and soft tissues. With a specialised team of orthopedic oncologists, advanced imaging and diagnostic facilities, and a multidisciplinary treatment approach, the department delivers precise diagnosis, limb-preserving surgical care, and long-term oncological outcomes.
Our focus is on early detection, accurate tumour staging, and personalised treatment planning. Wherever possible, limb salvage procedures are prioritised over amputation, without compromising cancer control. Care is delivered in close collaboration with medical oncology, radiation oncology, pathology, radiology, nuclear medicine, plastic and reconstructive surgery, physiotherapy, and rehabilitation services, ensuring holistic and integrated cancer care.

Services Available

  • Comprehensive evaluation and management of bone and soft tissue tumors
  • Diagnosis and treatment of benign, intermediate, and malignant musculoskeletal tumors
  • Limb salvage surgery for bone and soft tissue sarcomas
  • Complex tumor resections with reconstruction using endoprostheses, bone grafts, and biological reconstruction techniques
  • Image-guided biopsy of bone and soft tissue lesions
  • Pediatric and adult orthopedic oncology services
  • Multidisciplinary tumor board–guided treatment planning
  • Post-operative rehabilitation and functional restoration
  • Long-term surveillance and follow-up for tumor recurrence and functional outcomes


Conditions Treated
The department offers specialised care for a wide spectrum of orthopedic oncological conditions, ensuring precise diagnosis, oncological safety, and optimal functional recovery.

  • Primary Bone Tumors: Management of malignant bone tumors such as osteosarcoma, Ewing sarcoma, chondrosarcoma, and other rare bone sarcomas, using evidence-based surgical and multimodal treatment strategies.
  • Soft Tissue Sarcomas: Diagnosis and treatment of tumors arising from muscles, fat, nerves, blood vessels, and connective tissues, with emphasis on wide excision, limb preservation, and functional reconstruction.
  • Benign and Locally Aggressive Bone Tumors: Treatment of conditions such as giant cell tumor, aneurysmal bone cyst, osteoid osteoma, enchondroma, fibrous dysplasia, and chondroblastoma.
  • Metastatic Bone Disease: Management of skeletal metastases from cancers such as breast, lung, prostate, kidney, and thyroid, including stabilization of pathological fractures and pain-relieving surgical interventions.
  • Pathological Fractures: Surgical stabilisation and reconstruction of fractures occurring through tumor-involved bone, with simultaneous oncological management.
  • Recurrent and Residual Tumors: Evaluation and treatment of recurrent or residual musculoskeletal tumors, including revision surgeries and advanced reconstruction options.
  • Pediatric Bone and Soft Tissue Tumors: Specialised care for musculoskeletal tumors in children and adolescents, with growth-preserving and limb-sparing treatment approaches.


Technologies and Facilities
To ensure accurate diagnosis and effective oncological and functional outcomes, the department is equipped with advanced technologies, including:

  • High-resolution imaging, including X-ray, CT, MRI, PET-CT, and bone scans
  • Image-guided core needle and open biopsy techniques
  • Advanced limb salvage surgical techniques
  • Computer-assisted surgical planning for complex tumor resections
  • Multidisciplinary tumor board for personalised treatment planning
  • Comprehensive physiotherapy and rehabilitation services
  • Long-term surveillance protocols for early detection of recurrence
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Meet Our Expert Medical Team

Dr. Nikhil Tandon
Dr. Nikhil Tandon

Consultant, Orthopedics Oncology

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Breakthrough Cases

A 7-year-old girl presented with persistent pain in the right knee for two months. Initial investigations, including X-ray and MRI, raised suspicion of a malignant lesion in the distal femur near the knee joint.

A biopsy confirmed the diagnosis of osteosarcoma, a rare bone malignancy seen in children and adolescents. A metastatic workup was conducted to assess disease spread, which showed no evidence of metastasis.

The patient was initiated on a structured treatment protocol involving multiple cycles of neoadjuvant chemotherapy, followed by planned surgical intervention and postoperative chemotherapy.

After comp...

A 7-year-old girl presented with persistent pain in the right knee for two months. Initial investigations, including X-ray and MRI, raised suspicion of a malignant lesion in the distal femur near the knee joint.

A biopsy confirmed the diagnosis of osteosarcoma, a rare bone malignancy seen in children and adolescents. A metastatic workup was conducted to assess disease spread, which showed no evidence of metastasis.

The patient was initiated on a structured treatment protocol involving multiple cycles of neoadjuvant chemotherapy, followed by planned surgical intervention and postoperative chemotherapy.

After completion of four chemotherapy cycles, repeat imaging demonstrated a favorable response, and surgical management was undertaken. Considering the child’s age and significant remaining growth potential, the key challenge was to achieve oncological clearance while preserving future limb growth.

A customised expandable prosthesis was designed for the patient to accommodate longitudinal bone growth through future length adjustments. The surgical procedure was completed successfully, and the postoperative course remained stable and uneventful.

The patient continues under follow-up, with the focus on long-term recovery, functional preservation, and support for normal growth and development.
 

Treatment By:
Dr. Nikhil Tandon

Patient Testimonials

Frequently Asked Questions

Orthopedic oncology focuses on the diagnosis and treatment of tumors affecting the bones and soft tissues. You should consult a specialist if you have a persistent bone or soft tissue swelling, unexplained pain, or a suspected or diagnosed tumor.

No. Many bone and soft tissue tumors are benign. However, even benign or locally aggressive tumors require expert evaluation to ensure accurate diagnosis and appropriate treatment.

In most cases, limb salvage surgery is possible. Advanced surgical techniques allow removal of the tumor while preserving the limb and its function, without compromising cancer treatment outcomes.

Treatment is planned through a multidisciplinary approach involving orthopedic oncologists, medical and radiation oncologists, radiologists, pathologists, and rehabilitation specialists to create a personalised treatment plan.

After treatment, patients undergo structured rehabilitation to regain strength and mobility, along with regular follow-up and surveillance to monitor recovery and detect any recurrence early.