The aim of this chapter is to outline the challenges of treating bone and soft tissue tumors in resource-limited environments and suggest an approach for management. The global cancer burden continues to rise and is projected to triple by 2030 . In the West cancer survival has increased to more than 70% with modern multidisciplinary oncology services, but without these, outcomes in developing countries remain poor. Patients often present late with advanced disease (Fig. 42.1), and palliative care, if available, may be the only treatment option.
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