Abstract
In the last couple of decades, the management of musculoskeletal sarcomas has seen a sea change. Limb salvage is now the standard of care for limb sarcomas. With advances in chemotherapy, there has been a significant improvement in the survival rates, but still bone sarcomas have the poorest survival rates among pediatric cancers. The aim is to achieve an acceptable oncologic, functional and cosmetic result. Such an exhaustive exercise is therefore possible only through a committed multidisciplinary team. In developing countries like India, malignant bone and soft tissue tumors occur in huge numbers. The shear population of a billion plus people predisposes to high numbers of sarcoma patients at any given time. In the absence of definitive population-based data on bone sarcomas, the magnitude of occurrence of malignant bone sarcomas in countries like India can be anyone’s guess. The general orthopedic surgeons see a large part of these bone tumors. With few centers doing specialized limb salvage surgery, amputation is still the commonest surgery done for malignant bone tumors in the developing world.
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Khan, S.A., Kumar, V.S., Poudel, R.R. (2017). Limb Salvage in India. In: Henshaw, R. (eds) Sarcoma. Springer, Cham. https://doi.org/10.1007/978-3-319-43121-5_25
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