Bone & soft tissue tumours

Bone & soft tissue tumours

A guide for patients referred to the RPA Bone & Soft Tissue Sarcoma Unit — what sarcoma is, the tests, how treatment is planned by the specialist team, and what to expect from surgery, hospital and follow-up.

If you are reading this, you or someone you care about has probably been told they have — or might have — a bone or soft tissue tumour. That is frightening to hear, and the first thing worth knowing is that most lumps are not cancer, and that even for those that are, there is a clear, well-practised path through diagnosis and treatment.

This guide is based on the patient booklet given to people having orthopaedic tumour surgery at Royal Prince Alfred Hospital (RPA). Your family members or carers may also find it helpful to read. It explains the tests, the team, the types of surgery, and the practical details of a hospital stay — including help with travel and accommodation if you live outside Sydney.

Two things to hold onto as you read:

You will be looked after by a team, not a single doctor. RPA is a specialist sarcoma centre. Every patient’s case is discussed at a multidisciplinary team (MDT) meeting, where sarcoma surgeons, oncologists, radiologists and pathologists agree on the best plan together. The evidence is clear that people with sarcoma do better when treated this way.

This information is general. Sarcomas differ enormously in type, size and position, and treatment is planned for each person individually. Use these pages to prepare your questions — then ask your treating team what is planned for you. You will be given extra information by hospital staff about your individual needs.

If you have questions or concerns at any point, speak to your treating team. Patients of the RPA sarcoma service and their families can also call the RPA Virtual Hospital’s Sarcoma & Tumour Advice and Support Service on 1800 463 918, 24 hours a day, 7 days a week (not for emergencies — in an emergency call 000).

In this series

Read or print this guide

The complete bone & soft tissue tumours guide is available as a PDF — useful if you would like to print it and read it at home. Available in English; other languages are being prepared.

Download PDF

Common questions

What should my GP do if a sarcoma is suspected?

Australian guidelines advise that any suspected sarcoma be referred early and directly to a specialised sarcoma centre — before a biopsy — so that the biopsy is planned by the team that will treat it. Referrers can use HealthLink (EDI drbroadh) or the RPA online referral form.

Is a lump likely to be cancer?

Most lumps are not sarcoma — it is a rare cancer, and the majority of lumps assessed turn out to be harmless. That rarity is exactly why anything suspicious is referred to a specialist unit that sees these tumours regularly.

Where is sarcoma surgery performed?

Bone and soft tissue tumour surgery is performed at Royal Prince Alfred Hospital and the Institute of Rheumatology & Orthopaedics in Camperdown, with paediatric sarcoma at The Children's Hospital at Westmead. Systemic treatment is provided at Chris O'Brien Lifehouse.

Why be treated at a specialist sarcoma centre?

Studies consistently show people do better when a sarcoma is treated at a centre that manages it regularly — the tumour is more often fully cleared, recovery tends to be smoother, and care is planned by a multidisciplinary team rather than one doctor alone.

I live in regional NSW — is help available with travel and accommodation?

Yes. Patients who live more than 100 km from Sydney may be eligible for the Isolated Patients Travel and Accommodation Assistance Scheme (IPTAAS), and the hospital social work team and clinical nurse consultants can help you apply.

Sources

  1. Cancer Australia — Sarcoma
  2. Cancer Council Australia — Sarcoma, Guide to best cancer care
  3. Australia and New Zealand Sarcoma Association (ANZSA) — Australian Sarcoma Management Guidelines
  4. RPA Bone and Soft Tissue Tumour & Sarcoma Patient Booklet, Royal Prince Alfred Hospital
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