Sarcoma

Sarcoma is a rare cancer affecting connective tissues, including bones and muscles. Types include soft tissue and bone sarcomas, with symptoms like lumps, difficulty swallowing, and pain. Diagnosis involves physical exams, imaging tests, and biopsies. Treatment options include surgery, radiation, chemotherapy, targeted therapy, and immunotherapy.

What is a Sarcoma?

Sarcoma is a rare type of cancer that develops in the body's connective tissues. These tissues include bones, muscles, tendons, cartilage, and fat. At Hills Surgical Oncology, Dr Muzib Abdul-Razak, a highly skilled head and neck surgeon and surgical oncologist in Sydney, specialises in treating sarcomas that occur in the head and neck region. Sarcomas can be challenging to diagnose and treat, which is why it's crucial to seek care from experienced specialists like those at Hills Surgical Oncology. Our clinic, with locations in Wahroonga and the Hills area, provides expert care for patients with various types of sarcomas.

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The different types of Sarcoma that can develop in the connective tissues of the body.

What are the different types of Sarcoma?

There are many types of sarcoma, but they can be broadly categorised into two main groups:

  1. Soft tissue sarcomas: These develop in soft tissues like muscles, fat, blood vessels, and nerves.
  2. Bone sarcomas: These form in bones or cartilage.

In the head and neck region, some common types of sarcoma include:

  1. Rhabdomyosarcoma: Affects muscle tissue
  2. Osteosarcoma: Develops in bones
  3. Chondrosarcoma: Starts in cartilage
  4. Angiosarcoma: Forms in blood vessels
  5. Liposarcoma: Occurs in fatty tissue

Dr Muzib Abdul-Razak at Hills Surgical Oncology has extensive experience in diagnosing and treating these various types of sarcomas. His expertise as a head and neck surgeon in Sydney ensures that people living in the Hornsby and Hills areas receive the most appropriate care for their specific type of sarcoma.

What causes Sarcoma?

The exact causes of sarcoma are not fully understood. However, certain factors may increase the risk of developing this type of cancer:

  1. Genetic conditions: Some inherited disorders, such as Li-Fraumeni syndrome or neurofibromatosis, can increase the risk of sarcoma.
  2. Radiation exposure: Previous radiation therapy for other cancers can sometimes lead to sarcoma development years later.
  3. Chemical exposure: Long-term exposure to certain chemicals, like herbicides or wood preservatives, may increase the risk.
  4. Lymphedema: This condition, which causes swelling in the arms or legs, has been linked to a higher risk of angiosarcoma.
  5. Viruses: In rare cases, certain viruses may play a role in sarcoma development.

It's important to note that having these risk factors doesn't mean you'll definitely develop sarcoma. Many people with sarcoma have no known risk factors.

What are the symptoms of Sarcoma?

Symptoms of sarcoma can vary depending on the location and size of the tumour. In the head and neck region, common symptoms may include:

  1. A lump or swelling that may or may not be painful
  2. Difficulty swallowing or breathing
  3. Changes in voice or hoarseness
  4. Persistent sore throat or earache
  5. Headaches or vision problems
  6. Numbness or tingling in the face
  7. Loose teeth or jaw pain

It's important to remember that these symptoms can also be caused by many other, less serious conditions. However, if you experience any of these symptoms, especially if they persist or worsen over time, it's best to consult a specialist as early detection and treatment can significantly improve outcomes for sarcoma patients.

How is Sarcoma diagnosed?

Diagnosing sarcoma often involves several steps and tests. At Hills Surgical Oncology, Dr Muzib Abdul-Razak uses a comprehensive approach to ensure accurate diagnosis:

  1. Physical examination: The doctor will carefully examine the affected area, looking for any lumps or other abnormalities.
  2. Imaging tests: These may include:
  3. X-rays to check for bone abnormalities
  4. CT (Computed Tomography) scans for detailed images of the affected area
  5. MRI (Magnetic Resonance Imaging) to get clear pictures of soft tissues
  6. PET (Positron Emission Tomography) scans to see if the cancer has spread
  7. Biopsy: This is a crucial step in diagnosing sarcoma. A small sample of tissue is taken from the suspected tumour and examined under a microscope. There are two main types of biopsies:
  8. Needle biopsy: A thin needle is used to extract a small amount of tissue.
  9. Surgical biopsy: A larger piece of tissue is removed surgically.
  10. Molecular testing: Advanced tests may be done on the biopsy sample to look for specific genetic changes that can help guide treatment.

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MRI scans can be used to help identify the presence of any soft tissue sarcomas in the neck.

What are the treatment options for Sarcoma?

Treatment for sarcoma typically involves a multidisciplinary approach, combining different therapies to achieve the best possible outcome. At Hills Surgical Oncology, Dr Muzib Abdul-Razak works closely with a team of specialists to provide comprehensive care. The main treatment options include:

Surgery

Surgery is often the primary treatment for sarcoma. The goal is to remove the entire tumour along with a margin of healthy tissue around it. This helps ensure that all cancer cells are removed and reduces the risk of recurrence. As a highly skilled surgical oncologist in Sydney, Dr Muzib Abdul-Razak specialises in complex head and neck surgeries. He uses advanced techniques to remove tumours while preserving as much normal function and appearance as possible. The type of surgery will depend on the size and location of the tumour and may involve:

  1. Wide local excision: Removing the tumour and a margin of healthy tissue
  2. Reconstructive surgery: Rebuilding affected areas using tissue from other parts of the body
  3. Lymph node dissection: Removing nearby lymph nodes if the cancer has spread

Radiation Therapy

Radiation therapy uses high-energy beams to kill cancer cells. It may be used:

  1. Before surgery to shrink the tumour
  2. After surgery to kill any remaining cancer cells
  3. As a primary treatment if surgery isn't possible

At Hills Surgical Oncology, we work closely with radiation oncologists to ensure our patients receive the most appropriate and effective radiation treatments.

Chemotherapy

Chemotherapy uses drugs to kill cancer cells throughout the body. It may be used:

  1. Before surgery to shrink tumours
  2. After surgery to kill any remaining cancer cells
  3. To treat sarcomas that have spread to other parts of the body

The specific drugs and treatment schedule will depend on the type and stage of sarcoma.

Targeted Therapy

Some newer drugs target specific abnormalities in cancer cells. These targeted therapies can be effective for certain types of sarcoma and often have fewer side effects than traditional chemotherapy.

Immunotherapy

This relatively new approach helps the body's immune system fight cancer cells. While not yet standard for all sarcomas, immunotherapy shows promise for some types and is an area of ongoing research. Dr Muzib Abdul-Razak at Hills Surgical Oncology stays up-to-date with the latest advancements in sarcoma treatment. He works closely with each patient to develop a personalised treatment plan that offers the best chance of success while considering the patient's overall health and preferences.

What is the recovery like after Sarcoma surgery?

Recovery from sarcoma treatment can vary greatly depending on the type and extent of treatment received. At Hills Surgical Oncology, we're committed to supporting our patients throughout their entire recovery journey. After surgery, the initial recovery period typically lasts a few weeks. During this time, patients may need to:

  1. Rest and limit physical activity
  2. Care for the surgical site as instructed
  3. Manage pain with prescribed medications
  4. Attend follow-up appointments to monitor healing

For patients who've had extensive surgery in the head and neck area, rehabilitation may be necessary. This could include:

  1. Speech therapy to improve speaking and swallowing
  2. Physical therapy to regain strength and mobility
  3. Occupational therapy to help with daily activities

Patients who've had chemotherapy or radiation therapy may experience side effects that can last for several weeks or months after treatment ends. These may include fatigue, changes in appetite, and weakened immune system.Long-term follow-up care is crucial for sarcoma survivors. Dr Muzib Abdul-Razak and the team at Hills Surgical Oncology provide ongoing monitoring to check for any signs of cancer recurrence and manage any lasting effects of treatment.

Useful Links

  1. Australia and New Zealand Sarcoma Association (ANZSA)

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