{"id":633,"date":"2019-04-17T21:29:30","date_gmt":"2019-04-17T21:29:30","guid":{"rendered":"https:\/\/sarcoma-cumcura.be\/?page_id=633"},"modified":"2026-05-25T14:42:05","modified_gmt":"2026-05-25T14:42:05","slug":"diagnose","status":"publish","type":"page","link":"https:\/\/sarcoma-cumcura.be\/en\/diagnose\/","title":{"rendered":"Diagnosis"},"content":{"rendered":"<div class=\"et_pb_section_0 et_pb_section et_section_regular et_block_section section_has_divider et_pb_bottom_divider\"><div class=\"et_pb_row_0 et_pb_row et_block_row\"><div class=\"et_pb_column_0 et_pb_column et_pb_column_1_2 et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_text_0 et_pb_text et_pb_bg_layout_light et_pb_bg_layout_light_hover et_animated et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><h1>Diagnosis<\/h1>\n<\/div><\/div><\/div><div class=\"et_pb_column_1 et_pb_column et_pb_column_1_2 et-last-child et_block_column et_pb_column_empty et_pb_css_mix_blend_mode_passthrough\"><\/div><\/div><div class=\"et_pb_bottom_inside_divider et-no-transition\"><\/div><\/div><div class=\"et_pb_section_1 et_pb_section et_section_specialty et_pb_gutters3 et_block_section\"><div class=\"et_pb_row et_pb_row-1-4_3-4 et_block_row\"><div class=\"et_pb_column_2 et_pb_column et_pb_column_single et_pb_column_1_4 et_block_column et_pb_css_mix_blend_mode_passthrough stickybar\"><div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_0_wrapper\"><a class=\"et_pb_button_0 et_pb_button et_pb_bg_layout_dark et_pb_module et_block_module\" href=\"\/en\/overzicht\/\">Overview<\/a><\/div><div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_1_wrapper\"><a class=\"et_pb_button_1 et_pb_button et_pb_bg_layout_dark et_pb_module et_block_module\" href=\"\/en\/algemeen\/\">Sarcoma general<\/a><\/div><div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_2_wrapper\"><a class=\"et_pb_button_2 et_pb_button et_pb_bg_layout_dark et_pb_module et_block_module\" href=\"\/en\/diagnose\/\">Diagnosis<\/a><\/div><div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_3_wrapper\"><a class=\"et_pb_button_3 et_pb_button et_pb_bg_layout_dark et_pb_module et_block_module\" href=\"#type\">How is the type determined?<\/a><\/div><div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_4_wrapper\"><a class=\"et_pb_button_4 et_pb_button et_pb_bg_layout_dark et_pb_module et_block_module\" href=\"#scans\">Which imaging is possible?<\/a><\/div><div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_5_wrapper\"><a class=\"et_pb_button_5 et_pb_button et_pb_bg_layout_dark et_pb_module et_block_module\" href=\"#verloop\">How is the type determined?<\/a><\/div><div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_6_wrapper\"><a class=\"et_pb_button_6 et_pb_button et_pb_bg_layout_dark et_pb_module et_block_module\" href=\"#hoebiopsie\">How is a biopsy performed?<\/a><\/div><div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_7_wrapper\"><a class=\"et_pb_button_7 et_pb_button et_pb_bg_layout_dark et_pb_module et_block_module\" href=\"#biopsierisico\">Does a biopsy encompass risks?<\/a><\/div><div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_8_wrapper\"><a class=\"et_pb_button_8 et_pb_button et_pb_bg_layout_dark et_pb_module et_block_module\" href=\"#nabiopsie\">What happens after biopsy?<\/a><\/div><div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_9_wrapper\"><a class=\"et_pb_button_9 et_pb_button et_pb_bg_layout_dark et_pb_module et_block_module\" href=\"\/en\/behandeling\/\">Treatment<\/a><\/div><div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_10_wrapper\"><a class=\"et_pb_button_10 et_pb_button et_pb_bg_layout_dark et_pb_module et_block_module\" href=\"\/en\/ondersteuning\/\">Support<\/a><\/div><\/div><div class=\"et_pb_column_3 et_pb_column et_pb_specialty_column et_pb_column_3_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_row_inner_0 et_pb_row_inner et_block_row\" id=\"type\"><div class=\"et_pb_column_inner_0 et_pb_column_inner et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_text_1 et_pb_text et_pb_bg_layout_light et_pb_bg_layout_light_hover et_pb_module et_block_module\" id=\"#toggle1\"><div class=\"et_pb_text_inner\"><h2>How is the type determined?<\/h2>\n<\/div><\/div><div class=\"et_pb_divider_0 et_pb_divider et_pb_space et_pb_divider_position_top et_pb_module\"><div class=\"et_pb_divider_internal\"><\/div><\/div><div class=\"et_pb_text_2 et_pb_text et_pb_bg_layout_light et_pb_bg_layout_light_hover et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p class=\"translation-block\">First, your doctor will ask you <strong>many questions <\/strong>concerning your complaints, and you will be <strong>examined<\/strong>. This way your doctor can have an idea concerning aggressivity, location and possible causes of the tumor.<\/p>\n<p class=\"translation-block\">Afterwards, a number of <a href=\"#scans\" target=\"_self\"><strong>scans<\/strong> <\/a>will be performed to determine the type and extent of the tumor. Sarcoma growth will not be hampered, and may extend locally in other tissues or show distant spread (metastasising).<\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_inner_1 et_pb_row_inner et_block_row\" id=\"scans\"><div class=\"et_pb_column_inner_1 et_pb_column_inner et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_text_3 et_pb_text et_pb_bg_layout_light et_pb_bg_layout_light_hover et_pb_module et_block_module\" id=\"#toggle1\"><div class=\"et_pb_text_inner\"><h2>Which imaging is possible?<\/h2>\n<\/div><\/div><div class=\"et_pb_divider_1 et_pb_divider et_pb_space et_pb_divider_position_top et_pb_module\"><div class=\"et_pb_divider_internal\"><\/div><\/div><div class=\"et_pb_text_4 et_pb_text et_pb_bg_layout_light et_pb_bg_layout_light_hover et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p class=\"translation-block\">If you have a bone sarcoma, plain <a href=\"#radiografie\" target=\"_self\"><strong>radiographs <\/strong><\/a>(X-rays) will be taken. A <a href=\"#ctscan\" target=\"_self\"><strong>CT <\/strong><\/a>or<a href=\"#mri\" target=\"_self\"><strong>MRI <\/strong>\u00a0<\/a>scan will be taken in order to determine the extent of the local ingrowth.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_inner_2 et_pb_row_inner et_block_row\" id=\"radiografie\"><div class=\"et_pb_column_inner_2 et_pb_column_inner et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_blurb_0 et_pb_blurb et_pb_bg_layout_light et_pb_text_align_center et_pb_blurb_position_left et_pb_module et_block_module\"><div class=\"et_pb_blurb_content\"><div class=\"et_pb_main_blurb_image et_animated\"><span class=\"et_pb_image_wrap\"><span class=\"et-pb-icon\">\ue046<\/span><\/span><\/div><div class=\"et_pb_blurb_container\"><h4 class=\"et_pb_module_header\">Radiograph<\/h4><\/div><\/div><\/div><div class=\"et_pb_text_5 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p>A radiograph is a kind of imaging using R\u00f6ntgen rays (X-rays) to visualise the inside of the body, especially your bones. This examination is usually painless.<\/p>\n<\/div><\/div><div class=\"et_pb_toggle_0 et_pb_toggle et_pb_toggle_item et_pb_toggle_close et_pb_module et_block_module\"><h5 class=\"et_pb_toggle_title\">Read more<\/h5><div class=\"et_pb_toggle_content clearfix\"><p>If you need an injection with contrast fluid, you will feel a needle puncture e.g. in a joint. Depending on the body part that needs to be examined, you will be asked to remove part of your clothing, jewels or other metallic objects. Then, you will be brought towards the table in order to make the images. You will be asked to assume certain positions: it is important to follow the instructions and to keep still during the acquisition of the image. If certain positions are impossible or too painful for you to attain, please notify the radiology nurse. After the imaging you can dress and leave. You will receive a letter containing a code or a report of the examination: keep this letter and take it with you to your treating physician.<\/p>\n<p><iframe loading=\"lazy\" width=\"650\" height=\"400\" align=\"right\" src=\"https:\/\/www.youtube.com\/embed\/l6F3GRdyti8\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_inner_3 et_pb_row_inner et_block_row\" id=\"ctscan\"><div class=\"et_pb_column_inner_3 et_pb_column_inner et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_blurb_1 et_pb_blurb et_pb_bg_layout_light et_pb_text_align_center et_pb_blurb_position_left et_pb_module et_block_module\"><div class=\"et_pb_blurb_content\"><div class=\"et_pb_main_blurb_image et_animated\"><span class=\"et_pb_image_wrap\"><span class=\"et-pb-icon\">\ue046<\/span><\/span><\/div><div class=\"et_pb_blurb_container\"><h4 class=\"et_pb_module_header\">CT-scan<\/h4><\/div><\/div><\/div><div class=\"et_pb_text_6 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p>A CT scan is a kind of imaging using R\u00f6ntgen rays (X-rays) to visualise the inside of the body. This examination is usually painless. If you need an injection with contrast fluid, you will feel the needle puncture e.g. in your hand or in a joint.<\/p>\n<\/div><\/div><div class=\"et_pb_toggle_1 et_pb_toggle et_pb_toggle_item et_pb_toggle_close et_pb_module et_block_module\"><h5 class=\"et_pb_toggle_title\">Read more<\/h5><div class=\"et_pb_toggle_content clearfix\"><p>Depending on the body part that needs to be examined, you will be asked to remove part of your clothing, jewels or other metallic objects. Then, you will be brought towards the table in order to make the images. You will be asked to assume certain positions: it is important to follow the instructions and to keep still during the acquisition of the image. If certain positions are impossible or too painful for you to attain, please notify the radiology nurse. After the imaging you can dress and leave. You will receive a letter containing a code or a report of the examination: keep this letter and take it with you to your treating physician.<\/p>\n<p><iframe loading=\"lazy\" align=\"right\" width=\"650\" height=\"400\" src=\"https:\/\/www.youtube.com\/embed\/kWwBw1ZSUDY\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_inner_4 et_pb_row_inner et_block_row\" id=\"mri\"><div class=\"et_pb_column_inner_4 et_pb_column_inner et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_blurb_2 et_pb_blurb et_pb_bg_layout_light et_pb_text_align_center et_pb_blurb_position_left et_pb_module et_block_module\"><div class=\"et_pb_blurb_content\"><div class=\"et_pb_main_blurb_image et_animated\"><span class=\"et_pb_image_wrap\"><span class=\"et-pb-icon\">\ue046<\/span><\/span><\/div><div class=\"et_pb_blurb_container\"><h4 class=\"et_pb_module_header\">MRI<\/h4><\/div><\/div><\/div><div class=\"et_pb_text_7 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p>A MRI scan is a kind of imaging using magnetic waves to visualise the inside of the body. This examination is usually painless. If you need an injection with contrast fluid, you will feel the needle puncture e.g. in your hand or in a joint.<\/p>\n<\/div><\/div><div class=\"et_pb_toggle_2 et_pb_toggle et_pb_toggle_item et_pb_toggle_close et_pb_module et_block_module\"><h5 class=\"et_pb_toggle_title\">Read more<\/h5><div class=\"et_pb_toggle_content clearfix\"><p>Depending on the body part that needs to be examined, you will be asked to remove part of your clothing, jewels or other metallic objects. Then, you will be brought towards the table in order to make the images. You will be asked to assume certain positions: it is important to follow the instructions and to keep still during the acquisition of the image. If certain positions are impossible or too painful for you to attain, please notify the radiology nurse. After the imaging you can dress and leave. You will receive a letter containing a code or a report of the examination: keep this letter and take it with you to your treating physician.<\/p>\n<p><iframe loading=\"lazy\" width=\"650\" height=\"400\" align=\"right\" src=\"https:\/\/www.youtube.com\/embed\/rgV3Tp_YKl4\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_inner_5 et_pb_row_inner et_block_row\" id=\"botscan\"><div class=\"et_pb_column_inner_5 et_pb_column_inner et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_blurb_3 et_pb_blurb et_pb_bg_layout_light et_pb_text_align_center et_pb_blurb_position_left et_pb_module et_block_module\"><div class=\"et_pb_blurb_content\"><div class=\"et_pb_main_blurb_image et_animated\"><span class=\"et_pb_image_wrap\"><span class=\"et-pb-icon\">\ue046<\/span><\/span><\/div><div class=\"et_pb_blurb_container\"><h4 class=\"et_pb_module_header\">Bone scan<\/h4><\/div><\/div><\/div><div class=\"et_pb_text_8 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p>A bone scan is an examination using radioactive isotopes.<\/p>\n<p>First, a weak radioactive fluid (isotope) is administered through a vein injection. This fluid is attracted to zones with a higher activity, such as tumors or bone metastases, and will pool there. The first phase can take a few hours of waiting. Afterwards, you will be guided towards the table of the scanning machine, and your whole body will be examined. The zones containing the pooled isotopes will emit radioactive waves, which are captured by the camera. This way, the bone parts that are possibly affected by the tumor are visualised.<\/p>\n<p>During the third and last phase the computer fuses the data into one image.<\/p>\n<p>The advantage of a bone scan is the possibility to visualise the whole body in one image. <br \/> The scan itself takes about 50 minutes, not counting the preparatory phase.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_inner_6 et_pb_row_inner et_block_row\"><div class=\"et_pb_column_inner_6 et_pb_column_inner et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_text_9 et_pb_text et_pb_bg_layout_light et_pb_bg_layout_light_hover et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p>It is important to obtain these images before putting a knife or needle in the tumor in order not to distort the images. If not, the characterisation of the sarcoma becomes harder. Furthermore the doctors will use the images to determine the correct way to approach the tumor, and which zone is the best one. This will be discussed at a multidisciplinary meeting. Sarcoma can metastasise to other body parts (other bones, lungs, abdomen) and therefore these regions will also be examined using scans.<\/p>\n<p>More information is available at the specialized centers below:<\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_inner_7 et_pb_row_inner et_block_row\"><div class=\"et_pb_column_inner_7 et_pb_column_inner et_pb_column et_pb_column_1_4 et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_image_0 et_pb_image et_pb_module et_block_module\"><a href=\"https:\/\/www.uzgent.be\/nl\/patient\/zoek-een-arts-of-dienst\/bottumoren-en-wekedelentumoren\" target=\"_blank\"><span class=\"et_pb_image_wrap\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2019\/11\/UZ-Gent.png\" width=\"604\" height=\"206\" srcset=\"https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2019\/11\/UZ-Gent.png 604w, https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2019\/11\/UZ-Gent-480x164.png 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 604px, 100vw\" class=\"wp-image-1136\" \/><\/span><\/a><\/div><\/div><div class=\"et_pb_column_inner_8 et_pb_column_inner et_pb_column et_pb_column_1_4 et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_image_1 et_pb_image et_pb_module et_block_module\"><a href=\"https:\/\/www.uzleuven.be\/nl\/wekedelentumoren\" target=\"_blank\"><span class=\"et_pb_image_wrap\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2019\/11\/UZ-Leuven.png\" width=\"604\" height=\"206\" srcset=\"https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2019\/11\/UZ-Leuven.png 604w, https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2019\/11\/UZ-Leuven-480x164.png 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 604px, 100vw\" class=\"wp-image-1135\" \/><\/span><\/a><\/div><\/div><div class=\"et_pb_column_inner_9 et_pb_column_inner et_pb_column et_pb_column_1_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_image_2 et_pb_image et_pb_module et_block_module\"><a href=\"https:\/\/www.uza.be\/nl\/specialismen\/musculoskeletale-oncologie\" target=\"_blank\"><span class=\"et_pb_image_wrap\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2020\/04\/uza.png\" width=\"539\" height=\"231\" srcset=\"https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2020\/04\/uza.png 539w, https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2020\/04\/uza-480x206.png 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 539px, 100vw\" class=\"wp-image-1252\" \/><\/span><\/a><\/div><\/div><\/div><div class=\"et_pb_row_inner_8 et_pb_row_inner et_block_row\"><div class=\"et_pb_column_inner_10 et_pb_column_inner et_pb_column et_pb_column_1_4 et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_image_3 et_pb_image et_pb_module et_block_module\"><a href=\"https:\/\/www.bordet.be\/en\/bone-cancers\" target=\"_blank\"><span class=\"et_pb_image_wrap\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2026\/03\/Nouveau_logo_Bordet_FR-NL_def.jpg\" width=\"1772\" height=\"1010\" srcset=\"https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2026\/03\/Nouveau_logo_Bordet_FR-NL_def.jpg 1772w, https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2026\/03\/Nouveau_logo_Bordet_FR-NL_def-1280x730.jpg 1280w, https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2026\/03\/Nouveau_logo_Bordet_FR-NL_def-980x559.jpg 980w, https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2026\/03\/Nouveau_logo_Bordet_FR-NL_def-480x274.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 1772px, 100vw\" class=\"wp-image-1347\" title=\"Nouveau_logo_Bordet_FR-NL_def\" \/><\/span><\/a><\/div><\/div><div class=\"et_pb_column_inner_11 et_pb_column_inner et_pb_column et_pb_column_1_4 et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_image_4 et_pb_image et_pb_module et_block_module\"><a href=\"https:\/\/www.institutroialbertdeux.be\/en\/cancer\/sarcomas-or-cancer-musculoskeletal-system\" target=\"_blank\"><span class=\"et_pb_image_wrap\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2026\/03\/Saint-Luc-CMJN-Horizontal.png\" width=\"3544\" height=\"1335\" srcset=\"https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2026\/03\/Saint-Luc-CMJN-Horizontal.png 3544w, https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2026\/03\/Saint-Luc-CMJN-Horizontal-1280x482.png 1280w, https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2026\/03\/Saint-Luc-CMJN-Horizontal-980x369.png 980w, https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2026\/03\/Saint-Luc-CMJN-Horizontal-480x181.png 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 3544px, 100vw\" class=\"wp-image-1346\" title=\"Saint-Luc - CMJN - Horizontal\" \/><\/span><\/a><\/div><\/div><div class=\"et_pb_column_inner_12 et_pb_column_inner et_pb_column et_pb_column_1_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_image_5 et_pb_image et_pb_module et_block_module\"><a href=\"https:\/\/www.cancerologie.chuliege.be\/jcms\/c2_25239781\/appareil-locomoteur-et-tissus-mous\" target=\"_blank\"><span class=\"et_pb_image_wrap\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2020\/04\/logo-chu-luik.png\" width=\"360\" height=\"360\" srcset=\"https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2020\/04\/logo-chu-luik.png 360w, https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2020\/04\/logo-chu-luik-300x300.png 300w, https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2020\/04\/logo-chu-luik-150x150.png 150w\" sizes=\"(max-width: 360px) 100vw, 360px\" class=\"wp-image-1251\" \/><\/span><\/a><\/div><\/div><\/div><div class=\"et_pb_row_inner_9 et_pb_row_inner et_block_row\" id=\"verloop\"><div class=\"et_pb_column_inner_13 et_pb_column_inner et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_text_10 et_pb_text et_pb_bg_layout_light et_pb_bg_layout_light_hover et_pb_module et_block_module\" id=\"#toggle1\"><div class=\"et_pb_text_inner\"><h2>How is the type determined?<\/h2>\n<\/div><\/div><div class=\"et_pb_divider_2 et_pb_divider et_pb_space et_pb_divider_position_top et_pb_module\"><div class=\"et_pb_divider_internal\"><\/div><\/div><div class=\"et_pb_text_11 et_pb_text et_pb_bg_layout_light et_pb_bg_layout_light_hover et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p>Afhankelijk van welk type sarcoma er vermoed wordt, zal de diagnose iets anders verlopen. Wil je meer weten over de vier types sarcoma van het bot, klik dan <a href=\"\/en\/sarcoma-cumcura.be\/algemeen\/#typesbot\">here<\/a>.\u00a0<span data-contrast=\"none\" class=\"TextRun SCXW152623123 BCX0\" xml:lang=\"NL-BE\" lang=\"NL-BE\"><span class=\"NormalTextRun SCXW152623123 BCX0\">If you want to learn more about soft tissue sarcoma, click <a href=\"\/en\/sarcoma-cumcura.be\/algemeen\/#typeswekedelen\">here<\/a>.<\/span><\/span><\/p>\n<\/div><\/div><div class=\"et_pb_tabs_0 et_pb_tabs et_pb_module\"><ul class=\"et_pb_tabs_controls clearfix\"><li class=\"et_pb_tab_nav_item_0 et_pb_tab_nav_item et_pb_tab_0 et_pb_tab_active\"><a class=\"et_pb_tab_nav_item_link\" href=\"#\">Osteosarcoma<\/a><\/li><li class=\"et_pb_tab_nav_item_1 et_pb_tab_nav_item et_pb_tab_1\"><a class=\"et_pb_tab_nav_item_link\" href=\"#\">Ewing sarcoma<\/a><\/li><li class=\"et_pb_tab_nav_item_2 et_pb_tab_nav_item et_pb_tab_2\"><a class=\"et_pb_tab_nav_item_link\" href=\"#\">Chondrosarcoma<\/a><\/li><li class=\"et_pb_tab_nav_item_3 et_pb_tab_nav_item et_pb_tab_3\"><a class=\"et_pb_tab_nav_item_link\" href=\"#\">Chordoma<\/a><\/li><li class=\"et_pb_tab_nav_item_4 et_pb_tab_nav_item et_pb_tab_4\"><a class=\"et_pb_tab_nav_item_link\" href=\"#\">Soft tissue sarcoma<\/a><\/li><\/ul><div class=\"et_pb_all_tabs\"><div class=\"et_pb_tab_0 et_pb_tab clearfix et_pb_active_content et_pb_module et_block_module\"><div class=\"et_pb_tab_content\"><p class=\"translation-block\">First, your doctor will ask you <a href=\"#type\" target=\"_self\">many questions <\/a>concerning your complaints, and the affected body part will be examined. Afterwards, your doctor will ask a <a href=\"#radiografie\" target=\"_self\"> radiograph <\/a> and an <a href=\"#mri\" target=\"_self\"> MRI <\/a> to evaluate the local extent of the disease. As osteosarcoma may spread to your lungs or other bones, your doctor will order a <a href=\"#ctscan\" target=\"_self\"> CT <\/a> scan of your lungs and a <a href=\"#botscan\" target=\"_self\"> bone scan. <\/a><\/p>\n<p>A biopsy is always necessary to confirm the suspected diagnosis.<\/p>\n<\/div><\/div><div class=\"et_pb_tab_1 et_pb_tab clearfix et_pb_module et_block_module\"><div class=\"et_pb_tab_content\"><p class=\"translation-block\">First, your doctor will ask you <a href=\"#type\" target=\"_self\"> many questions <\/a> concerning your complaints, and the affected body part will be examined. Afterwards, your doctor will ask a <a href=\"#radiografie\" target=\"_self\"> radiograph <\/a> and an <a href=\"#mri\" target=\"_self\"> MRI <\/a> to evaluate the local extent of the disease. As osteosarcoma may spread to your lungs or other bones, your doctor will order a <a href=\"#ctscan\" target=\"_self\"> CT <\/a> scan of your lungs and a <a href=\"#botscan\" target=\"_self\"> bone scan. <\/a><\/p>\n<p>A biopsy is always necessary to confirm the suspected diagnosis. In order to evaluate whether tumor cells are present in you bone marrow, a bone marrow aspiration may be performed during your biopsy.<\/p>\n<\/div><\/div><div class=\"et_pb_tab_2 et_pb_tab clearfix et_pb_module et_block_module\"><div class=\"et_pb_tab_content\"><p>In many patients finding a chondrosarcoma is incidental during medical imaging (X-ray or bone scan) after for instance a trauma. Sometimes patients may have pain because the affected bone becomes fragile.<\/p>\n<p class=\"translation-block\">Usually an <a href=\"#mri\" target=\"_self\">MRI <\/a> is planned in order to distinguish between a benign (enchondroma) or a malignant (chondrosarcoma) cartilage tumor, and to evaluate the tumor volume. In case of doubt, your doctor will advise a biopsy.<\/p>\n<p>Chondrosarcomas are classified according to their malignant properties:<\/p>\n<ul>\n<li>Grade 1 or low grade<\/li>\n<li>Grade 2 or intermediate grade<\/li>\n<li>Grade 3 or high grade<\/li>\n<\/ul>\n<p>A low grade malignant tumor usually does not metastasise, but it has a higher propensity to return if it is not completely removed. The higher the grade, the higher the risk for developing distant metastases, and the more aggressive the treatment needs to be.<\/p>\n<\/div><\/div><div class=\"et_pb_tab_3 et_pb_tab clearfix et_pb_module et_block_module\"><div class=\"et_pb_tab_content\"><p dir=\"auto\">Naast een uitgebreide <a href=\"https:\/\/sarcoma-cumcura.be\/en\/diagnose\/#type\">ondervraging en onderzoek<\/a>\u00a0van de plaats van de tumor, zal de arts een <a href=\"https:\/\/sarcoma-cumcura.be\/en\/diagnose\/#radiografie\">radiografie<\/a> aanvragen en een <a href=\"https:\/\/sarcoma-cumcura.be\/en\/diagnose\/#mri\">MRI<span>\u00a0<\/span><\/a>om de uitgebreidheid van de lokale ziekte te evalueren, vooral bij de wervelkolom of schedelbasis. Aangezien chordomen kunnen uitzaaien naar de longen en andere beenderen, zal de arts ook een <a href=\"https:\/\/sarcoma-cumcura.be\/en\/diagnose\/#ctscan\">CT scan<\/a><span> <\/span>van de longen aanvragen en een <a href=\"https:\/\/sarcoma-cumcura.be\/en\/diagnose\/#botscan\">botscan<\/a>.<\/p>\n<p>Een biopsie is meestal noodzakelijk om de diagnose te bevestigen, maar niet altijd mogelijk, afhankelijk van de locatie van het gezwel (bijvoorbeeld in de schedelbasis). In zulke gevallen kan de biopsie tijdens de operatie gebeuren of zelfs vermeden worden als beeldvorming voldoende zekerheid biedt.<\/p>\n<p dir=\"auto\">Chordomen worden ingedeeld in subtypes:<\/p>\n<ul dir=\"auto\">\n<li>Conventioneel (meest voorkomend, langzaam groeiend).<\/li>\n<li>Chordoid (zeldzaam).<\/li>\n<li>Dedifferentieerd (agressiever met hoger uitzaaiingsrisico).<\/li>\n<\/ul>\n<\/div><\/div><div class=\"et_pb_tab_4 et_pb_tab clearfix et_pb_module et_block_module\"><div class=\"et_pb_tab_content\"><p><span data-contrast=\"none\">First, your doctor will ask you many questions concerning your complaints, and the affected body part will be examined. Afterwards, your doctor will ask an ultrasound as a first evaluation, and also an <a href=\"#mri\">MRI<\/a> to evaluate the local extent of the disease. As osteosarcoma may spread to your lungs or sometimes to you lymph nodes, your doctor will order a <a href=\"#ctscan\">CT scan<\/a> of your lungs<\/span><span data-contrast=\"none\">and\u00a0<\/span><span data-contrast=\"none\">abdomen.<\/span><span data-contrast=\"none\">\u00a0Sometimes an additional PET-CT scan may be necessary, this is another kind of isotope scan.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">A <a href=\"#hoebiopsie\">biopsy<\/a> is always necessary to confirm the suspected diagnosis.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"et_pb_row_inner_10 et_pb_row_inner et_block_row\" id=\"hoebiopsie\"><div class=\"et_pb_column_inner_14 et_pb_column_inner et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_text_12 et_pb_text et_pb_bg_layout_light et_pb_bg_layout_light_hover et_pb_module et_block_module\" id=\"#toggle1\"><div class=\"et_pb_text_inner\"><h2><span>How is a biopsy performed?<\/span><\/h2>\n<\/div><\/div><div class=\"et_pb_divider_3 et_pb_divider et_pb_space et_pb_divider_position_top et_pb_module\"><div class=\"et_pb_divider_internal\"><\/div><\/div><div class=\"et_pb_text_13 et_pb_text et_pb_bg_layout_light et_pb_bg_layout_light_hover et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p class=\"translation-block\">In order to determine which sarcoma type your have, some <strong> tissue <\/strong> has to be examined by the pathologist. In order to obtain a tissue sample, a biopsy is planned. A biopsy can be performed open (a small surgery) or closed (using a thick needle).<\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_inner_11 et_pb_row_inner et_block_row\" id=\"biopsierisico\"><div class=\"et_pb_column_inner_15 et_pb_column_inner et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_text_14 et_pb_text et_pb_bg_layout_light et_pb_bg_layout_light_hover et_pb_module et_block_module\" id=\"#toggle1\"><div class=\"et_pb_text_inner\"><h2>Does a biopsy encompass risks?<\/h2>\n<\/div><\/div><div class=\"et_pb_divider_4 et_pb_divider et_pb_space et_pb_divider_position_top et_pb_module\"><div class=\"et_pb_divider_internal\"><\/div><\/div><div class=\"et_pb_text_15 et_pb_text et_pb_bg_layout_light et_pb_bg_layout_light_hover et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p class=\"translation-block\">A biopsy always encompasses a <strong> calculated <\/strong> risk. People may say that once a tumor has \u2018seen the air\u2019, the patient is lost. This is not true. By taking a biopsy the tumor will not spread toward other organs. However, malignant tumor cells may be left behind in the biopsy tract.<\/p>\n<p class=\"translation-block\">A biopsy has to be performed <strong> correctly <\/strong>  to avoid problems later. The biopsy tract has to be removed along with the tumor at the moment of final sarcoma resection. This is the reason why the doctor performing the biopsy has to keep the final resection surgery in mind.<\/p>\n<p>Infection of the biopsy wound has to be avoided at all costs. An infection may prohibit the start of possible chemotherapy or may even compromise the final surgery.<\/p>\n<p>As a sarcoma contains many blood vessels, a hemorrhage may occur during biopsy, or the wound may bleed afterwards. Your doctor will devote maximum effort to avoid a hematoma, for example by placing a drain (a small tube) to evacuate the blood. Usually a temporary compression bandage will be applied.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_inner_12 et_pb_row_inner et_block_row\" id=\"nabiopsie\"><div class=\"et_pb_column_inner_16 et_pb_column_inner et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_text_16 et_pb_text et_pb_bg_layout_light et_pb_bg_layout_light_hover et_pb_module et_block_module\" id=\"#toggle1\"><div class=\"et_pb_text_inner\"><h2>What happens after biopsy?<\/h2>\n<\/div><\/div><div class=\"et_pb_divider_5 et_pb_divider et_pb_space et_pb_divider_position_top et_pb_module\"><div class=\"et_pb_divider_internal\"><\/div><\/div><div class=\"et_pb_text_17 et_pb_text et_pb_bg_layout_light et_pb_bg_layout_light_hover et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p class=\"translation-block\">The tissue sample is taken to the <strong> lab <\/strong> immediately. The microscopic investigation is very thorough, and it may take up to 10 days to receive a definitive result. This waiting period is very stressful for you and your loved ones, because you do not know what will happen. Doctors will do everything to keep this period as short as possible, but the pathologist needs time to run all necessary tests to reach a definitive diagnosis.<\/p>\n<p class=\"translation-block\">The results will be discussed again during a multidisciplinary meeting, and a treatment plan will be defined. Your treating physician will <strong> discuss <\/strong> the results and the treatment plan with you and your loved ones. This plan is a proposal: it is imperative that you being the patient have a say concerning the treatment. Do not hesitate to ask for more information, or a second consultation to enable you to process all the information before deciding.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-633","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Diagnose - Sarcoma Cum Cura<\/title>\n<meta name=\"description\" content=\"Sarcoma CC wil een aansprekingspunt zijn voor alle mensen met de zeldzame kanker sarcoma. Het is enorm belangrijk om te streven voor een optimale kwaliteit van leven als pati\u00ebnt met een sarcoom. 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