{"id":666,"date":"2019-04-17T22:20:39","date_gmt":"2019-04-17T22:20:39","guid":{"rendered":"https:\/\/sarcoma-cumcura.be\/?page_id=666"},"modified":"2026-05-25T14:42:08","modified_gmt":"2026-05-25T14:42:08","slug":"behandeling","status":"publish","type":"page","link":"https:\/\/sarcoma-cumcura.be\/en\/behandeling\/","title":{"rendered":"Treatment"},"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>Treatment<\/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=\"\/en\/behandeling\/\">Treatment<\/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=\"#verloopbehandeling\">How about treatment?<\/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=\"#functionaliteit\">How about your function?<\/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=\"#type\">How about the treatment per sarcoma type?<\/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=\"#wanneergenezen\">When are you considered cured?<\/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=\"#uitzaaiingen\">What if there are metastases?<\/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=\"#sarcoomteruggekeerd\">What if the sarcoma has returned?<\/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=\"#revalidatie\">How about rehabilitation?<\/a><\/div><div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_11_wrapper\"><a class=\"et_pb_button_11 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=\"verloopbehandeling\"><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 about treatment?<\/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\">Sarcoma is a cancer  (<a href=\"https:\/\/blausen.com\/nl\/video\/kanker-algemeen\/\" target=\"_self\" rel=\"noopener noreferrer\">video<\/a>) form and therefore has to be treated aggressively. Depending on the sarcoma type, treatment can encompass one or more possibilities: <a href=\"#chemo\" target=\"_self\"><strong> chemotherapy <\/strong><\/a>, <a href=\"#chemo\" target=\"_self\"><strong> radiotherapy <\/strong><\/a>  <\/a>en\/of <a href=\"#chirurgie\" target=\"_self\"><strong> surgery <\/strong><\/a>.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_inner_1 et_pb_row_inner et_block_row\" id=\"chemo\"><div class=\"et_pb_column_inner_1 et_pb_column_inner et_pb_column et_pb_column_3_8 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_top 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\">7<\/span><\/span><\/div><div class=\"et_pb_blurb_container\"><h4 class=\"et_pb_module_header\">Chemotherapy (systemic therapy)<\/h4><\/div><\/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 class=\"translation-block\">Systemic therapy is a treatment working throughout the <strong> whole <\/strong>  body, and is usually called chemotherapy. The goal of systemic therapy is trying to kill (part of) the sarcoma or let it shrink, as well as treating visible and invisible distant metastases of the sarcoma. \nSystemic therapy may be necessary before and\/or after surgery. Click here for more information on systemic therapy types.<\/p>\n<p><iframe loading=\"lazy\" width=\"650\" height=\"300\" src=\"https:\/\/www.youtube.com\/embed\/dGa2p3UXCQo\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<\/div><\/div><\/div><div class=\"et_pb_column_inner_2 et_pb_column_inner et_pb_column et_pb_column_3_8 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_top 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\">7<\/span><\/span><\/div><div class=\"et_pb_blurb_container\"><h4 class=\"et_pb_module_header\">Radiotherapy (irradiation)<\/h4><\/div><\/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 class=\"translation-block\">Irradiation is a treatment offering better <strong> local <\/strong> control of the sarcoma. High doses are needed (50 \u2013 80 Gy) during approximately 6 weeks, 5 days a week. The irradiation can be necessary before and\/or after the surgery. Irradiation before surgery is used to make the tumor shrink or die (partially), while keeping the dose to the healthy tissue surrounding the tumor minimal. If irradiation is administered after the operation, the purpose is to decrease the risk of a local recurrence of the sarcoma. The treatment has several side effects: discoloration and hardening of the skin, muscle shortening and joint stiffness. Sometimes lymphedema (<a href=\"https:\/\/www.allesoverkanker.be\/lymfoedeem-na-kanker\" target=\"_self\">video<\/a><span>)<\/span> may occur.<\/p>\n<p><iframe loading=\"lazy\" width=\"650\" height=\"300\" src=\"https:\/\/www.youtube.com\/embed\/NLA2QfGWGM4\" 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_2 et_pb_row_inner et_block_row\" id=\"chirurgie\"><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_2 et_pb_blurb et_pb_bg_layout_light et_pb_text_align_center et_pb_blurb_position_top et_pb_module et_block_module\" id=\"chirurgie\"><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\">7<\/span><\/span><\/div><div class=\"et_pb_blurb_container\"><h4 class=\"et_pb_module_header\">Surgical treatment<\/h4><\/div><\/div><\/div><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\"><div class=\"et_pb_text_inner\"><p class=\"translation-block\">With most patients, the <strong> removal <\/strong> of the sarcoma is necessary. Such an operation is never a standard procedure, it is always patient-tailored as no two patients present with exactly the same localisation, size or age. The goal of the surgery is a complete removal of the malignant tissue, while preserving a functional limb. This means that after the operation, your limb can be moved and sensitivity remains.<\/p>\n<p>In order to achieve free resection margins, the surgeon has to resect a certain amount of healthy tissue. As higher malignant tumors penetrate into the surrounding tissue with small fingerlike extensions, this healthy margin has to be larger if the malignancy grade is higher. Sometimes blood vessels have to be removed and bridged by other vessels. Sometimes nerves have to be removed, resulting in a (partial) paralysis. If your surgeon cannot preserve an acceptable level of function of your limb, an amputation will be proposed. This will always be discussed with you. Resected muscles and tendons do not regenerate, not even in children. The surgeon may transfer other muscles to allow a maximum of movement, but regaining a normal function is not always possible.<\/p>\n<p><span style=\"font-size: 15px;\">The surgery type is determined by the localisation of the sarcoma:\u00a0\u00a0<\/span><\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_inner_3 et_pb_row_inner et_block_row\"><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_toggle_2 et_pb_toggle et_pb_toggle_item et_pb_toggle_close et_pb_module et_block_module\" id=\"toggle2\"><h5 class=\"et_pb_toggle_title\">If your bone is affected...<\/h5><div class=\"et_pb_toggle_content clearfix\"><p class=\"translation-block\">There are 2 options for surgery: \n<strong> removing <\/strong> the bone \n<strong> without reconstruction <\/strong> (for smaller lesions or low grade lesions) or \n<strong> removal with reconstruction <\/strong> of the defect.<\/p>\n<p class=\"translation-block\">Usually the bone is replaced by other bone (biological reconstruction) or by an internal <strong> prosthesis <\/strong> . A biological reconstruction is preferred. This can be done by \u2018recycling\u2019 the affected bone: the affected bone is removed and treated by irradiation or another sterilisation method to kill all sarcoma cells. Afterwards the treated bone is replaced and fixed by plates and screws. This bone is conversed into new, living bone by your body, creating a durable solution. Alternatively, bone from the donor bone bank can also be used to reconstruct the bone defect. This bone is tested extensively to avoid disease transfer from the donor to you.<\/p>\n<\/div><\/div><div class=\"et_pb_toggle_3 et_pb_toggle et_pb_toggle_item et_pb_toggle_close et_pb_module et_block_module\" id=\"toggle2\"><h5 class=\"et_pb_toggle_title\">If a joint is affected...<\/h5><div class=\"et_pb_toggle_content clearfix\"><p>Then the reconstruction of your joint usually requires a prosthesis. These prostheses should not be compared to classical hip, knee or shoulder prostheses that are used in elderly people with arthrosis.<\/p>\n<p>Reconstruction prostheses are much larger as a much larger part of the bone needs to be replaced, contrary to replacement of the worn cartilage in case of arthrosis. Extendable prostheses are sometimes used in growing children, and sometimes it is necessary to close the growth cartilage of the healthy leg to avoid leg length discrepancy. These prostheses have a more limited lifespan as young people are more active, leading to more wear and tear. Biological fixation systems allowing ingrowth of the prostheses are preferred, as this limits the risk of loosening of the prosthesis.<\/p>\n<\/div><\/div><div class=\"et_pb_toggle_4 et_pb_toggle et_pb_toggle_item et_pb_toggle_close et_pb_module et_block_module\" id=\"toggle2\"><h5 class=\"et_pb_toggle_title\">If only the soft tissues are affected...<\/h5><div class=\"et_pb_toggle_content clearfix\"><p><span data-contrast=\"none\" class=\"TextRun SCXW158207453 BCX0\" xml:lang=\"NL-BE\" lang=\"NL-BE\"><span class=\"NormalTextRun SCXW158207453 BCX0\">The surgeon will remove all affected structures with a margin of healthy tissue, keeping<span>\u00a0<\/span><\/span><\/span><span data-contrast=\"none\" class=\"TextRun SCXW158207453 BCX0\" xml:lang=\"NL-BE\" lang=\"NL-BE\"><span class=\"NormalTextRun SCXW158207453 BCX0\">vital structures intact. In case of limb surgery, the surgeon aims to preserve the function of your limb. As soft tissue tumors can also occur in your chest<\/span><\/span><span data-contrast=\"none\" class=\"TextRun SCXW158207453 BCX0\" xml:lang=\"NL-BE\" lang=\"NL-BE\"><span class=\"NormalTextRun SCXW158207453 BCX0\">,<\/span><\/span><span data-contrast=\"none\" class=\"TextRun SCXW158207453 BCX0\" xml:lang=\"NL-BE\" lang=\"NL-BE\"><span class=\"NormalTextRun SCXW158207453 BCX0\"><span>\u00a0<\/span>or abdomen<\/span><\/span><span data-contrast=\"none\" class=\"TextRun SCXW158207453 BCX0\" xml:lang=\"NL-BE\" lang=\"NL-BE\"><span class=\"NormalTextRun SCXW158207453 BCX0\"><span>\u00a0<\/span>or on the chest or abdominal wall, the surgeon may have to remove (part of) an organ (eg a kidney, part of an intestine, part of a lung) in order to obtain a complete removal of the tumor.<span>\u00a0<\/span><\/span><\/span><span data-contrast=\"none\" class=\"TextRun SCXW158207453 BCX0\" xml:lang=\"NL-BE\" lang=\"NL-BE\"><span class=\"NormalTextRun SCXW158207453 BCX0\">Sometimes a part of your skin has to be removed, whereafter the plastic surgeon will help to repair the defect.<span>\u00a0<\/span><\/span><\/span><span data-contrast=\"none\" class=\"TextRun SCXW158207453 BCX0\" xml:lang=\"NL-BE\" lang=\"NL-BE\"><span class=\"NormalTextRun SCXW158207453 BCX0\">Your surgeon will discuss<span>\u00a0<\/span><\/span><\/span><span data-contrast=\"none\" class=\"TextRun SCXW158207453 BCX0\" xml:lang=\"NL-BE\" lang=\"NL-BE\"><span class=\"NormalTextRun SCXW158207453 BCX0\">the surgery<span>\u00a0<\/span><\/span><\/span><span data-contrast=\"none\" class=\"TextRun SCXW158207453 BCX0\" xml:lang=\"NL-BE\" lang=\"NL-BE\"><span class=\"NormalTextRun SCXW158207453 BCX0\">and its consequences<span>\u00a0<\/span><\/span><\/span><span data-contrast=\"none\" class=\"TextRun SCXW158207453 BCX0\" xml:lang=\"NL-BE\" lang=\"NL-BE\"><span class=\"NormalTextRun SCXW158207453 BCX0\">with you.<span>\u00a0<\/span><\/span><\/span><span data-contrast=\"none\" class=\"TextRun SCXW158207453 BCX0\" xml:lang=\"NL-BE\" lang=\"NL-BE\"><span class=\"NormalTextRun SCXW158207453 BCX0\">Structures that have been removed will not grow back, not even in children.<\/span><\/span><span data-contrast=\"none\" class=\"TextRun SCXW158207453 BCX0\" xml:lang=\"NL-BE\" lang=\"NL-BE\"><span class=\"NormalTextRun SCXW158207453 BCX0\">\u00a0<\/span><\/span><span class=\"EOP SCXW158207453 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_inner_4 et_pb_row_inner et_block_row\" id=\"chirurgie\"><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_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\">r<\/span><\/span><\/div><div class=\"et_pb_blurb_container\"><div class=\"et_pb_blurb_description\"><p>It is important to keep in mind that, whether either a biological or a prosthetic reconstruction is used, the treated bone remains very sensitive to <strong>infection<\/strong>, especially after administration of chemotherapy. Because of limited blood supply of the tissues surrounding the prosthesis or the bone graft, antibiotics cannot easily reach possible bacteria that are attached to the prosthesis or the graft. In case an infection cannot be controlled, additional surgery is needed, sometimes even warranting a secondary amputation. Your doctor may advise you to take antibiotics at the slightest sign of a bacterial infection or at the time of dental treatment, an advice to be followed for the rest of your life.\u00a0<span data-contrast=\"none\" class=\"TextRun  BCX0 SCXW70629593\" xml:lang=\"NL-BE\" lang=\"NL-BE\"><span class=\"NormalTextRun  BCX0 SCXW70629593\">This is only in cases where bone is being reconstructed, not for tumors only in the soft tissues.<\/span><\/span><\/p>\n<p>&nbsp;<\/p>\n<\/div><\/div><\/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><\/div><\/div><div class=\"et_pb_row_inner_5 et_pb_row_inner et_block_row\" id=\"functionaliteit\"><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_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_5 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><h3 style=\"text-align: center;\"><strong>How about your function?<\/strong><\/h3>\n<p style=\"text-align: center;\" class=\"translation-block\">The resection of a part of the bone or of soft tissues usually results in <strong> functional loss <\/strong>. Your surgeon will discuss the outcome with you in order to make you understand what you can expect, and to avoid unrealistic expectations. You may need additional information at a later time, by other specialists (e.g. a rehabilitation physician in case of amputation), or by other patients. The goal of the rehabilitation is to regain the maximal restoration of your daily life activities. Sometimes it is hard to accept that your function remains limited for the rest of your life. The functional limitation may also hamper your psychosocial and economical life.<\/p>\n<\/div><\/div><div class=\"et_pb_module et_pb_button_module_wrapper et_pb_button_12_wrapper\"><a class=\"et_pb_button_12 et_pb_button et_pb_bg_layout_light et_pb_module et_block_module\" href=\"\" data-icon=\"C\">More about reimbursements and rehabilitation<\/a><\/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><\/div><div class=\"et_pb_row_inner_6 et_pb_row_inner et_block_row\" id=\"type\"><div class=\"et_pb_column_inner_7 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_6 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 about the treatment per sarcoma type?<\/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_7 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>Per type sarcoma zal er een ander soort behandeling moeten worden uitgevoerd. Wil je graag meer weten wat elke type juist is, klik dan <a href=\"https:\/\/sarcoma-cumcura.be\/en\/algemeen\/#types\">here<\/a>. Wil je weten hoe de diagnose van zo'n type gebeurt, klik dan <a href=\"https:\/\/sarcoma-cumcura.be\/en\/diagnose\/#verloop\">here<\/a>.<\/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>An osteosarcoma is high-grade malignant, but is sensitive to chemotherapy. This is the reason why the treatment includes high-dose chemotherapy before and after the surgery. Your oncologist can explain the exact schedule and concomitant side-effects to you. If possible, the tumor needs to be removed by the surgeon.<\/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>A Ewing sarcoma is high-grade malignant, but is sensitive to chemotherapy. This is the reason why the treatment includes high-dose chemotherapy before and after the surgery. Your oncologist can explain the exact schedule and concomitant side-effects to you. If possible, the tumor needs to be removed by the surgeon.<\/p>\n<p>Sometimes the site where the tumor has been before removal needs additional irradiation in order to achieve local control. If your bone marrow is affected, you may need a bone marrow transplant.<\/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>The more aggressive the chondrosarcoma is, the more aggressive the treatment needs to be.<\/p>\n<p>A low-grade chondrosarcoma can be removed by scraping it out of the bone (curettage), or by removing it completely, and reconstruct the bone either recycling the affected bone, or using a bone graft or a prosthesis. If your surgeon fears incomplete removal in case of curettage, a complete removal of the bone will be proposed. This decision will be discussed with you.<\/p>\n<p class=\"translation-block\">Grade 2 and 3 chondrosarcoma has a higher propensity to metastasise, and it is important to remove these tumors completely. This is only possible by removing the entire affected bone and <a href=\"#chirurgie\" target=\"_self\"> reconstructing <\/a> the gap.<\/p>\n<p>A chondrosarcoma is not sensitive to irradiation or systemic therapy.<\/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>Chordoma is lokaal agressief maar groeit langzaam en is niet gevoelig voor chemotherapie. De behandeling bestaat uit chirurgische verwijdering van het gezwel met een marge gezond weefsel, indien mogelijk in \u00e9\u00e9n blok (en bloc resectie). Vaak volgt hoge-dosis radiotherapie, zoals protonentherapie, om lokale controle te verbeteren. De oncoloog informeert over schema\u2019s en nevenwerkingen.<\/p>\n<p>Bij recidief of niet-volledige verwijdering kan herhaalde chirurgie of bestraling nodig zijn.<\/p>\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\" class=\"TextRun SCXW219863705 BCX0\" xml:lang=\"NL-BE\" lang=\"NL-BE\"><span class=\"NormalTextRun SCXW219863705 BCX0\">The sensitivity to irradiation and\/or systemic therapy of soft tissue sarcomas is variable and depends on the tumor type. When the biopsy has revealed the tumor type, the multidisciplinary team will be able to compose a fitting treatment for you. If possible, the sarcoma will be removed surgically.<\/span><\/span><span data-contrast=\"none\" class=\"TextRun SCXW219863705 BCX0\" xml:lang=\"NL-BE\" lang=\"NL-BE\"><span class=\"NormalTextRun SCXW219863705 BCX0\">lk type je te maken hebt, kan het multidisciplinaire team een behandeling op maat voor jou opstellen.<span>\u00a0<\/span><\/span><\/span><span data-contrast=\"none\" class=\"TextRun SCXW219863705 BCX0\" xml:lang=\"NL-BE\" lang=\"NL-BE\"><span class=\"NormalTextRun SCXW219863705 BCX0\">Indien mogelijk wordt het sarcoma chirurgisch verwijderd.<\/span><\/span><span class=\"EOP SCXW219863705 BCX0\" 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_7 et_pb_row_inner et_block_row\" id=\"scans\"><div class=\"et_pb_column_inner_8 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_8 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 about follow-up?<\/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><\/div><div class=\"et_pb_row_inner_8 et_pb_row_inner et_block_row\" id=\"wanneergenezen\"><div class=\"et_pb_column_inner_9 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_4 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\">When are you considered cured?<\/h4><\/div><\/div><\/div><div class=\"et_pb_text_9 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p class=\"translation-block\">After treatment you will be followed-up between <strong> 5 <\/strong> to <strong> 10 <\/strong> years, depending on the sarcoma type you have had. This follow-up encompasses medical imaging of the tumor site and the distant organs your sarcoma type usually metastasises to. Your physician will evaluate whether the tumor has returned and whether distant metastases are present. You have to keep in mind that even the most modern apparatus cannot show lesions smaller than 5 mm. This means that, even if all imaging fails to show tumor lesions, your doctor cannot guarantee that no more sarcoma cells are present in your body. The longer the time interval after treatment, the higher your chances of a complete cure. If no local or metastatic tumor lesions are found after 10 years, you will be considered cured.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_inner_9 et_pb_row_inner et_block_row\" id=\"uitzaaiingen\"><div class=\"et_pb_column_inner_10 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_5 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\">What if there are metastases?<\/h4><\/div><\/div><\/div><div class=\"et_pb_text_10 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p class=\"translation-block\">The <strong> treatment options <\/strong> depend on the number of metastatic lesions and the sarcoma type. The options will be discussed during a multidisciplinary meeting, and afterwards your physician will discuss these options with you.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_inner_10 et_pb_row_inner et_block_row\" id=\"sarcoomteruggekeerd\"><div class=\"et_pb_column_inner_11 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_6 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\">What if the sarcoma has returned?<\/h4><\/div><\/div><\/div><div class=\"et_pb_text_11 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p>The risk of local recurrence after removal is bigger if the malignancy grade of the tumor is higher, or if complete removal by the surgeon was not feasible. Your treating physician will discuss the treatment options with you, after a multidisciplinary meeting.<\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_inner_11 et_pb_row_inner et_block_row\" id=\"revalidatie\"><div class=\"et_pb_column_inner_12 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>How about rehabilitation?<\/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_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\">After a surgery, you will need <strong> \n rehabilitation therapy<\/strong>. The more severe the surgery, the longer the rehabilitation period. Your body has to adapt to the sequels following the removal of bone, muscles, nerves or blood vessels. Sometimes you need to learn how to walk again. The goal is to resume your daily activities as good as possible. Your surgeon will tell you to what extent you will be able to resume sports activities. It is important to follow the surgeon\u2019s advice to avoid complications. A physiotherapist will coach and support you during this period.<\/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-666","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>Behandeling - 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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