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quote_font_size__hover=&#8221;14px&#8221; quote_font_size__hover_enabled=&#8221;14px&#8221; quote_letter_spacing__hover=&#8221;0px&#8221; quote_letter_spacing__hover_enabled=&#8221;0px&#8221; quote_line_height__hover=&#8221;1em&#8221; quote_line_height__hover_enabled=&#8221;1em&#8221; quote_text_shadow_style__hover=&#8221;none&#8221; quote_text_shadow_style__hover_enabled=&#8221;none&#8221; quote_text_shadow_color__hover=&#8221;rgba(0,0,0,0.4)&#8221; quote_text_shadow_color__hover_enabled=&#8221;rgba(0,0,0,0.4)&#8221; text_orientation__hover=&#8221;left&#8221; text_orientation__hover_enabled=&#8221;left&#8221; background_layout__hover=&#8221;light&#8221; background_layout__hover_enabled=&#8221;light&#8221;]<\/p>\n<h2>How about treatment?<\/h2>\n<p>[\/et_pb_text][et_pb_divider color=&#8221;#f5be0b&#8221; divider_weight=&#8221;3px&#8221; _builder_version=&#8221;4.16&#8243; max_width=&#8221;50px&#8221; custom_margin=&#8221;||0px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][et_pb_text _builder_version=&#8221;4.21.2&#8243; text_font=&#8221;Open Sans||||||||&#8221; text_text_color=&#8221;#000000&#8243; text_font_size=&#8221;15px&#8221; text_line_height=&#8221;2em&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;|700|||||||&#8221; header_2_font_size=&#8221;32px&#8221; header_2_line_height=&#8221;1.6em&#8221; custom_margin=&#8221;10px||&#8221; animation_direction=&#8221;top&#8221; hover_enabled=&#8221;0&#8243; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221; text_font_size__hover=&#8221;14px&#8221; text_font_size__hover_enabled=&#8221;14px&#8221; text_line_height__hover=&#8221;1.7em&#8221; text_line_height__hover_enabled=&#8221;1.7em&#8221; text_letter_spacing__hover=&#8221;0px&#8221; text_letter_spacing__hover_enabled=&#8221;0px&#8221; text_text_shadow_style__hover=&#8221;none&#8221; text_text_shadow_style__hover_enabled=&#8221;none&#8221; text_text_shadow_color__hover=&#8221;rgba(0,0,0,0.4)&#8221; text_text_shadow_color__hover_enabled=&#8221;rgba(0,0,0,0.4)&#8221; link_font_size__hover=&#8221;14px&#8221; link_font_size__hover_enabled=&#8221;14px&#8221; link_letter_spacing__hover=&#8221;0px&#8221; link_letter_spacing__hover_enabled=&#8221;0px&#8221; link_line_height__hover=&#8221;1em&#8221; link_line_height__hover_enabled=&#8221;1em&#8221; link_text_shadow_style__hover=&#8221;none&#8221; link_text_shadow_style__hover_enabled=&#8221;none&#8221; link_text_shadow_color__hover=&#8221;rgba(0,0,0,0.4)&#8221; link_text_shadow_color__hover_enabled=&#8221;rgba(0,0,0,0.4)&#8221; ul_font_size__hover=&#8221;14px&#8221; ul_font_size__hover_enabled=&#8221;14px&#8221; ul_letter_spacing__hover=&#8221;0px&#8221; ul_letter_spacing__hover_enabled=&#8221;0px&#8221; ul_line_height__hover=&#8221;1em&#8221; ul_line_height__hover_enabled=&#8221;1em&#8221; ul_text_shadow_style__hover=&#8221;none&#8221; ul_text_shadow_style__hover_enabled=&#8221;none&#8221; ul_text_shadow_color__hover=&#8221;rgba(0,0,0,0.4)&#8221; ul_text_shadow_color__hover_enabled=&#8221;rgba(0,0,0,0.4)&#8221; ol_font_size__hover=&#8221;14px&#8221; ol_font_size__hover_enabled=&#8221;14px&#8221; ol_letter_spacing__hover=&#8221;0px&#8221; ol_letter_spacing__hover_enabled=&#8221;0px&#8221; ol_line_height__hover=&#8221;1em&#8221; ol_line_height__hover_enabled=&#8221;1em&#8221; ol_text_shadow_style__hover=&#8221;none&#8221; ol_text_shadow_style__hover_enabled=&#8221;none&#8221; ol_text_shadow_color__hover=&#8221;rgba(0,0,0,0.4)&#8221; ol_text_shadow_color__hover_enabled=&#8221;rgba(0,0,0,0.4)&#8221; quote_font_size__hover=&#8221;14px&#8221; quote_font_size__hover_enabled=&#8221;14px&#8221; quote_letter_spacing__hover=&#8221;0px&#8221; quote_letter_spacing__hover_enabled=&#8221;0px&#8221; quote_line_height__hover=&#8221;1em&#8221; quote_line_height__hover_enabled=&#8221;1em&#8221; quote_text_shadow_style__hover=&#8221;none&#8221; quote_text_shadow_style__hover_enabled=&#8221;none&#8221; quote_text_shadow_color__hover=&#8221;rgba(0,0,0,0.4)&#8221; quote_text_shadow_color__hover_enabled=&#8221;rgba(0,0,0,0.4)&#8221; text_orientation__hover=&#8221;left&#8221; text_orientation__hover_enabled=&#8221;left&#8221; background_layout__hover=&#8221;light&#8221; background_layout__hover_enabled=&#8221;light&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<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<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner column_structure=&#8221;1_2,1_2&#8243; module_id=&#8221;chemo&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;100%&#8221; width_tablet=&#8221;80%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;1080px&#8221; custom_margin_tablet=&#8221;|10%||10%||true&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; module_alignment_tablet=&#8221;center&#8221; module_alignment_phone=&#8221;&#8221; module_alignment_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column_inner type=&#8221;1_2&#8243; saved_specialty_column_type=&#8221;3_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_blurb title=&#8221;Chemotherapie (systemische therapie)&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#x37;||divi||400&#8243; icon_color=&#8221;#e09900&#8243; image_icon_width=&#8221;52px&#8221; _builder_version=&#8221;4.16&#8243; text_orientation=&#8221;center&#8221; icon_font_size=&#8221;52px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][et_pb_toggle title=&#8221;Lees meer&#8221; open_toggle_text_color=&#8221;#000000&#8243; open_toggle_background_color=&#8221;rgba(0,0,0,0)&#8221; closed_toggle_background_color=&#8221;rgba(0,0,0,0)&#8221; icon_color=&#8221;rgba(0,0,0,0)&#8221; open_icon_color=&#8221;rgba(0,0,0,0)&#8221; _builder_version=&#8221;4.16&#8243; title_text_color=&#8221;#000000&#8243; title_font=&#8221;||||||||&#8221; title_text_align=&#8221;center&#8221; body_font=&#8221;||||||||&#8221; body_line_height=&#8221;1.8em&#8221; text_orientation=&#8221;left&#8221; custom_margin=&#8221;-35px|0px||&#8221; filter_opacity_last_edited=&#8221;off|desktop&#8221; custom_css_toggle_title=&#8221;margin-right: -50px;&#8221; border_width_all=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221; filter_opacity__hover_enabled=&#8221;off|desktop&#8221; filter_opacity__hover=&#8221;100%&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover_enabled=&#8221;on|hover&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;-2px|-2px&#8221;]<\/p>\n<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<p>[\/et_pb_toggle][\/et_pb_column_inner][et_pb_column_inner type=&#8221;1_2&#8243; saved_specialty_column_type=&#8221;3_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_blurb title=&#8221;Radiotherapie (bestraling)&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#x37;||divi||400&#8243; icon_color=&#8221;#e09900&#8243; image_icon_width=&#8221;52px&#8221; _builder_version=&#8221;4.16&#8243; text_orientation=&#8221;center&#8221; icon_font_size=&#8221;52px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][et_pb_toggle title=&#8221;Lees meer&#8221; open_toggle_text_color=&#8221;#000000&#8243; open_toggle_background_color=&#8221;rgba(0,0,0,0)&#8221; closed_toggle_background_color=&#8221;rgba(0,0,0,0)&#8221; icon_color=&#8221;rgba(0,0,0,0)&#8221; open_icon_color=&#8221;rgba(0,0,0,0)&#8221; disabled_on=&#8221;off|off|off&#8221; _builder_version=&#8221;4.16&#8243; title_text_color=&#8221;#000000&#8243; title_font=&#8221;||||||||&#8221; title_text_align=&#8221;center&#8221; body_font=&#8221;||||||||&#8221; body_line_height=&#8221;1.8em&#8221; text_orientation=&#8221;left&#8221; custom_margin=&#8221;-35px|0px||&#8221; filter_opacity_last_edited=&#8221;off|desktop&#8221; custom_css_main_element=&#8221;||&#8221; custom_css_toggle_title=&#8221;margin-right: -50px;&#8221; border_width_all=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221; filter_opacity__hover=&#8221;100%&#8221; filter_opacity__hover_enabled=&#8221;off|desktop&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|hover&#8221; transform_translate__hover_enabled=&#8221;on|desktop&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;-2px|-2px&#8221;]<\/p>\n<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<p>[\/et_pb_toggle][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner custom_padding_last_edited=&#8221;on|phone&#8221; module_id=&#8221;chirurgie&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;100%&#8221; max_width=&#8221;1080px&#8221; custom_margin=&#8221;||15px&#8221; custom_padding=&#8221;27px|8%|0|8%|false|true&#8221; custom_padding_tablet=&#8221;|10%||10%||true&#8221; custom_padding_phone=&#8221;&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column_inner saved_specialty_column_type=&#8221;3_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_blurb title=&#8221;Chirurgische behandeling&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#x37;||divi||400&#8243; icon_color=&#8221;#e09900&#8243; image_icon_width=&#8221;52px&#8221; module_id=&#8221;chirurgie&#8221; _builder_version=&#8221;4.16&#8243; text_orientation=&#8221;center&#8221; icon_font_size=&#8221;52px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;Open Sans||||||||&#8221; text_font_size=&#8221;15px&#8221; text_line_height=&#8221;2em&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;|700|||||||&#8221; header_2_font_size=&#8221;32px&#8221; header_2_line_height=&#8221;1.6em&#8221; custom_margin=&#8221;10px||&#8221; animation_direction=&#8221;top&#8221; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221; text_font_size__hover=&#8221;14px&#8221; text_font_size__hover_enabled=&#8221;14px&#8221; text_line_height__hover=&#8221;1.7em&#8221; text_line_height__hover_enabled=&#8221;1.7em&#8221; text_letter_spacing__hover=&#8221;0px&#8221; text_letter_spacing__hover_enabled=&#8221;0px&#8221; text_text_shadow_style__hover=&#8221;none&#8221; text_text_shadow_style__hover_enabled=&#8221;none&#8221; text_text_shadow_color__hover=&#8221;rgba(0,0,0,0.4)&#8221; text_text_shadow_color__hover_enabled=&#8221;rgba(0,0,0,0.4)&#8221; link_font_size__hover=&#8221;14px&#8221; link_font_size__hover_enabled=&#8221;14px&#8221; link_letter_spacing__hover=&#8221;0px&#8221; link_letter_spacing__hover_enabled=&#8221;0px&#8221; link_line_height__hover=&#8221;1em&#8221; link_line_height__hover_enabled=&#8221;1em&#8221; link_text_shadow_style__hover=&#8221;none&#8221; link_text_shadow_style__hover_enabled=&#8221;none&#8221; link_text_shadow_color__hover=&#8221;rgba(0,0,0,0.4)&#8221; link_text_shadow_color__hover_enabled=&#8221;rgba(0,0,0,0.4)&#8221; ul_font_size__hover=&#8221;14px&#8221; ul_font_size__hover_enabled=&#8221;14px&#8221; ul_letter_spacing__hover=&#8221;0px&#8221; ul_letter_spacing__hover_enabled=&#8221;0px&#8221; ul_line_height__hover=&#8221;1em&#8221; ul_line_height__hover_enabled=&#8221;1em&#8221; ul_text_shadow_style__hover=&#8221;none&#8221; ul_text_shadow_style__hover_enabled=&#8221;none&#8221; ul_text_shadow_color__hover=&#8221;rgba(0,0,0,0.4)&#8221; ul_text_shadow_color__hover_enabled=&#8221;rgba(0,0,0,0.4)&#8221; ol_font_size__hover=&#8221;14px&#8221; ol_font_size__hover_enabled=&#8221;14px&#8221; ol_letter_spacing__hover=&#8221;0px&#8221; ol_letter_spacing__hover_enabled=&#8221;0px&#8221; ol_line_height__hover=&#8221;1em&#8221; ol_line_height__hover_enabled=&#8221;1em&#8221; ol_text_shadow_style__hover=&#8221;none&#8221; ol_text_shadow_style__hover_enabled=&#8221;none&#8221; ol_text_shadow_color__hover=&#8221;rgba(0,0,0,0.4)&#8221; ol_text_shadow_color__hover_enabled=&#8221;rgba(0,0,0,0.4)&#8221; quote_font_size__hover=&#8221;14px&#8221; quote_font_size__hover_enabled=&#8221;14px&#8221; quote_letter_spacing__hover=&#8221;0px&#8221; quote_letter_spacing__hover_enabled=&#8221;0px&#8221; quote_line_height__hover=&#8221;1em&#8221; quote_line_height__hover_enabled=&#8221;1em&#8221; quote_text_shadow_style__hover=&#8221;none&#8221; quote_text_shadow_style__hover_enabled=&#8221;none&#8221; quote_text_shadow_color__hover=&#8221;rgba(0,0,0,0.4)&#8221; quote_text_shadow_color__hover_enabled=&#8221;rgba(0,0,0,0.4)&#8221; text_orientation__hover=&#8221;left&#8221; text_orientation__hover_enabled=&#8221;left&#8221; background_layout__hover=&#8221;light&#8221; background_layout__hover_enabled=&#8221;light&#8221;]<\/p>\n<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<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner _builder_version=&#8221;4.16&#8243; width=&#8221;100%&#8221; width_tablet=&#8221;80%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;1080px&#8221; custom_margin_tablet=&#8221;|10%||10%||true&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; custom_padding=&#8221;|45px||45px|false|true&#8221; module_alignment_tablet=&#8221;center&#8221; module_alignment_phone=&#8221;&#8221; module_alignment_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column_inner saved_specialty_column_type=&#8221;3_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_toggle title=&#8221;Als een bot is aangetast &#8230;&#8221; open_toggle_text_color=&#8221;#000000&#8243; closed_toggle_text_color=&#8221;#000000&#8243; icon_color=&#8221;#ffffff&#8221; open_icon_color=&#8221;#ffffff&#8221; module_id=&#8221;toggle2&#8243; _builder_version=&#8221;4.16&#8243; title_text_color=&#8221;#000000&#8243; closed_title_font=&#8221;||||||||&#8221; body_font=&#8221;||||||||&#8221; body_text_color=&#8221;#000000&#8243; body_font_size=&#8221;15px&#8221; body_line_height=&#8221;2em&#8221; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_stops=&#8221;rgba(255,255,127,0.5) 0%|#efc332 100%&#8221; background_color_gradient_overlays_image=&#8221;on&#8221; background_color_gradient_start=&#8221;rgba(255,255,127,0.5)&#8221; background_color_gradient_end=&#8221;#efc332&#8243; background_image=&#8221;https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2019\/04\/Divider_Sarcoma3.png&#8221; filter_opacity=&#8221;80%&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; box_shadow_style=&#8221;preset6&#8243; box_shadow_blur=&#8221;8px&#8221; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|hover&#8221; transform_translate__hover_enabled=&#8221;on|desktop&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;-3px|-3px&#8221;]<\/p>\n<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<p>[\/et_pb_toggle][et_pb_toggle title=&#8221;Als een gewricht is aangetast &#8230;&#8221; open_toggle_text_color=&#8221;#000000&#8243; closed_toggle_text_color=&#8221;#000000&#8243; icon_color=&#8221;#ffffff&#8221; open_icon_color=&#8221;#ffffff&#8221; module_id=&#8221;toggle2&#8243; _builder_version=&#8221;4.16&#8243; title_text_color=&#8221;#000000&#8243; closed_title_font=&#8221;||||||||&#8221; body_font=&#8221;||||||||&#8221; body_text_color=&#8221;#000000&#8243; body_font_size=&#8221;15px&#8221; body_line_height=&#8221;2em&#8221; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_stops=&#8221;rgba(255,255,127,0.5) 0%|#efc332 100%&#8221; background_color_gradient_overlays_image=&#8221;on&#8221; background_color_gradient_start=&#8221;rgba(255,255,127,0.5)&#8221; background_color_gradient_end=&#8221;#efc332&#8243; background_image=&#8221;https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2019\/04\/Divider_Sarcoma3.png&#8221; transform_scale_last_edited=&#8221;off|desktop&#8221; transform_translate_last_edited=&#8221;off|desktop&#8221; transform_rotate_last_edited=&#8221;off|desktop&#8221; transform_skew_last_edited=&#8221;off|desktop&#8221; transform_origin_last_edited=&#8221;off|desktop&#8221; transform_styles_last_edited=&#8221;off|desktop&#8221; filter_opacity=&#8221;80%&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; box_shadow_style=&#8221;preset6&#8243; box_shadow_blur=&#8221;8px&#8221; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover_enabled=&#8221;on|hover&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;-3px|-3px&#8221;]<\/p>\n<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<p>[\/et_pb_toggle][et_pb_toggle title=&#8221;Als enkel wekedelen zijn aangetast &#8230;&#8221; open_toggle_text_color=&#8221;#000000&#8243; closed_toggle_text_color=&#8221;#000000&#8243; icon_color=&#8221;#ffffff&#8221; open_icon_color=&#8221;#ffffff&#8221; module_id=&#8221;toggle2&#8243; _builder_version=&#8221;4.16&#8243; title_text_color=&#8221;#000000&#8243; closed_title_font=&#8221;||||||||&#8221; body_font=&#8221;||||||||&#8221; body_text_color=&#8221;#000000&#8243; body_font_size=&#8221;15px&#8221; body_line_height=&#8221;2em&#8221; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_stops=&#8221;rgba(255,255,127,0.5) 0%|#efc332 100%&#8221; background_color_gradient_overlays_image=&#8221;on&#8221; background_color_gradient_start=&#8221;rgba(255,255,127,0.5)&#8221; background_color_gradient_end=&#8221;#efc332&#8243; background_image=&#8221;https:\/\/sarcoma-cumcura.be\/wp-content\/uploads\/2019\/04\/Divider_Sarcoma3.png&#8221; filter_opacity=&#8221;80%&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; box_shadow_style=&#8221;preset6&#8243; box_shadow_blur=&#8221;8px&#8221; global_colors_info=&#8221;{}&#8221; transform_styles__hover_enabled=&#8221;on|hover&#8221; transform_scale__hover_enabled=&#8221;on|hover&#8221; transform_translate__hover_enabled=&#8221;on|desktop&#8221; transform_rotate__hover_enabled=&#8221;on|desktop&#8221; transform_skew__hover_enabled=&#8221;on|desktop&#8221; transform_origin__hover_enabled=&#8221;on|desktop&#8221; transform_translate__hover=&#8221;-3px|-3px&#8221;]<\/p>\n<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<p>[\/et_pb_toggle][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner module_id=&#8221;chirurgie&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;100%&#8221; max_width=&#8221;1080px&#8221; custom_margin=&#8221;||0px&#8221; custom_padding=&#8221;15px|40px|0|70px|false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column_inner saved_specialty_column_type=&#8221;3_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_blurb use_icon=&#8221;on&#8221; font_icon=&#8221;&#x72;||divi||400&#8243; icon_color=&#8221;#f5be0b&#8221; icon_placement=&#8221;left&#8221; image_icon_width=&#8221;40px&#8221; content_max_width=&#8221;950px&#8221; _builder_version=&#8221;4.16&#8243; header_font=&#8221;||||||||&#8221; body_font=&#8221;||||||||&#8221; body_font_size=&#8221;15px&#8221; body_line_height=&#8221;2em&#8221; max_width=&#8221;90%&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;15px|0px|-20px|&#8221; custom_padding=&#8221;|0px||&#8221; icon_font_size=&#8221;40px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<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<p>[\/et_pb_blurb][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;15px&#8221; text_line_height=&#8221;2em&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;|700|||||||&#8221; header_2_font_size=&#8221;32px&#8221; header_2_line_height=&#8221;1.6em&#8221; custom_margin=&#8221;10px||&#8221; animation_direction=&#8221;top&#8221; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; 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background_layout__hover=&#8221;light&#8221; background_layout__hover_enabled=&#8221;light&#8221;]<\/p>\n<p class=\" translation-block\">Each sarcoma type needs a different kind of treatment. If you want to know more about each type, click <a href=\"https:\/\/sarcoma-cumcura.be\/algemeen\/#types\" target=\"_self\"> here <\/a>. If you want to know how the type is diagnosed, click <a href=\"https:\/\/sarcoma-cumcura.be\/diagnose\/#verloop\" target=\"_self\"> here <\/a>.<\/p>\n<p>[\/et_pb_text][et_pb_tabs _builder_version=&#8221;4.21.2&#8243; custom_margin=&#8221;60px||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;0px&#8221; box_shadow_style=&#8221;preset2&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_tab title=&#8221;Osteosarcoma&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<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<p>[\/et_pb_tab][et_pb_tab title=&#8221;Ewing sarcoma&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<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<p>[\/et_pb_tab][et_pb_tab title=&#8221;Chondrosarcoma&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<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<p>[\/et_pb_tab][et_pb_tab title=&#8221;Chordoma&#8221; _builder_version=&#8221;4.21.2&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<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<p>[\/et_pb_tab][et_pb_tab title=&#8221;Wekedelensarcomen&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<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<p>[\/et_pb_tab][\/et_pb_tabs][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner module_id=&#8221;scans&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;100%&#8221; width_tablet=&#8221;80%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;1080px&#8221; 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link_text_shadow_style__hover=&#8221;none&#8221; link_text_shadow_style__hover_enabled=&#8221;none&#8221; link_text_shadow_color__hover=&#8221;rgba(0,0,0,0.4)&#8221; link_text_shadow_color__hover_enabled=&#8221;rgba(0,0,0,0.4)&#8221; ul_font_size__hover=&#8221;14px&#8221; ul_font_size__hover_enabled=&#8221;14px&#8221; ul_letter_spacing__hover=&#8221;0px&#8221; ul_letter_spacing__hover_enabled=&#8221;0px&#8221; ul_line_height__hover=&#8221;1em&#8221; ul_line_height__hover_enabled=&#8221;1em&#8221; ul_text_shadow_style__hover=&#8221;none&#8221; ul_text_shadow_style__hover_enabled=&#8221;none&#8221; ul_text_shadow_color__hover=&#8221;rgba(0,0,0,0.4)&#8221; ul_text_shadow_color__hover_enabled=&#8221;rgba(0,0,0,0.4)&#8221; ol_font_size__hover=&#8221;14px&#8221; ol_font_size__hover_enabled=&#8221;14px&#8221; ol_letter_spacing__hover=&#8221;0px&#8221; ol_letter_spacing__hover_enabled=&#8221;0px&#8221; ol_line_height__hover=&#8221;1em&#8221; ol_line_height__hover_enabled=&#8221;1em&#8221; ol_text_shadow_style__hover=&#8221;none&#8221; ol_text_shadow_style__hover_enabled=&#8221;none&#8221; ol_text_shadow_color__hover=&#8221;rgba(0,0,0,0.4)&#8221; ol_text_shadow_color__hover_enabled=&#8221;rgba(0,0,0,0.4)&#8221; quote_font_size__hover=&#8221;14px&#8221; quote_font_size__hover_enabled=&#8221;14px&#8221; quote_letter_spacing__hover=&#8221;0px&#8221; quote_letter_spacing__hover_enabled=&#8221;0px&#8221; quote_line_height__hover=&#8221;1em&#8221; quote_line_height__hover_enabled=&#8221;1em&#8221; quote_text_shadow_style__hover=&#8221;none&#8221; quote_text_shadow_style__hover_enabled=&#8221;none&#8221; quote_text_shadow_color__hover=&#8221;rgba(0,0,0,0.4)&#8221; quote_text_shadow_color__hover_enabled=&#8221;rgba(0,0,0,0.4)&#8221; text_orientation__hover=&#8221;left&#8221; text_orientation__hover_enabled=&#8221;left&#8221; background_layout__hover=&#8221;light&#8221; background_layout__hover_enabled=&#8221;light&#8221;]<\/p>\n<h2>How about follow-up?<\/h2>\n<p>[\/et_pb_text][et_pb_divider color=&#8221;#f5be0b&#8221; divider_weight=&#8221;3px&#8221; _builder_version=&#8221;4.16&#8243; max_width=&#8221;50px&#8221; custom_margin=&#8221;||0px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner custom_padding_last_edited=&#8221;off|desktop&#8221; module_id=&#8221;wanneergenezen&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;100%&#8221; width_tablet=&#8221;80%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;1080px&#8221; custom_margin_tablet=&#8221;|10%||10%||true&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; custom_padding=&#8221;10px|0px|13px|0px|false|false&#8221; module_alignment_tablet=&#8221;center&#8221; module_alignment_phone=&#8221;&#8221; module_alignment_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column_inner saved_specialty_column_type=&#8221;3_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||40px&#8221; custom_padding_tablet=&#8221;|10%||10%||true&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_blurb title=&#8221;Wanneer ben je genezen?&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#xe046;||divi||400&#8243; icon_color=&#8221;#e09900&#8243; icon_placement=&#8221;left&#8221; content_max_width=&#8221;1100px&#8221; _builder_version=&#8221;4.16&#8243; header_font=&#8221;Montserrat|500|||||||&#8221; header_line_height=&#8221;1.8em&#8221; text_orientation=&#8221;center&#8221; module_alignment=&#8221;left&#8221; custom_margin=&#8221;||0px|&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;15px&#8221; text_line_height=&#8221;2em&#8221; header_font=&#8221;||||||||&#8221; custom_margin=&#8221;||30px|||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<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<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner custom_padding_last_edited=&#8221;off|desktop&#8221; module_id=&#8221;uitzaaiingen&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;100%&#8221; width_tablet=&#8221;80%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;1080px&#8221; custom_margin_tablet=&#8221;|10%||10%||true&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; custom_padding=&#8221;6px|0px|0px|0px|false|false&#8221; module_alignment_tablet=&#8221;&#8221; module_alignment_phone=&#8221;&#8221; module_alignment_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column_inner saved_specialty_column_type=&#8221;3_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||40px&#8221; custom_padding_tablet=&#8221;|10%||10%||true&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_blurb title=&#8221;Wat bij uitzaaiingen?&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#xe046;||divi||400&#8243; icon_color=&#8221;#e09900&#8243; icon_placement=&#8221;left&#8221; content_max_width=&#8221;1100px&#8221; _builder_version=&#8221;4.16&#8243; header_font=&#8221;Montserrat|500|||||||&#8221; header_line_height=&#8221;1.8em&#8221; text_orientation=&#8221;center&#8221; module_alignment=&#8221;left&#8221; custom_margin=&#8221;||0px|&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;15px&#8221; text_line_height=&#8221;2em&#8221; header_font=&#8221;||||||||&#8221; custom_padding=&#8221;||30px|||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<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<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner custom_padding_last_edited=&#8221;off|desktop&#8221; module_id=&#8221;sarcoomteruggekeerd&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;100%&#8221; width_tablet=&#8221;80%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;1080px&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;||40px||false|false&#8221; custom_margin_tablet=&#8221;|10%||10%||true&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; custom_padding=&#8221;10px|0px|13px|0px|false|false&#8221; module_alignment_tablet=&#8221;&#8221; module_alignment_phone=&#8221;&#8221; module_alignment_last_edited=&#8221;on|tablet&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column_inner saved_specialty_column_type=&#8221;3_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||40px&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;Wat als het sarcoom is teruggekeerd?&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#xe046;||divi||400&#8243; icon_color=&#8221;#e09900&#8243; icon_placement=&#8221;left&#8221; content_max_width=&#8221;1100px&#8221; _builder_version=&#8221;4.16&#8243; header_font=&#8221;Montserrat|500|||||||&#8221; header_line_height=&#8221;1.8em&#8221; text_orientation=&#8221;center&#8221; module_alignment=&#8221;left&#8221; custom_margin=&#8221;||0px|&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;15px&#8221; text_line_height=&#8221;2em&#8221; header_font=&#8221;||||||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<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<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner module_id=&#8221;revalidatie&#8221; _builder_version=&#8221;4.16&#8243; width_tablet=&#8221;80%&#8221; width_phone=&#8221;80%&#8221; width_last_edited=&#8221;on|desktop&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;||40px|10px|false|false&#8221; custom_margin_tablet=&#8221;|10%||10%|false|true&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; module_alignment_tablet=&#8221;center&#8221; module_alignment_phone=&#8221;center&#8221; module_alignment_last_edited=&#8221;off|tablet&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column_inner saved_specialty_column_type=&#8221;3_4&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text module_id=&#8221;#toggle1&#8243; _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; 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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<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][\/et_pb_section]<\/p>","protected":false},"excerpt":{"rendered":"<p>Behandeling en opvolgingHoe verloopt de behandeling?Sarcoma is een vorm van kanker (video) en moet daarom agressief behandeld worden.\u00a0 Afhankelijk van het soort sarcoma kan de behandeling bestaan uit \u00e9\u00e9n of meerdere mogelijkheden: chemotherapie, radiotherapie\u00a0en\/of chirurgische ingreep.Systemische therapie is een behandeling die inwerkt op het volledige lichaam, meestal aangeduid als chemotherapie. 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