Bone Sarcoma pp 235-260 | Cite as

Follow-Up Evaluation and Surveillance After Treatment of Bone Sarcomas

  • Colleen M. Costelloe
  • Patrick P. Lin
Part of the MD Anderson Cancer Care Series book series (MDCCS)

Chapter Overview

Successful follow-up of patients treated for bone sarcoma requires a ­proactive regimen of regularly scheduled clinic visits, during which the patient receives evaluations appropriate to treatment issues that change predictably with increasing time from the surgery. Early issues include wound healing and ­resumption of basic mobility, leading into a period of heightened surveillance for tumor recurrence, followed by long-term issues centering on the integrity of hardware and reconstructions. Abnormalities that present in each of these phases produce characteristic findings on the medical history, physical examination, and imaging studies. Imaging is an essential part of the follow-up regimen. Radiographs can reveal complications such as tumor recurrence, hardware loosening, infection, or allograft resorption. Other studies, such as computed tomography or magnetic resonance imaging, are commonly indicated when an abnormality is suspected and can be optimized for patients with metallic hardware. Outcome measures, such as performance tests, are useful for assessing many factors that affect the lives of bone sarcoma patients; these factors include mobility, function, pain, and emotional acceptance. Scheduled clinic visits and well-balanced patient assessment can optimize patient outcome.


National Comprehensive Cancer Network Aseptic Loosening Ewing Sarcoma Bone Sarcoma Metallic Artifact 
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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Section of Musculoskeletal Imaging, Department of Diagnostic Radiology, Unit 1475, Division of Diagnostic ImagingThe University of Texas MD Anderson Cancer CenterHoustonUSA
  2. 2.Department of Orthopaedic Oncology, Unit 1448, Division of SurgeryThe University of Texas MD Anderson Cancer CenterHoustonUSA

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