Karthikeya Logo
KARTHIKEYA Speciality Clinics
Book Consultation Call: +91 79957 56828
General Surgery & Surgical Oncology

Bone Cancers & Soft Tissue Sarcomas

Multidisciplinary evaluation, core needle biopsy, limb-salvage surgery (LSS), mega-prosthetic reconstruction, and wide radical excision of soft tissue sarcomas.

Clinical Focus: Bone cancers (Osteosarcoma, Ewing Sarcoma, Chondrosarcoma) and Soft Tissue Sarcomas (Liposarcoma, Leiomyosarcoma, Synovial Sarcoma) are rare, aggressive malignancies that require highly specialized surgical oncology care. Dr. Malyadri Paladugu specializes in limb-salvage surgeries, compartmental resections, and comprehensive multi-modality tumor staging in Hyderabad.

Sarcoma & Musculoskeletal Conditions Treated

  • Primary Bone Malignancies: Osteosarcoma, Ewing’s Sarcoma family of tumors, Chondrosarcoma, and Giant Cell Tumors (GCT).
  • Soft Tissue Sarcomas of Extremities: Deep intramuscular sarcomas of the thigh, arm, shoulder, and calf.
  • Retroperitoneal & Pelvic Sarcomas: Large retroperitoneal liposarcomas, leiomyosarcomas, and malignant peripheral nerve sheath tumors (MPNST).
  • Limb-Salvage Surgery (LSS): Resection of malignant bone segments followed by modular mega-prosthetic endoprosthesis reconstruction (avoiding amputation in over 90% of cases).
  • Compartmental Wide Radical Resection: En-bloc muscle compartment removal with clear microscopic margins and functional tendon transfer.

Diagnostic Precision & Biopsy Rules

Image-Guided Core Needle Biopsy

Strict longitudinal tract biopsy planned meticulously by the operating surgical oncologist to prevent tumor seeding.

Contrast MRI Extremity

Dedicated multi-planar MRI with contrast to evaluate neurovascular bundle involvement, marrow edema, and joint skip lesions.

Whole-Body PET-CT / Bone Scan

Systemic staging to rule out lung metastases and distant osseous deposits before finalizing surgical strategy.

Surgical Philosophy: Limb Preservation with Oncological Safety

  1. Neoadjuvant Chemotherapy Coordination: Sizing down aggressive tumors before surgical resection to facilitate limb salvage.
  2. Three-Dimensional Margin Clearance: Complete en-bloc excision avoiding intra-capsular violation of the tumor capsule.
  3. Modular Custom Mega-Prosthesis: Restoring limb length, joint stability (knee, hip, shoulder), and early weight-bearing capability.
  4. Reconstructive Plastic Surgery Integration: Myocutaneous free/rotational flaps for tension-free soft tissue coverage.

Why Choose Karthikeya Speciality Clinics

  • Surgical Oncology Specialization: Dr. Malyadri Paladugu has dedicated tertiary surgical experience in musculoskeletal and retroperitoneal sarcoma resections.
  • Limb-Salvage Focus: Over 90% of extremity sarcoma cases are successfully managed with limb-preserving surgery rather than amputation.
  • Advanced Yashoda Hospital Setup: Access to modular prosthetic implants, sterile laminar airflow orthopedic cancer theaters, and ICU backup.
  • Comprehensive Rehabilitation: Coordinated post-operative physical therapy to restore functional mobility and independence.

Frequently Asked Questions

Yes. Today, with early detection, modern neoadjuvant chemotherapy, high-resolution MRI, and advanced mega-prosthetic reconstructions, over 90% of extremity bone and soft tissue sarcomas are successfully treated with Limb-Salvage Surgery, completely avoiding amputation.
An incorrectly placed biopsy can contaminate healthy tissue compartments and compromise future limb-salvage options. Biopsies should always be performed as an image-guided core needle biopsy planned along the exact trajectory of the future surgical incision.
Patients are generally assisted to stand and start partial weight-bearing with a walker within 48 to 72 hours following surgery. Full functional recovery with progressive physiotherapy typically occurs within 6 to 12 weeks.