Orthopedic Oncology

Expertise in bone and soft tissue tumors

Orthopedic oncology is a specialist field that deals with the diagnosis and surgical treatment of bone and soft tissue tumors and requires advanced experience. In 2012–2013, Prof. Dr. Hasan Göçer completed a fellowship in orthopedic tumor surgery with Prof. Dr. Harzem Özger and has worked in this field throughout his career. Because these tumors are rare, having diagnosis and treatment planned by an experienced team directly affects the outcome.

Diagnosis: the right biopsy comes first

Most masses found in bone or soft tissue are benign. Even so, a biopsy is the only reliable way to confirm the nature of a mass. Because the site and method of the biopsy affect any future surgery, it should be planned by the surgeon who will treat the tumor. Imaging and biopsy results are reviewed together with radiology, pathology and oncology specialists in a multidisciplinary setting.

Benign and malignant bone tumors

Some benign bone tumors only need monitoring, while others are treated with curettage and bone grafting. In malignant bone tumors (sarcomas) and soft tissue sarcomas, removing the tumor with safe margins is essential. Treatment is often planned together with chemotherapy and radiotherapy.

Limb-sparing surgery and tumor prostheses

Today, most patients with a bone tumor can be treated without amputating the arm or leg. In limb-sparing surgery, the bone defect left after tumor removal is reconstructed with a tumor prosthesis (megaprosthesis) or bone grafts. In growing children, expandable prostheses can be used to prevent a difference in leg length.

Bone metastases and pathological fractures

Cancer spreading to the bone from another organ is the most common cause of malignant bone tumors in adults. In bone metastasis and the pathological fractures it can cause, the aim is to control pain, prevent or stabilize the fracture and preserve the patient's mobility. In spinal tumors, pain control and protection of the nervous system are likewise the priority.

The treatment process

At the first consultation, existing X-rays, MRI and CT scans and any biopsy results are reviewed, and missing tests are planned. The treatment decision is made together with the patient, taking into account their general health and the features of the tumor. You can find detailed information on each topic in the headings on this page and book an appointment for a second opinion or an evaluation.