1. SARCOMA (BONE AND SOFT TISSUE)

Introduction

As a patient-centered health care provider, we provide a comprehensive treatment solution for sarcoma diagnosis, treatment and follow ups. As the referral centre for all private facilities in the Northern region, we provide sarcoma medical care using multidisciplinary team approach. Multiple specialists from different expertise come together to discuss where multiple aspects of the disease were considered to yield a comprehensive treatment plan for the patient.

Multidisciplinary team involved in Sarcoma Care:

Orthopaedic oncology surgeon

  • Biopsy of suspected sarcoma
  • Resection of sarcoma
  • Reconstruction of bone and soft tissue following sarcoma surgery/ limb salvage surgery
  • Follow up on sarcoma patients

Oncologist

  • Delivering chemotherapy
  • Delivering radiotherapy
  • Follow up on sarcoma patients
  • Targeted therapy

Paediatric oncologist

  • Chemotherapy for paediatric sarcomas

Musculoskeletal radiologist/ Interventional radiologist

  • CT scan
  • MRI
  • Image guided biopsy
  • Pre-operative embolization of tumour
  • Pre-operative IVC filter placement

Nuclear Medicine Specialist

  • PET Scan

Histopathologist

  • Histopathology of sarcoma and IHC (immunohistochemistry)

Plastic and reconstructive surgeon

  • Plastic and reconstructive surgeon

Thoracic surgeon/ general surgeon

  • Assessment and resection of lung metastasis

Palliative team

Physiotherapy

  • To assist in ambulation and achieve maximum functional outcome after surgery

Psychiatry

  • To treat coping issues and depression among sarcoma patients

Anaesthesiologist

  • To provided anaesthesia during surgery and post-operative pain control.

2. BONE METASTASIS

Introduction

We also provided bone metastasis treatment by having Multidisciplinary Team Approach, making us the only private facility to provide holistic care for bone metastasis in Northern Malaysia. To achieve a multidisciplinary approach, a cancer board focusing on the management of bone metastases was organised involving a team of specialists from Orthopaedic Oncology Surgeon, Oncology, Spine Surgeon, Radiologist, Nuclear Medicine, Histopathologist, Palliative Team, Physiotherapist, Psychiatrist and Anaesthesiologist.

Multidisciplinary team involved in Bone Metastasis Care:

Orthopaedic oncology surgeon

  • Managing bone metastasis in limbs, shoulder and pelvic girdle
  • Fixation of impending fractures
  • Investigation of pathological fractures

Spine surgeon

  • Managing spine metastasis
  • Stabilisation and decompression of spine lesion

Oncologist

  • Medical treatment of primary cancer (eg. Breast, prostate, lungs, renal and thyroid)
  • Radiation therapy to metastatic lesion
  • Targeted therapy for cancer

Musculoskeletal radiologist/ Interventional radiologist

  • CT scan
  • MRI
  • Image guided biopsy
  • Pre-operative embolization of tumour
  • Pre-operative IVC filter placement

Nuclear Medicine Specialist

  • PET Scan

Histopathologist

  • Histopathology of sarcoma and IHC (immunohistochemistry)

Palliative team

Physiotherapy

  • To assist in ambulation and achieve maximum functional outcome after surgery

Psychiatry

  • To treat coping issues and depression among sarcoma patients

Anaesthesiologist

  • To provided anaesthesia during surgery and post-operative pain control.

3. BENIGN BONE AND SOFT TISSUE TUMOURS

Introduction

The team also provide treatment to benign bone and soft tissue lesion, from consultancy, investigation and medical treatment based on Multidisciplinary Team Approach.