MDT for Bone and Soft Tissue Sarcoma

Sarcoma (Bone & Soft Tissue)

Introduction

As a patient-centered healthcare 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 a multidisciplinary team approach. Multiple specialists from different areas of expertise come together to discuss and consider multiple aspects of the disease 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 care for sarcoma patients

Oncologist

Deliver chemotherapy
Deliver radiotherapy
Follow-up care on sarcoma patients
Targeted therapy

Paediatric Oncologist

Chemotherapy for paediatric sarcomas

Musculoskeletal Radiologist/ Interventional Radiologist

CT scan
MRI
Image-guided biopsy
Pre-operative embolisation of the tumour
Pre-operative IVC filter placement

Nuclear Medicine Physician

PET Scan

Histopathologist

Histopathology of sarcoma and IHC (immunohistochemistry)

Plastic and Reconstructive Surgeon

Reconstruction and repair of tissue following sarcoma removal

Thoracic Surgeon/ General Surgeon

Assessment and resection of lung metastasis

Palliative Team

Physiotherapist

To assist in ambulation and achieve maximum functional outcome after surgery

Psychiatrist

To treat coping issues and depression among sarcoma patients

Anaesthesiologist

To provide anaesthesia during surgery and post-operative pain control.

Bone Metastasis

Introduction

We also provide bone metastasis treatment using a 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 Surgery, Oncology, Spine Surgery, Radiology, Nuclear Medicine, Histopathology, Palliative Care Team, Physiotherapy, Psychiatry, and Anaesthesiology.

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