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There are diseases where even a short delay in diagnosis or treatment can cost patient’s life. Such diseases include a bone and an adult soft tissue sarcoma. Sarcoma can develop from bone or muscle. An adult soft tissue sarcoma can develop from soft tissues like muscle, nerves, fat, blood vessels, fibrous tissues or deep skin tissues. The can be found in arms, legs, head and neck area and can spread to the internal organs like liver or lungs. Sarcomas are called carcinomas require

Not all soft tissue tumours are malignant, some of them are intermediate or non-cancer. There are about 50 different types of soft tissue sarcomas. Here are some of them listed:

  • Adult fibro sarcoma
  • Angiosarcoma (includes hemangiosarcoma and lymphangiosarcoma)
  • Desmoplastic small round cell tumour
  • Gastrointestinal stromal tumour (GIST): this is a type of sarcoma that develops in the digestive tract.
  • Liposarcoma
  • Malignant mesenchymoma
  • Malignant peripheral nerve sheath tumours
  • Rhabdomyosarcoma (the most common type of soft tissue sarcoma seen in children)

Intermediate soft-tissue tumours are:

  • Dermatofibrosarcoma protuberans
  • Fibromatosis
  • Hemangioendothelioma
  • Infantile fibro sarcoma

The main symptoms of sarcoma:

Diagnosis of this disease is quite complex, because the lump can appear everywhere in the body and is in most cases painless. About 60% of patients suffer from the lump in legs or arms. Around 30% of sarcomas grow internally and only 10% are located in the neck and head.  It is often mistaken as swelling after injury (sportive). As the lump grows it may press against muscles or nerves and make you feel uncomfortable or cause breathing problems.

The treatment in Germany begins with a full examination, because sarcomas are not easy to find before they cause symptoms that you notice.

Osteosarcoma you can notice, if you have following symptoms:

  • Pain in the affected bone, which gets worse at night
  • Swelling, which often starts weeks after the pain
  • A limp, if the sarcoma is in your leg or arm

Diagnosing sarcoma

Early diagnosis is very important for the outcome. Following services are included:

  • Examination of the patient by doctors who specialized in different areas of medicine.
  • Laboratory tests like biopsy.
  • Computed tomography (CT) scan to diagnose osteosarcoma.
  • For the analysis of soft tissue sarcomas German specialists use MRI or ultrasound
  • Additionally angiography and scintigraphy

Sarcoma Treatments

If you decide for medical treatment in Germany you will make a choice for individual treatment with advanced equipment and innovative techniques. How your sarcoma will be treated depends also on its localization and staging. In any case doctors will try to save as much tissue as possible from the affected organ or part of the body. This is the reason why so many people are coming from all over the world to Germany to treat the sarcoma.

If the sarcoma is diagnosed at early stage and has not spread to other parts of the body, it can be removed easily. The patient is accepted to be cured by surgery alone. Up to 80 % of all patients can be treated successfully by surgery in Germany if the sarcoma is not aggressive and has not spread to other parts of the body.

Possible methods to treat sarcomas are:

  • Surgery, when sarcoma will be removed out of your body
  • Radiation therapy can kill cancer cells left after surgery or shrink the tumour
  • Chemotherapy is used when the cancer has spread
  • Newer therapies can be targeted more precisely and block growth of cancer cells

Neurosurgery — treatment in Germany

  • German clinics dispose of the most innovative and high- developed medical equipment aim to realize all types of surgeries in the area of adult and paediatric neurosurgery;
  • German neurosurgeons are successful even at most difficult cases;
  • in some cases a spinal disc herniation can be treated by non-invasive methods;
  • already 10 days after surgery you will be back to your normal life;
  • neurosurgical operations in Germany are performed not only on a spinal cord, but also on the brain;
  • Neurosurgical clinics cooperate with oncological centres that provides more effective treatment of brain malignancies.
  • Paediatric neurosurgery meets highest standards in Germany

Neurosurgery in Germany

Following neurosurgical treatments are offered in Germany:

  • Removal of brain tumour
  • Removal of brain aneurysm
  • Removal of brain cyst
  • Removal of brain and vessel anomalies (both adult and paediatric)
  • Embolization of vascular malformations
  • Removal of spinal disc herniation

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