Treatment of Ewing Sarcoma
Treatment for Ewing sarcoma often involves a combination of:
surgery to remove the cancer
chemotherapy – where medicine is used to kill cancer cells
radiotherapy – where radiation is used to kill cancer cells
Most people have chemotherapy to shrink the cancer, followed by surgery to remove as much of it as possible and then further chemotherapy to kill any leftover cancer cells.
Radiotherapy is often used before and after surgery, or it may be used instead of surgery if the cancer can't be removed safely.
Your care team will recommend a treatment plan they think is best. Talk to them about why they have suggested it and ask about the benefits and possible risks involved.
As Ewing sarcoma is rare and requires complicated treatment, you should be treated by a team specialising in the condition. If it affects your bones, surgery should be carried out at a specialist bone cancer centre.
Surgery
There are three main types of surgery for Ewing sarcoma:
removing the affected bone or tissue – this is called a resection
removing the bit of bone containing cancer and replacing it with a piece of metal or a piece of bone taken from another part of the body – this is called a limb-sparing surgery
removing all or part of an arm or leg – this is called an amputation
The best option depends on where the cancer is in the body and how big it is.
Ask your care team which type of surgery they recommend and what care might be needed afterwards – for example, if you'll need a prosthetic limb and support to help you regain the use of the affected limb.