At the Northwell Health Orthopaedic Institute, our dedicated team of orthopedic oncologists works alongside highly specialized diagnostic radiologists, radiation oncologists and pathologists to accurately diagnose and treat issues of the musculoskeletal system. Our musculoskeletal oncology physicians have advanced subspecialty training in bone and soft tissue tumors and other malignancies of the musculoskeletal system, as well as years of experience in this field. Our physicians are also committed to limb-sparing surgery, using amputation only as a last resort.
Our facilities have a wide range of technology—including X-rays, ultrasound, MRI, CT and nuclear medicine scans—allowing our physicians to accurately diagnose cancer, further examine samples to determine their type and, if needed, remove tumors. We have the ability to biopsy some tumors in the office, leading to a quicker turnaround time between your first office visit and treatment.
What we treat
Our team of musculoskeletal oncologists are highly trained and specialized in the care of bone and soft tissue diseases, both benign (noncancerous) and malignant. These conditions include:
- Benign bone tumors
- Malignant bone tumors
- Benign soft tissue tumors
- Malignant soft tissue sarcoma
- All sarcomas in the arms and legs
- Pathologic fractures (broken bone because of disease)
- Metabolic and endocrine-related bone disease
- Metastatic disease (other cancers that have spread to the bone)
- Non-oncologically excised sarcomas (“Oops” surgeries)
An innovative approach
In addition to nonsurgical treatments, there has been a great deal of progress made in the surgical treatment of tumors of the bone and soft tissue tumors. Advances in these areas have made long-term survival with all limbs intact the expected outcome for many patients today. These treatments include tumor excision, chemotherapy, radiation therapy and reconstructive surgery—all of which our physicians specialize in and deliver with expertise and compassion.
We bring a unique, advanced approach to these treatments through:
- A multidisciplinary team—As a part of Northwell Health, our musculoskeletal oncology doctors (both adult and pediatric) work together with experienced pathologists, radiologists, medical and radiation oncologists, all with specialized training in bone and soft tissue tumors, to care for each patient. Other surgeons often lend assistance in complex treatments, including vascular and plastic surgeons, to optimize patient outcomes.
- Multiple surgical options—The team routinely uses many different surgical options after removing bones, including reconstruction with metal prostheses, the patient’s own bone, allograft-donated bone taken from the “bone bank” or a combination of the three. Furthermore, 3D Printing is increasingly used to create more precise surgical options, tailored to each patient’s anatomy.
- Cross-discipline collaboration—Our musculoskeletal oncology specialists work with experts across the health system, including those at the Monter Cancer Center and the Rehabilitation Network Cancer Rehabilitation Program, to provide full, personalized care to each of our patients. In addition, there is a system-wide collaboration with the MD Anderson Cancer Center.
- Nonsurgical approaches—Novel approaches including brachytherapy, image-guided radiation therapy, intensity-modulated radiation therapy, radioimmunotherapy, and radiofrequency ablation are offering very encouraging results for patients.
Pediatric musculoskeletal oncology
Children with bone cancers pose a unique challenge, as taking out growing bones can lead to long-term problems. Because of advancements in chemotherapy and musculoskeletal oncology, including limb-sparing surgery, survival for children with cancer has improved dramatically. Our surgeons are experts in limb-sparing surgery for children.
To minimize limb length difference, we have been successful in growth plate sparing surgeries as well as expandable prostheses (which can internally lengthen the bone over time to match the other limb). The team is committed to keeping the children’s deformity to a minimum while maximizing their abilities and activity level.
National and regional committees
Our surgeons share their expertise with the physician community through involvement in regional, national and international organizations. These include:
- Musculoskeletal Tumor Society
- International Society on Limb-Sparing Surgery
- American Association of Orthopaedic Surgery
- New York State Society of Orthopaedic Surgeons
- Israel Orthopaedic Association
- Orthopaedic Research Society
- International Skeletal Society
- American Medical Association
- New York Cancer Society