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Orthopedic Oncology

The Montefiore Approach

The Orthopedic Oncology program at Montefiore is one the most comprehensive of its kind in the region. Together with the Montefiore Einstein Center for Cancer Care and its research partner, the Albert Einstein Cancer Center, our knowledge and expertise ensure the highest quality of care for even the most complicated cases.

Our team of specialists is dedicated to the diagnosis and management of tumors, both benign and malignant, primary and secondary. Through the coordinated efforts of our medical and surgical subspecialists, we provide thorough multidisciplinary care for all of our patients.

As an academic medical center, we are constantly striving for innovations in tumor treatment. Our participation in basic, translational and clinical research allows us to explore exciting new methods for the advancement of care within our own health system and beyond.

The experience of our patients and their loved ones—not simply their ailments—demands our full attention. Your dedicated care team will be there to discuss your condition, answer questions, assess treatment options and develop a treatment strategy that is best for you.

Bone and soft-tissue tumors present unique challenges. At Montefiore, we believe that optimal outcomes are the product of thorough evaluations, accurate diagnoses and intelligent, patient-specific treatment plans developed through years of clinical experience.

Working as a team, we create comprehensive care plans for every patient. A collaborative strategy helps to remove traditional boundaries between specialists and minimizes the number of patient visits. Our multidisciplinary approach ensures clear communication between clinicians and allows for the simplified coordination of diagnostic studies, treatments and follow-up visits.

Every week, specialists meet to discuss diagnoses and treatment plans for our patients. Imaging studies, test results, biopsy findings and relevant patient information are all reviewed and taken into consideration. From there, individualized treatment strategies are designed using evidence-based medicine, national guidelines, ongoing clinical trials and the group’s combined clinical expertise.

Our status as an academic medical center puts us at the forefront of our field. Together with our Albert Einstein College of Medicine, one of the highest NIH-funded institutions in the country, we work toward excellence in orthopedic study and care. We continually participate in advancing cancer treatment through translational and clinical research. By participating in national and international clinical trials, we are able to help discover better treatment options for our patients. We routinely present our research findings in national and international conferences and publish our study results in numerous peer-reviewed publications.

Conditions We Treat

Montefiore treats a vast spectrum of conditions, a selection of which are listed below. In addition to these, we have experience treating many other conditions. Please contact us to schedule a consultation to review and discuss your specific healthcare needs.

Some Common Conditions
  • Osteosarcoma
  • Ewing Sarcoma
  • Chondrosarcoma
  • Adamantinoma
  • Chordoma
  • Undifferentiated Pleomorphic Sarcoma
  • Synovial Sarcoma
  • Rhabdomyosarcoma
  • Liposarcoma
  • Myxoid Liposarcoma
  • Malignant Peripheral Nerve Sheath Tumor (MPNST)
  • Leiomyosarcoma
  • Fibrosarcoma
  • Epithelioid sarcoma
  • Hemangioendothelioma
  • Dermatofibrosarcoma Protuberans
  • Metastatic Carcinoma
  • Pathologic Fractures
Undifferentiated pleomorphic sarcoma (UPS) is a rare type of cancer that arises in soft tissues.  UPS represent around 10% of all adult soft-tissue sarcomas, making it one of the most common subtypes.  It frequently develops in the thigh and hip region but can occur in other extremity locations as well as in deeper anatomic regions such as the retroperitoneum.  These tumors are generally considered high-grade, which are true cancers and which have a substantial likelihood of metastasizing.  They typically develop in older adult patients, and are relatively rare in the pediatric population. Read More
Chondrosarcoma is a spectrum of tumors that, by definition, forms cartilage tissue and which usually arises either in or on the surface of bone. Rarely, it can occur in soft-tissues as well.  Most chondrosarcomas are low grade and grow very slowly.  These are often managed as benign cartilage tumors, as they pose a low risk of spreading beyond their original location.  However, rarely chondrosarcomas present as high-grade tumors, which are true cancers, and which have a much higher likelihood of metastasizing.  High-grade chondrosarcoma can arise in any bone, with the pelvis, hip, knee and shoulder being the most common locations.  It is more common in adults over the age of 50, and extremely rare in the pediatric and young adult population. Read More
Ewing sarcoma is a rare form of bone cancer, making up only 1% of pediatric cancers and developing in only a few hundred patients per year in the United States. While primarily a bone tumor, it can infrequently arise in soft-tissue as well. It is most common in children and young adults, but it can occur in adults as well. It frequently begins in long bones such as the femur, tibia or humerus or in the pelvis but can also develop in flat bones such as the ribs and clavicle.  Treatment requires a comprehensive team approach and involves both systemic treatment such as chemotherapy, as well as local treatment such as surgery and/or radiation therapy. Read More
Osteosarcoma is a rare form of bone cancer, making up under 1% of all cancers. Nevertheless, it is the most common primary bone cancer in children and young adults. It can also occur in older patients, generally aged 60 or older. While it can occur in many locations, it frequently begins adjacent to the knee, in either the femur (thigh bone) or the tibia (leg bone). It also commonly effects the shoulder, arising within the humerus (upper arm bone). Treatment includes both chemotherapy and surgery in most cases. Read More

Our Treatments

Treatment plans are designed to maximize our patients’ oncologic and functional outcomes, returning them to health as quickly as possible. Whenever we can, we employ the use of non-operative treatments. When surgery is needed, we always consider the most conservative approach appropriate. For those seeking further information, we have included a few examples of common procedures that we perform at Montefiore.

Highlighted Treatments

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