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Ichilov Medical Center
Oncology

Diagnosis and Treatment of Ewing's Sarcoma in Israel

Ewing's Sarcoma is a severe malignant lesion of the skeletal bones, considered a childhood disease, with the peak incidence occurring between the ages of 10 and 15 years. The large tubular bones are more frequently affected.

In the oncology department of Top Ihilov Clinic, Ewing's sarcoma is treated using the most effective, primarily combined, systemic methods, combining polychemotherapy, radiation therapy, surgical removal, and subsequent endoprosthetics.

Treatment of Ewing's sarcoma requires highly qualified medical personnel. At Top Ihilov Clinic, only highly qualified oncologists — orthopedists specialize in the treatment of sarcoma.

Ewing's Sarcoma — Advanced Treatment Methods at Top Ihilov Clinic

Ewing's SarcomaTop Ihilov provides comprehensive treatment for the disease. The program includes:

  1. Polychemotherapy. The patient is treated with multi-component chemotherapy agents that are lethal to sarcoma cells. Chemotherapy can be administered both before and after surgery to prevent the development of recurrence. If the cancerous tumour responds positively to chemotherapy before surgery, the course lasts about nine weeks, after which the patient undergoes surgery and continues treatment.
  2. Radiation Therapy. Primarily applied locally, targeting the cancer focus with high doses of radiation.
  3. Surgical Intervention. Despite the widespread and aggressive nature of the process, surgery to remove the tumour yields excellent results, even if radical removal is not possible; removing part of the tumour significantly improves the dynamics. Modern techniques and the experience of surgeons at Top Ihilov allow for organ-preserving surgeries, and if organ-preserving surgery is not possible, subsequent endoprosthetics of the removed bone section are performed.

Ewing's Sarcoma — Diagnostic Procedures Conducted at Top Ihilov Clinic

Ewing's Sarcoma is an aggressive cancer characterized by rapid progression and quick metastasis. Typically, by the time treatment begins, patients already exhibit metastases.

  • biopsy. Material can be taken from the tumour itself or from adjacent skin tissue, and the specimen is then sent for histological examination;
  • X-ray. X-ray of the lesion site is performed;
  • X-ray and CT of the chest organs, lungs;
  • osteoscintigraphy. Conducted to detect foci in other bones;
  • ultrasound of organs and systems;
  • angiography. Conducted to identify vascular lesions;
  • CT of the focus. Scanning of the tumour localization site is performed to determine the size of the cancer, its infiltration into adjacent tissues, and the spread of the tumour through the bone marrow canal.

If there is suspicion of cancer spread to the bone marrow, an aspiration biopsy of the bone marrow may be prescribed, followed by examination of the material.

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