/Users/andrea/_magisterarbeit/korpus/clean/testkorpus/30/file11.html NN ----------------------------------------- : U NP M NP Health NP SystemU NP M NP Medical NP SchoolU NP M NP Gateway NP Sarcoma NN Connective NN Tissue NN Oncology NN Information NP Education NP . SENT Disease NP and CC Treatment NP Information NP Multidisciplinary JJ Sarcoma NN Clinic NP main JJ page NN Sarcoma NN Connective JJ Tissue NN Oncology NN Information NN Sarcoma NN . SENT An DT Overview NN Information NP Guide NP . SENT Adult NN Sarcoma NN Information NP Guide NP . SENT Sarcomas NNS of IN the DT Bone NP Pediatric JJ Information NP Guide NP . SENT Soft JJ Tissue NN Sarcoma NN Pediatric JJ Information NP Guide NP . SENT Wilm's NP Tumor NN Pediatric JJ See NP Also RB . SENT Sarcoma NN Questions NNS Answers VVZ pediatric JJ Wilm's NP Tumor NN Questions NNS Answers VVZ pediatric JJ Clinical JJ Trials NNS Sarcoma NN . SENT An DT Overview NN Introduction NN soft JJ tissue NN tumors NNS bone NN tumors NNS What WP is VBZ Cancer NP . SENT Diagnosing VVG of IN Your PP$ Sarcoma NN Treatment NP of IN Your PP$ Sarcoma NN Conclusion NN Introduction NN Sarcoma NN is VBZ a DT term NN used VVN to TO describe VV a DT whole JJ family NN of IN cancers NNS that WDT arise VVP in IN the DT body's JJ connective JJ tissues NNS , , which WDT include VVP fat JJ , , muscle NN , , blood NN vessels NNS , , deep JJ skin NN tissues NNS , , nerves NNS , , bones NNS , , and CC cartilage NN . SENT Sarcoma NN is VBZ broken VVN down RP into IN two CD types NNS . SENT soft JJ tissue NN tumors NNS and CC bone NN tumors NNS . SENT Bone NN sarcomas NNS are VBP rare JJ types NNS of IN cancer NN that WDT mainly RB affect VVP children NNS and CC young JJ adults NNS . SENT There EX are VBP several JJ types NNS of IN bone NN sarcomas NNS that WDT typically RB affect VVP different JJ parts NNS of IN bones NNS and CC joints NNS . SENT The DT cancerous JJ tumors NNS can MD grow VV in IN any DT bone NN in IN the DT body NN , , however RB , , most JJS occur VVP in IN the DT arms NNS or CC legs NNS . SENT The DT most RBS common JJ bone NN sarcomas NNS include VVP . SENT Osteosarcoma NN tumor NN usually RB develops VVZ in IN the DT ends NNS of IN long JJ bones NNS where WRB new JJ bone NN tissue NN forms NNS , , Ewing's NP sarcoma NN tumor NN usually RB develops VVZ in IN the DT middle NN of IN large JJ bones NNS such JJ as IN pelvis NN , , thigh NN , , upper JJ arms NNS and CC ribs NNS , , and CC Chondrosaroma NP found VVD mainly RB in IN adults NNS , , this DT type NN of IN tumor NN forms NNS in IN the DT cartilage NN that WDT cushions VVZ joints NNS . SENT Bone NN sarcomas NNS account VVP for IN only RB 0 CD . SENT 2 CD of IN all DT cancers NNS in IN the DT United NP States NPS . SENT There EX are VBP approximately RB 2500 CD new JJ cases NNS a DT year NN . SENT Bone NN tumors NNS have VHP a DT higher JJR incidence NN of IN spreading VVG to TO other JJ parts NNS of IN the DT body NN , , especially RB the DT lungs NNS so IN extra JJ tests NNS are VBP taken VVN to TO determine VV if IN spread NN of IN the DT disease NN has VHZ occurred VVN . SENT Patients NNS diagnosed VVD with IN bone NN sarcomas NNS find VVP the DT terms NNS related VVN to TO the DT disease NN to TO be VB very RB confusing JJ . SENT Without IN a DT good JJ understanding NN of IN the DT treatment NN plan NN presented VVD to TO you PP by IN your PP$ doctor NN it PP is VBZ difficult JJ to TO cope VV with IN your PP$ new JJ diagnosis NN of IN cancer NN . SENT This DT page NN will MD first RB give VV you PP a DT better JJR understanding NN of IN what WP cancer NN is VBZ in IN general JJ and CC then RB it PP will MD take VV you PP through IN the DT steps NNS of IN diagnosing VVG and CC treating VVG bone NN sarcomas NNS , , here RB at IN the DT U NP M NP Comprehensive NP Cancer NP Center NP . SENT Throughout IN the DT many JJ steps NNS in IN the DT treatment NN plan NN you PP will MD encounter VV different JJ types NNS of IN doctors NNS to TO help VV manage VV your PP$ care NN such JJ as IN an DT orthopedic JJ surgical JJ oncologist NN , , medical JJ oncologist NN and CC a DT radiation NN oncologist NN . SENT This DT multidisciplinary JJ team NN will MD meet VV and CC discuss VV your PP$ case NN with IN a DT pathologist NN and CC a DT radiologist NN to TO come VV up RP with IN an DT individualized VVN treatment NN plan NN for IN you PP . SENT Soft JJ tissue NN sarcomas NNS come VVN in IN many JJ forms NNS see VVP also RB Bone NP Tumors NNS . SENT angiosarcoma NN blood NN vessels NNS fibrosarcoma NN connective NN tissue NN gastrointestinal JJ stromal JJ tumor NN digestive NN system NN Kaposi's NP sarcoma NN skin NN liposarcoma NN fat JJ leiomyosarcoma NN smooth JJ muscle NN malignant JJ fibrous JJ histiocytoma NN connective NN tissue NN , , neurofibrosarcoma NN nerves NNS rhabdomyosarcoma NN skeletal JJ muscle NN and CC synovial JJ sarcoma NN often RB near IN joints NNS , , but CC can MD occur VV anywhere RB . SENT Soft JJ tissue NN sarcomas NNS account VVP for IN only RB 1 CD of IN all DT cancers NNS in IN adults NNS . SENT There EX are VBP approximately RB 7000 CD new JJ cases NNS a DT year NN in IN the DT United NP States NPS . SENT The DT most RBS common JJ sites NNS of IN origin NN are VBP the DT extremities NNS legs NNS and CC arms NNS , , however RB sarcomas NNS can MD arise VV in IN any DT part NN of IN the DT body NN including VVG the DT abdomen NN , , pelvis NN and CC head NN neck NN region NN . SENT Patients NNS diagnosed VVN with IN soft JJ tissue NN sarcomas NNS find VVP the DT terms NNS related VVN to TO the DT disease NN to TO be VB very RB confusing JJ . SENT Without IN a DT good JJ understanding NN of IN the DT treatment NN plan NN presented VVD to TO you PP by IN your PP$ doctor NN it PP is VBZ difficult JJ to TO cope VV with IN your PP$ new JJ diagnosis NN of IN cancer NN . SENT This DT web NN page NN will MD first RB give VV you PP a DT better JJR understanding NN of IN what WP cancer NN is VBZ in IN general JJ and CC then RB it PP will MD take VV you PP through IN the DT steps NNS of IN diagnosing VVG and CC treating VVG soft JJ tissue NN sarcomas NNS . SENT Throughout IN the DT many JJ steps NNS in IN the DT treatment NN plan NN you PP will MD encounter VV different JJ types NNS of IN doctors NNS to TO help VV manage VV your PP$ care NN such JJ as IN an DT orthopedic JJ surgical JJ oncologist NN , , surgical JJ oncologist NN , , medical JJ oncologist NN and CC a DT radiation NN oncologist NN . SENT This DT multidisciplinary JJ team NN will MD meet VV and CC discuss VV your PP$ case NN with IN a DT pathologist NN and CC a DT radiologist NN to TO come VV up RP with IN an DT individualized VVN treatment NN plan NN for IN you PP . SENT Return NN to TO the DT top NN of IN the DT page NN What WP is VBZ Cancer NP . SENT One CD of IN the DT most RBS confusing JJ aspects NNS about IN being VBG told VVD you PP have VHP sarcoma NN is VBZ that IN doctors NNS and CC other JJ health NN care NN providers NNS use VVP terms NNS such JJ as IN cancer NN , , malignancy NN , , tumor NN , , growth NN , , lump NN , , and CC nodule NN . SENT It PP is VBZ difficult JJ for IN patients NNS to TO sort VV out RP what WP all DT of IN these DT terms NNS mean VVP . SENT Cancer NP is VBZ a DT form NN of IN abnormal JJ cell NN growth NN in IN tissues NNS of IN the DT body NN . SENT Under IN normal JJ circumstances NNS , , as IN we PP grow VVP and CC age VVP the DT individual JJ cells NNS in IN the DT tissues NNS of IN the DT body NN replace VV themselves PP through IN a DT regular JJ and CC organized JJ process NN of IN cell NN growth NN . SENT When WRB the DT cells NNS of IN an DT organ NN grow VV out RP of IN control NN , , the DT resulting VVG tissue NN may MD form VV a DT lump NN of IN abnormal JJ cells NNS called VVD a DT nodule NN or CC tumor NN . SENT This DT is VBZ a DT growth NN of IN tissue NN made VVN up RP of IN cells NNS that WDT are VBP no RB longer RBR functioning VVG in IN a DT normal JJ way NN . SENT Here RB are VBP some DT definitions NNS to TO help VV explain VV the DT terms NNS used VVN to TO describe VV soft JJ tissue NN growths NNS that WDT might MD occur VV due JJ to TO abnormal JJ cell NN growth NN . SENT Growth NN . SENT A DT non JJ specific JJ term NN that WDT describes VVZ a DT collection NN of IN tissue NN that WDT is VBZ growing VVG in IN a DT way NN that WDT is VBZ different JJ from IN normal JJ tissue NN . SENT Growths NNS can MD be VB benign JJ such JJ as IN a DT cyst NN or CC wart NN or CC they PP can MD be VB cancerous JJ . SENT Tumor NN . SENT A DT lump NN of IN tissue NN that WDT is VBZ growing VVG out RP of IN control NN . SENT Tumors NNS can MD be VB benign JJ not RB a DT threat NN to TO life NN or CC they PP can MD be VB cancerous JJ . SENT Malignant JJ tumor NN . SENT A DT rapidly RB growing VVG tumor NN made VVN up RP of IN abnormal JJ cells NNS . SENT Another DT term NN for IN a DT malignant JJ tumor NN is VBZ cancer NN . SENT A DT malignant JJ tumor NN will MD first RB grow VV only RB in IN the DT area NN where WRB it PP started VVD . SENT This DT is VBZ known VVN as IN the DT primary JJ tumor NN . SENT The DT primary JJ tumor NN cells NNS may MD spread VV to TO other JJ tissues NNS or CC organs NNS through IN the DT bloodstream NN or CC lymph NN system NN . SENT Once RB the DT tumor NN cells NNS have VHP spread VVN to TO other JJ parts NNS of IN the DT body NN , , they PP will MD take VV root NN and CC start VV to TO grow VV other JJ tumors NNS . SENT This DT process NN is VBZ called VVN metastasizing VVG . SENT The DT new JJ tumor NN name NN in IN other JJ parts NNS of IN the DT body NN is VBZ called VVN metastatic JJ tumor NN . SENT Return NN to TO the DT top NN of IN the DT page NN Diagnosing VVG of IN Your PP$ Sarcoma NN Most RBS commonly RB , , bone NN sarcoma NN patients NNS present JJ with IN a DT pain NN in IN the DT area NN of IN the DT lesion NN . SENT In IN more JJR advanced JJ lesions NNS , , patients NNS may MD notice VV swelling VVG in IN the DT area NN or CC present JJ with IN a DT fracture NN of IN the DT affected JJ bone NN . SENT A DT complete JJ patient NN history NN is VBZ extremely RB important JJ when WRB diagnosing VVG bone NN tumors NNS . SENT Physical JJ Examination NN A DT physician NN will MD do VV a DT complete JJ examination NN of IN the DT painful JJ area NN to TO evaluate VV the DT surrounding VVG skin NN , , blood NN vessels NNS , , nerves NNS or CC bone NN and CC any DT surrounding VVG lymph NN nodes NNS . SENT Radiological JJ Imaging NP X NP rays NNS and CC scans VVZ Plain NP X NP ray NN Films NNS . SENT Standard NN x SYM rays NNS are VBP taken VVN to TO evaluate VV the DT bone NN . SENT They PP can MD show VV tumor NN location NN . SENT Usually RB more RBR detailed JJ imaging NN such JJ , , as IN a DT MRI NP or CC CT NP scan VV is VBZ needed VVN to TO further RBR evaluate VV . SENT Chest NN x SYM rays NNS are VBP also RB useful JJ to TO evaluate VV for IN metastatic JJ tumors NNS in IN the DT lung NN . SENT Magnetic JJ Resonance NN Imaging NP MRI NP . SENT This DT is VBZ one CD of IN the DT most RBS useful JJ methods NNS to TO image NN tumors NNS in IN the DT extremities NNS . SENT It PP provides VVZ the DT physician NN with IN a DT detailed JJ view NN of IN the DT tumor NN and CC its PP$ surroundings NN . SENT Computed VVN Tomography NN CT NP scan VV . SENT This DT is VBZ another DT way NN to TO image NN a DT tumor NN . SENT Especially RB useful JJ in IN tumors NNS which WDT are VBP in IN the DT abdomen NN and CC pelvis NN . SENT CT NP scan VV of IN the DT chest NN is VBZ also RB frequently RB recommended VVN to TO assess VV for IN metastases NNS of IN sarcoma NN , , or CC disease NN which WDT might MD have VH traveled VVN to TO the DT lungs NNS . SENT Positron NN Emission NN Tomograhy NP PET NN scan VV . SENT This DT is VBZ a DT newer JJR study NN done VVN in IN Nuclear NP Medicine NP , , which WDT looks VVZ at IN the DT metabolic JJ activity NN of IN cells NNS in IN the DT body NN . SENT Tumor NN cells NNS often RB have VHP very RB active JJ metabolism NN and CC therefore RB can MD be VB seen VVN on IN a DT PET NN scan VV . SENT However RB , , other JJ conditions NNS involved VVN increased JJ metabolism NN including VVG healing NN scars NNS sometimes RB show VVP up RP on IN PET JJ scans NNS as IN well RB . SENT PET JJ scans NNS are VBP occasionally RB used VVN for IN sarcoma NN patients NNS , , but CC usually RB are VBP not RB as RB useful JJ as IN CT NP and CC MRI NP scans VVZ . SENT Bone NN Scan VV . SENT This DT is VBZ study NN done VVN in IN nuclear JJ medicine NN , , which WDT uses VVZ radioactive JJ dye NN to TO highlight VV the DT bones NNS . SENT This DT scan NN is VBZ sometimes RB used VVN to TO look VV for IN cancer NN in IN other JJ parts NNS of IN the DT bone NN that WDT has VHZ metastasized VVN . SENT NOTE NN . SENT Each DT physician NN chooses VVZ which WDT method NN of IN imaging NN they PP prefer VVP to TO give VV them PP the DT best JJS view NN of IN the DT primary JJ tumor NN and CC any DT other JJ tumors NNS , , which WDT may MD be VB present JJ . SENT Biopsy NN A DT biopsy NN is VBZ the DT only JJ way NN to TO tell VV for IN sure JJ if IN you PP have VHP a DT malignant JJ tumor NN and CC , , if IN so RB , , what WP kind NN of IN cancer NN it PP is VBZ . SENT Because IN sarcomas NNS are VBP rare JJ , , a DT specialist NN in IN sarcoma NN pathology NN generally RB reviews VVZ the DT results NNS of IN the DT biopsy NN before IN any DT treatment NN starts VVZ . SENT Tumor NN location NN determines VVZ what WP type NN of IN biopsy NN will MD be VB used VVN . SENT Generally RB two CD types NNS of IN biopsies NNS can MD be VB used VVN . SENT Core JJ needle NN biopsy NN . SENT This DT procedure NN is VBZ less RBR invasive JJ than IN the DT other JJ method NN described VVD next JJ . SENT It PP can MD be VB done VVN in IN the DT office NN by IN your PP$ surgeon NN using VVG local JJ anesthesia NN . SENT The DT surgeon NN will MD numb VV the DT area NN around IN the DT tumor NN and CC extract VV a DT small JJ amount NN of IN tissue NN from IN the DT tumor NN with IN a DT special JJ biopsy NN needle NN for IN the DT pathologist NN to TO examine VV . SENT Incisional JJ biopsy NN . SENT A DT small JJ incision NN about IN an DT inch NN is VBZ made VVN , , and CC tissue NN is VBZ removed VVN for IN examination NN . SENT This DT is VBZ a DT more RBR invasive JJ procedure NN and CC is VBZ most RBS often RB done VVN in IN the DT operating VVG room NN under IN either DT local JJ or CC general JJ anesthesia NN . SENT The DT advantage NN of IN this DT procedure NN is VBZ that DT is VBZ provides VVZ more JJR tissue NN for IN the DT pathologist NN to TO review VV . SENT NOTE NN . SENT Once RB the DT pathologist NN has VHZ tissue NN from IN a DT biopsy NN , , the DT type NN of IN soft JJ tissue NN sarcoma NN and CC how WRB aggressive JJ it PP is VBZ can MD be VB determined VVN . SENT Return NN to TO the DT top NN of IN the DT page NN Treatment NP of IN Your PP$ Sarcoma NN Once IN your PP$ physicians NNS know VVP the DT type NN of IN bone NN sarcoma NN , , the DT location NN of IN the DT primary JJ tumor NN and CC if IN there EX are VBP any DT metastatic JJ tumors NNS in IN the DT body NN , , all PDT the DT physicians NNS who WP are VBP involved VVN in IN the DT multidisciplinary JJ discussion NN of IN your PP$ case NN can MD come VV up RP with IN a DT plan NN for IN treatment NN . SENT Remember VV . SENT the DT order NN of IN treatment NN is VBZ determined VVN by IN the DT size NN of IN the DT tumor NN and CC its PP$ location NN , , as RB well RB as RB whether IN there EX is VBZ metastatic JJ tumor NN anywhere RB else RB in IN the DT body NN . SENT Surgery NN Surgery NN is VBZ considered VVN to TO be VB the DT primary JJ treatment NN for IN bone NN sarcomas NNS , , and CC for IN some DT , , is VBZ the DT only JJ treatment NN . SENT The DT first JJ goal NN of IN the DT orthopedic JJ surgeon NN is VBZ to TO remove VV the DT tumor NN , , along RB with IN some DT healthy JJ tissue NN around IN it PP . SENT This DT ensures VVZ that IN no DT cancer NN cells NNS remain VVP . SENT The DT second JJ goal NN is VBZ to TO retain VV as IN much JJ function NN as IN possible JJ to TO the DT operative JJ site NN . SENT Sometimes RB manmade JJ material NN is VBZ used VVN to TO replace VV bone NN , , artificial JJ joints NNS and CC devices NNS are VBP inserted VVN and CC sometimes RB amputation NN is VBZ needed VVN . SENT The DT involvement NN of IN the DT surrounding VVG tissue NN , , muscle NN , , nerves NNS and CC blood NN vessels NNS determine VVP the DT extent NN to TO which WDT that DT is VBZ possible JJ . SENT Your PP$ orthopedic JJ oncologist NN prior RB to TO your PP$ surgery NN will MD discuss VV all PDT your PP$ options NNS . SENT A DT thoracic JJ surgeon NN performs VVZ surgery NN for IN sarcomas NNS inside IN the DT chest NN or CC lungs NNS usually RB metastatic JJ tumors NNS . SENT RadiationTherapy NN Radiation NN usually RB is VBZ administered VVN after IN surgery NN , , and CC is VBZ given VVN to TO patients NNS who WP are VBP at IN risk NN for IN local JJ tumor NN reoccurrence NN if IN only JJ surgery NN was VBD used VVN for IN control NN of IN the DT tumor NN locally RB . SENT The DT goal NN of IN radiation NN therapy NN is VBZ to TO direct VV additional JJ therapy NN at IN the DT tumor NN site NN to TO kill VV any DT remaining VVG cancer NN cells NNS that WDT could MD remain VV after IN surgery NN . SENT The DT radiation NN oncologist NN uses VVZ your PP$ preoperative JJ x NN rays NNS , , information NN from IN your PP$ surgeon NN and CC their PP$ own JJ treatment NN plan NN to TO determine VV the DT region NN that WDT needs VVZ to TO be VB treated VVN . SENT Radiation NN treatment NN is VBZ given VVN daily JJ Monday NP through IN Friday NP for IN 5 CD 7 CD weeks NNS depending VVG on IN the DT plan NN discussed VVN by IN your PP$ radiation NN oncologist NN . SENT Chemotherapy NN Many JJ factors NNS influence VVP the DT use NN of IN chemotherapy NN or CC drug NN treatment NN of IN sarcoma NN . SENT These DT factors NNS include VVP . SENT the DT aggressiveness NN of IN the DT tumor NN or CC grade NN the DT size NN of IN the DT tumor NN and CC if IN the DT tumor NN has VHZ already RB spread VVN to TO other JJ areas NNS in IN the DT body NN . SENT There EX are VBP many JJ cases NNS in IN which WDT chemotherapy NN is VBZ given VVN prior RB to TO surgery NN to TO help VV shrink VV down RP the DT primary JJ tumor NN so IN the DT surgeon NN can MD fully RB remove VV the DT tumor NN and CC maintain VV function NN of IN the DT affected JJ area NN . SENT It PP is VBZ also RB used VVN after IN surgery NN to TO destroy VV any DT stray JJ cancer NN cells NNS and CC to TO prevent VV cancer NN from IN recurring VVG . SENT Chemotherapy NN is VBZ often RB given VVN in IN high JJ doses NNS and CC it PP can MD cause VV you PP to TO feel VV sick JJ at IN times NNS . SENT The DT details NNS of IN the DT chemotherapy NN regimen NN and CC toxicities NNS side NN effects NNS related VVN to TO the DT chemotherapy NN will MD be VB discussed VVN by IN your PP$ medical JJ oncologist NN and CC staff NN . SENT you PP can MD also RB visit VV our PP$ web NN page NN . SENT What WP to TO Expect VV . SENT A DT Guide NP to TO Chemotherapy NN . SENT The DT chemotherapy NN is VBZ given VVN to TO you PP in IN the DT outpatient NN clinic NN or CC in IN the DT hospital NN and CC the DT length NN of IN treatment NN is VBZ determined VVN by IN which WDT regimen NN your PP$ medical JJ oncologist NN presents VVZ to TO you PP . SENT Return NN to TO the DT top NN of IN the DT page NN Conclusion NN Hopefully RB this DT page NN has VHZ helped VVN you PP better RBR understand VV your PP$ sarcoma NN and CC has VHZ helped VVN you PP understand VVP how WRB a DT treatment NN plan NN is VBZ formed VVN . SENT You PP need VVP to TO remember VV that IN every DT case NN is VBZ individualized VVN . SENT Your PP$ team NN of IN physicians NNS has VHZ worked VVN closely RB together RB to TO come VV up RP with IN a DT plan NN that WDT will MD give VV you PP the DT best JJS chance NN of IN survival NN and CC a DT good JJ quality NN of IN life NN . SENT They PP are VBP very RB willing JJ to TO answer VV questions NNS and CC want VVP to TO be VB sure RB you PP understand VVP exactly RB what WP is VBZ being VBG recommended VVN and CC why WRB . SENT Please UH make VV sure RB to TO ask VV questions NNS of IN the DT doctors NNS and CC staff NN to TO be VB sure RB you PP understand VVP all DT of IN your PP$ options NNS . SENT Return NN to TO the DT top NN of IN the DT page NN Cancer NP AnswerLine NP 800 CD 865 CD 1125 CD U NP M NP Comprehensive NP Cancer NP Center NP 1500 CD E NN . SENT Medical NP Center NP Drive NP CCGC NP 6 CD 303 CD Ann NP Arbor NP , , MI NN 48109 CD 0944 CD privacy NN statement NN disclaimer NN This DT site NN is VBZ a DT part NN of IN the DT U NP M NP Health NP System NP . SENT The DT information NN presented VVN is VBZ not RB a DT tool NN for IN self NN diagnosis NN or CC a DT substitute NN for IN professional JJ care NN . SENT Please UH read VV the DT disclaimer NN and CC the DT privacy NN statement NN for IN more JJR information NN . SENT copyright NN 2005 CD U NP M NP Comprehensive NP Cancer NP Center NP