Overview

Steven A. Rosenberg, MD In the past two decades significant progress has quality of life. The use of local radiation therapy has occurred, in the management of patients with mus- had a profound impact on the ability to achieve local loskeletal cancers, that has improved both the survival control. Cooperation between surgeons and radiation and the quality of life of afflicted patients. Changes in therapists often results in the tailoring of surgical p- the management of these patients have mirrored cedures to maximize the combined application of these trends in the entire field of oncology. two effective treatment modalities. Although impact on The most significant change has been improvement overall survival has not been demonstrated due to the in the surgical techniques for the resection of musculo- addition of radiation therapy, important advances in skeletal cancers based on a detailed understanding of improving the quality of life of patients receiving this the anatomic features of each particular tumor site, as combined-modality treatment have been evident. well as an appreciation of the natural biology that affects A third change impacting on the survival of patients the local spread of these tumors. The current volume of with musculoskeletal cancers has been the aggressive Musculoskeletal Cancer Surgery: Treatment of Sarcomas and resection of metastatic deposits.

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`The information, particularly regarding the history, development, availability and applications of prostheses in this type of surgery, is certainly the most complete account that I have seen. This section also includes excellent chapters on phantom limb pain, anaesthetics and pain management for such large resection cases and also a discussion of the principles of rehabilitation without excessive detail. This text is an excellent and perfect reference for any surgical department but in particular for those where oncology has a high profile. It would make excellent reading for any general or orthopaedic registrar and similarly would be an appropriate addition to the library of any individual orthopaedic surgeon or surgical oncologist.' Cancer Forum, 27:3

`The information, particularly regarding the history, development, availability and applications of prostheses in this type of surgery, is certainly the most complete account that I have seen. This section also includes excellent chapters on phantom limb pain, anaesthetics and pain management for such large resection cases and also a discussion of the principles of rehabilitation without excessive detail. This text is an excellent and perfect reference for any surgical department but in particular for those where oncology has a high profile. It would make excellent reading for any general or orthopaedic registrar and similarly would be an appropriate addition to the library of any individual orthopaedic surgeon or surgical oncologist.' Cancer Forum, 27:3

'The information, particularly regarding the history, development, availability and applications of prostheses in this type of surgery, is certainly the most complete account that I have seen. This section also includes excellent chapters on phantom limb pain, anaesthetics and pain management for such large resection cases and also a discussion of the principles of rehabilitation without excessive detail. This text is an excellent and perfect reference for any surgical department but in particular for those where oncology has a high profile. It would make excellent reading for any general or orthopaedic registrar and similarly would be an appropriate addition to the library of any individual orthopaedic surgeon or surgical oncologist.' Cancer Forum, 27:3

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