Standard Treatment When the tumor is in a bone that can be removed without causing a significant physical handicap, the bone is surgically removed. Unlike treatment for osteogenic sarcoma , major bones are not removed and amputations are not generally recommended because the tumor is sensitive to radiation therapy .
Since most patients have microscopic tumor spread even if this does not show up on imaging studies, chemotherapy is given after initial treatment. Combinations of vincristine , actinomycin, cyclophosphamide or ifosfamide and etoposide are used.
Five-Year Survival 60 to 80 percent
Metastatic
The tumor has spread, usually to the lungs, other bones and the bone marrow .
Standard Treatment The initial treatment is similar to that for localized disease, but more aggressive chemotherapy is used and radiation therapy is given to metastases.
Supportive care measures, such as administering bone marrow growth factors, preventing infections and intensively treating fever, are important parts of the treatment plan.
