At Albany Medical Center, our experts consider different characteristics of a tumor when deciding which surgical technique will produce the best results. Types of tumors we treat and surgical techniques we perform include:
Malignant primary bone tumors
The goal in surgically treating a malignant primary bone tumor is wide resection of the tumor. The tumor is removed with some normal tissue covering the entire mass. In many cases, the limb being operated on can be salvaged. With many limb salvage procedures there is a large skeletal detect that requires reconstruction once the tumor is removed. Different techniques are used in order to maintain extremity function and match the patient's goals with the reconstruction option. You can learn more about the many options for reconstruction after malignant bone tumor resections in Dr. DiCaprio's article from the Journal of the American Academy of Orthopaedic Surgeons.
Benign bone tumors
High speed burr and curettage techniques are used for benign bone tumor removal. For aggressive benign bone lesions, we utilize the argon beam coagulator as the preferred local treatment adjuvant. We fill large bone voids with bone grafts and bone graft substitutes. Auto-grafting is avoided unless there is no better alternative. We use Image-guided radiofrequency ablation (RFA) for Osteiod osteomas, selected chondroblastomas, and in selected cases of metastatic bone disease.
Soft tissue tumors
During lengthy procedures that involve substantial exposures, the Aquamantys device is used to control blood loss and to seal tissue fields. This technology uses a combination of radiofrequency and saline to efficiently control intra-operative bleeding. Soft tissue tumors can also be treated with the use of brachytherapy radiation catheters when indicated Markers are placed at areas of high risk for recurrence for Intensity Modulated Radiation Therapy (IMRT) localization post-operatively.