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Norris Cotton Cancer Center
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Adult Patient Care

Adults require individualized care that conforms to their diagnosis and individual needs. Our Program has physicians and surgeons who are trained to provide care for our adults patients’ cancers and restore function.

Adults with bone cancer are more commonly affected by metastasis than primary bone or soft-tissue tumors. Caring for patients with metastatic bone disease requires integrated, highly-specialized treatment from both physicians in the Sarcoma Program as well as physicians providing care for the patients’ primary tumors. The Sarcoma Program offers medical, radiation, and surgical treatments for patients with metastatic disease that is designed to quickly get patients back to full activity and on with their lives.

State-of-the-art medical and surgical treatment options include:

  • Limb salvage surgery with metallic and allograft implants: For bone reconstruction of long bones.
  • The Center for Surgical Innovation (CSI): CSI offers patients a surgical experience that is available only at Dartmouth-Hitchcock and a few other medical centers in the world. CSI provides on-demand, intraoperative Magnetic Resonance Imaging (MRI) and Computed Tomography (CT, “CaT scanning”) - to better evaluate patients‘ tumors at the time of surgical resection.
  • Clinical Trials: Depending on their diagnosis, patients treated at our center may be candidates for national trials of new chemotherapy or radiation treatment regimens.

Adult bone tumors we treat:

  • Giant Cell Tumor of Bone: This commonly affects young adults. Giant cell tumor is usually treated with surgery alone.
  • Malignant Fibrous Histiocytoma: A rare primary bone tumor seen in adults.
  • Chondrosarcoma: Although rare, this is the most common bone sarcoma in adults. Chondrosarcoma is usually treated with surgery alone.
  • Osteosarcoma: This tumor mainly affects children but may also affect adults. Osteosarcoma is usually treated with chemotherapy and surgery.
  • Ewing Sarcoma (and the Ewing/PNET group of tumors): Although this tumor is most often seen in children, it may also affect adults. Ewing sarcoma is usually treated with a combination of chemotherapy and surgical resection.

Adult soft-tissue tumors we treat:

  • Lipoma: Benign tumor of fat, these are the most common tumors we encounter.
  • Liposarcoma: This is a rare malignant tumor of fat.
  • Myxofibrosarcoma: A rare sarcoma usually seen in the extremities.