Bones, Muscles & Joints (Orthopaedics)
The Division of Orthopaedic Oncology at Montefiore Medical Center is a team of specialists who are dedicated to providing comprehensive care to patients with bone and soft tissue tumors. Our team provides each patient and their families individualized care for the most advanced diagnosis and treatment of orthopaedic cancers.
Sarcomas are cancers of bone, muscle, cartilage, fat and other types of connective tissue. Approximately 9,000 new cases of sarcoma are diagnosed each year in the United States. Nationally, there are approximately 100,000 sarcoma patients. Although these tumors are rare, our team is experienced in diagnosing sarcoma and providing an advanced treatment plan.
Patients of all ages come to us for our dedicated sarcoma team, multidisciplinary approach, advanced treatment techniques and family-centered care. We evaluate and treat numerous benign conditions including:
- Aneurismal bone cysts
- Giant cell tumors
- Non-ossifying fibromas
- Simple bone cysts
- Osteoid osteomas
We also diagnose and manage all types of metastatic diseases and sarcomas including:
- Ewing's sarcomas
- Malignant fibrous histiocytomas
- Synovial sarcomas
Our sarcoma team includes members from many different disciplines and specialties who work together to provide a comprehensive, individualized plan for each patient. Team members include: oncologists, such as David S. Geller, MD, a full-time, fellowship-trained orthopaedic oncologist involved in the orthopaedic care of adults and pediatric patients, radiologists, pathologists, radiation oncologists, orthopaedic oncologists, spine surgeons and plastic and reconstructive surgeons.
Montefiore has two separate sarcoma clinics - one for pediatrics at The Children's Hospital at Montefiore and the other for adults in the Department of Orthopaedic Surgery. Our patients benefit from the expertise and insights of various specialists, who are trained to work with different age groups.
The sarcoma team uses our new radiation oncology facility, the most advanced pediatric operating rooms and the latest in chemotherapy medications and clinical trials. They have access to limb-preserving techniques, using allograft bone, allograft prosthetic composites, modular endoprosthesis and growing endoprosthesis for skeletally immature patients to maximize leg-length equality.
Determining Diagnosis and What to Bring with You
The Division of Orthopaedic Oncology offers exceptional diagnostic care with flexible business hours to accommodate patients' busy schedules. We schedule appointments within one to two days of the patient's requests.
A diagnosis of a bone or soft-tissue tumor requires a number of tests or a review of examinations already performed at other facilities. New patients receive several tests including a biopsy.
Our multidisciplinary team will review all of these studies to determine final recommendations, which can often be made within one week. We ask that patients who have already had diagnostic tests for tumors bring the following materials to their first appointment:
- Imaging Studies:Hard copies of all pertinent studies on CD or film, including X-rays, MRIs, CAT scans, bone scans and PET scans
- Slides: Pathology slides if a biopsy or surgery was performed
- Reports: Any reports or office notes from all doctor visits
- Medications: A list of all current medications and doses
Commitment to Research
The Division of Orthopaedic Oncology offers training for residents and medical students at Montefiore and Albert Einstein College of Medicine. We continually participate in the advancements of tumor treatment through clinical research and investigative laboratory studies such as examining the cellular and molecular differences between benign and malignant cartilage tumors to further enhance the accuracy of patients' diagnoses. We are also using imaging to identify metastatic disease in the thighbone before it causes a fracture. The education and research programming enables our surgeons to provide our patients with the most advanced surgical techniques and equipment for cancer surgery.