Centers & Services

Sarcoma Treatment Center

“Sarcoma” arising from muscles and bones can develop in any region of the body, such as the hands and feet, trunk, abdomen, and head and neck. Therefore, the treatment is likely to be spread to various divisions, including Orthopaedic, Respiratory, and Gastroenterological Surgery and Urology. To date, no department has existed to unify sarcoma diagnosis and treatment. Those who do not know what treatment they should receive constitute the so-called “sarcoma refugees.” They are not small in number, and have persisted as an important issue related to the medical care of sarcoma.
Against this background, Sarcoma Treatment Center was established in April 2014, as the first in western Japan, to enhance collaboration among clinical divisions and to provide appropriate diagnosis and treatment to patients with sarcoma.

Management Policy

We are composed of staff members from diverse clinical divisions in Okayama University Hospital and provide best treatment of sarcoma in close mutual collaboration.

  • Diagnosis: We mainly perform percutaneous needle biopsy under local anesthesia at the Orthopaedic outpatient clinic, or CT-guided needle biopsy at IVR Center. In some cases, open biopsy under general anesthesia (lumbar anesthesia, block) is performed after hospitalization. Histological diagnosis is performed at the Department of Pathology, which is highly experienced in the diagnosis of musculoskeletal tumors. In addition, molecular diagnosis can be performed at Departments of Clinical Genomic Medicine and Orthopaedic Surgery.
  • Surgery: For sarcoma of the extremity, we perform limb sparing surgery to preserve the postoperative function. For the trunk cases, we do resection in collaboration with Respiratory Surgery, Gastroenterological Surgery, Obstetrics and Gynecology, and Urology. In addition, for tissue defect and functional disorders after resection, we perform reconstruction in collaboration with Plastic and Reconstructive Surgery (skin flap) and Cardiovascular Surgery (vascular reconstruction). Postoperative physiotherapy is provided at Department of Rehabilitation.
  • Adjuvant therapy: Chemotherapy is provided at Orthopaedic Surgery, Cancer Center, Pediatrics and Pediatric Hematology and Oncology, and Palliative and Supportive Medicine. Radiotherapy is performed in collaboration with Radiology. For lung metastases of sarcoma, we provide treatment in collaboration with Respiratory Surgery and Radiology (radiotherapy, radiofrequency ablation). Palliative care is provided by collaboration with Anesthesiology, Pain Clinic and Palliative and Supportive Medicine.