Sarcomas consist of many different types of tumours with varying degrees of aggressiveness, and may arise in any part of the body. Such complex tumours are best dealt with by a multi-disciplinary team consisting of pathologists, diagnostic radiologists, oncologists and other support staff. At the NCIS, our sarcoma multi-disciplinary team focuses our expertise to bring about the best outcomes for our patients.
Optimal treatment of sarcomas depend on accurate diagnosis. To achieve this, our team of pathologists and diagnostic radiologists work closely together, complemented by the latest equipment and techniques in diagnosis and imaging.
When a biopsy specimen is sent to our pathologists for review, an assessment is made of the type of tumour. Appropriate immunohistochemical stains and molecular tests complement traditional methods used to arrive an accurate diagnosis. In rare instances, where diagnosis is difficult to determine even with these tests, a network of international experts can be consulted for a second opinion.
A full range of diagnostic imaging modalities are available to help in treatment planning, including Magnetic Resonance Imaging (MRI), Ultrasound (US), Computed Tomography (CT) scans, Bone scans and Positron Emission Tomography (PET). These imaging techniques help guide clinicians on the optimal site of biopsy, determine local extent disease and its appropriate treatment. Where tumours are deep and close to critical organs, image guided biopsy techniques are used to give the best chance of a successful biopsy.
Our surgical oncology team has expertise in both prosthetic and micro-surgical reconstruction following limb salvage surgery for sarcomas, for both children and adults. The most appropriate surgical treatment will be used for each patient, following discussion with specialist team. Some of the techniques used were developed locally by pioneers in this field.
Our Linear Accelerators used to treat patients are equipped with 3D conformal Radiotherapy (3DCRT), Intensity Modulated Radiotherapy (IMRT) and Stereotactic Radiotherapy capabilities. The most appropriate modality is chosen for each patient based on tumour location and patient anatomy. Our radiation therapy planning process targets the highest radiation therapy dose at the tumour while minimising dose to normal tissue. Each radiation therapy plan undergoes multiple layers of safety checks before being peer-reviewed to ensure quality.
The NCIS is the only one-stop centre in Singapore equipped with the specialties to treat both adults and children who are diagnosed with sarcoma.
Our paediatric and adult oncologists work hand in hand to tailor the chemotherapy treatment for the unique group of adolescents and young adults who are diagnosed with sarcoma.
The Pharmacy @ NCIS provides specialised oncology drug compounding services for all anti-cancer therapies in the NCIS and related supportive therapy for all patients at the outpatient cancer centre pharmacy.
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