Our Musculoskeletal Oncology program emphasizes the importance of developing all of the necessary skills to care for sarcoma patients in a multidisciplinary environment. Emphasis is placed on the proper diagnosis, workup, treatment planning and follow-up care for these complex patients. Training includes advanced surgical skills and techniques needed for limb sparing surgery, surgical approaches and relevant anatomy, musculoskeletal imaging and Orthopaedic pathology. Fellows are encouraged to develop the leadership skills necessary to build and develop an Orthopaedic oncology program.
Musculoskeletal Oncology offers a unique and varied approach to Orthopaedic surgery. It includes expertise in the following areas:
- Advanced diagnostic techniqiues, including minimally invasive biopies.
- Interpretation of musculoskeletal lesions on cross sectional imaging, including MRI, CT, PET/CT scans.
- Plastic surgical techniques, specifically, the use of local muscle rotation flaps.
- Vascular surgical techniques that include exploration of all the major neurovascular structures including the axillary vessels, the brachial plexus, the retroperitoneal space, the iliac vessels, and all of the extremity vessels.
- Major resections of the shoulder girdle, pelvic girdle and lower extremity joints with various techniques of reconstruction to include prosthetic replacements and intercalary replacements.
Expertise in all varied aspects of surgery is essential for a surgeon to successfully manage Orthopaedic oncology patients. The fellows trained at this institution are lead surgeons and perform the majority of the operative procedures.
The program also stresses the development of clinical research skills. All fellows are engaged in multiple research projects, following IRB submission and approval. Use of a departmental database and electronic records facilitates development of research cohorts for patients with rare diseases. Hands on involvement with photographing gross specimens, histology, radiographs, and varied imaging studies helps to foster greater interest in biology of these diseases and facilitates the rapid accumulation of knowledge needed for independent practice in this field.
Department of Orthopaedic Oncology
Washington Cancer Institute
MedStar Washington Hospital Center
110 Irving St. NW
Washington, DC. 20010
Fellowship Coordinator: Cassandra Garnett