Objectives
  • To be able to handle the first diagnosis of a bone sarcoma patient and to proactively refer patients to sarcoma reference centres for specialised multidisciplinary treatment planning

  • To be able to collaborate with a sarcoma reference centre on the medical management of patients with bone sarcomas, as needed, through proactive clinical networking

Awareness
  • Awareness that all bone sarcomas are rare cancers, worth being referred, following biopsy, to centres specialised in their treatment

  • Appreciation that the main entities include osteosarcoma, Ewing sarcoma, chondrosarcoma, chordoma and others, with different characteristics in terms of epidemiology, natural history and treatment strategy

  • Recognition that bone sarcomas can occur throughout the skeleton depending on the subtype, with remarkable discrepancy rates in pathological diagnosis between reference institutions and the community

  • Appreciation that proper treatment should be always selected on a multidisciplinary basis

  • Appreciation that chemotherapy is especially effective in osteosarcoma and Ewing sarcoma within intensive multidisciplinary treatment protocols

  • Awareness that molecular targeted therapies are available for giant cell tumours of bone and chordomas

Knowledge
  • Knowledge of the main concepts regarding the following aspects of bone sarcomas:

    • Essentials of epidemiology and gross natural history of disease for osteosarcoma, Ewing sarcoma, chondrosarcoma and chordoma

    • Importance of pathological diagnosis

    • Principles of surgery of bone sarcomas

    • Efficacy of systemic therapy, especially in osteosarcoma and Ewing sarcoma (with the potential of chemo-radiation treatment in the latter)

    • Main survivorship issues for children and young patients cured of their bone sarcoma

Skills
  • Ability to advise surgeons facing a clinical/pathological diagnosis of bone sarcoma, or suspected bone sarcoma

  • Ability to refer bone sarcoma patients to centres of reference by conveying essential, meaningful clinical information

  • Ability to actively discuss patient cases with reference centres in regard to strategic clinical decisions and medical treatment conduct, if needed