Anatomy of the Bones
Bones are made up of three types of tissue: 1) compact tissue, which is the hard outer portion of most bones; 2) cancellous tissue, which is spongy tissue inside the bones that contains bone marrow, which makes blood cells; and 3) subchondral tissue, which is the smooth bone tissue of the joints. A layer of cartilage covers subchondral tissue to cushion the movement of joints.
There are over 200 bones in the human body. They serve several purposes. They support and protect internal organs (for example, the skull protects the brain and the ribs protect the lungs). Muscles, which make the body move, attach to bones. Bone marrow, the soft, spongy tissue in the center of many bones, makes and stores blood cells. Any of these can be affected by bone cancer. However, certain types of bone cancer are more common in specific bones. Osteosarcoma is most commonly found in the bones around the knee. Ewing's sarcoma is more common in the upper leg, pelvis and other bones of the trunk. The pelvis is the most frequent location for chondrosarcoma. Nevertheless, it is possible for these cancers to affect any bone in the body.
I've Just Been Told I Have Bone Cancer
Bone cancer is cancer that begins in your bones. It is also called primary bone cancer. Primary bone cancer is different from secondary bone cancer, which starts in other parts of the body and later spreads to the bones. Virtually all types of cancer can spread to bone. But primary bone cancers are quite rare. They are more common in children and adolescents than in adults.
There are several kinds of cancer that start in the bones. In children and young adults under 30, the most common types are osteosarcoma and Ewing's sarcoma. Osteosarcoma most often develops in the bones around the knees. Ewing's sarcoma usually affects bones in the pelvis and upper leg. In adults, bone cancers include chondrosarcoma which starts in cartilage, chordoma, malignant fibrous histiocytoma of bone and fibrosarcoma of bone. These are all rare in children. There are also a number of other rare types of bone cancer.
Your doctor will use imaging tests and a biopsy to confirm that you have bone cancer, and will recommend additional tests or surgery to help learn how far the cancer has progressed (called the stage).