When an adolescent with a new diagnosis of Ewing's sarcoma asks the nurse about treatment, the nurse's response should be based on which information? Select all that apply
a. This type of tumor invades the bone.
b. Management includes chemotherapy, surgery, and radiation.
c. Ewing's sarcoma is usually not responsive to either chemotherapy or radiation.
d. Affected bones such as ribs and proximal fibula may be removed to excise the tumor.
A, B, D
Ewing's sarcoma invades the bone and is found most often in the midshaft of long bones, especially the femur, vertebrae, ribs, and pelvic bones. Treatment for Ewing's sarcoma begins with chemotherapy to decrease tumor bulk, followed by surgical resection of the primary tumor. Local control of the tumor can be achieved with surgery or radiation. The affected bone may be removed if it will not affect the child's functioning. Ribs and the proximal fibula are considered expendable and may be removed to excise the tumor without affecting function. Ewing's sarcoma is responsive to both chemotherapy and radiation.
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