Re: Bone Cancer question
I think it would be ASAP in most cases, but depends on all those factors.
A friend of mine at the hospital I was treated at had osteogenic sarcoma in her femur and she underwent what is known as a "limb savage procedure" which removes the cancerous part of the bone, but spares the rest of the limb and the absent bone is replaced with an implan. For her, chemotherapy began within a week of surgery. Didn't make a difference to prevent spread in her case however: cancer was found in the hipbone of the same leg within a couple of weeks and after radiation to the site and further, intensive chemotherapy, more tumors were found in the other hipbone and lungs. At that point, the disease cure rate drops to 10% and it is either experimental treatment, pallaitive radiation/chemotherapy to try to keep the tumors stable for as long as possible, stop of all treatment, or more intensive chemotherapy to see if that works. She thankfully achieved a remission after experimental chemotherapy, only after conventional therapy failed.