Management of Soft Tissue Sarcoma

Treatment for soft tissue sarcomas may be either local or systemic. Local treatments remove, destroy, or control the cancer cells in one certain area. Systemic treatments are used to destroy or control cancer cells throughout the whole body. You may have just one treatment or a combination of treatments.

Children With Bone Cancer Are
In Good Hands

Dr. Kenan is an orthopedic surgeon who specializes in pediatric bone cancers and is part of a new initiative at Cohen Children's Hospital of New York to expand services for young people with bone cancer. He is well known for his limb-sparing surgeries and for his bedside manner.

Surgical Management of
Skeletal Metastatic Disease

Bone metastases are the most destructive lesions in adult patients. The development of bone metastasis indicates that a cure is unlikely and the management of symptoms becomes the focus of treatment.

Patient Testimonials

Discover what our patients have to say regarding their office visit, surgical experience or recovery process. We also encourage our existing patients to share their own experience!

Gina Gentile

  • Transepiphyseal Resection and Replacement

“When my 13 year old son Vincent was diagnosed with Osteogenic Sarcoma (a form of bone cancer) in March of 2012, to say I was devastated would be an understatement. I knew that we had a long journey ahead of us and that our lives would be forever changed. The most frightening experience of my life was the eight hour surgery my son had to endure to remove a tumor from his leg. I put my trust, and more importantly, my son's life into the hands of his orthopedic surgeon, Dr. Kenan. I can honestly say that I do not know how we would have gotten through this experience without the expertise of Dr. Kenan. He guided us through the most difficult time in our lives with the utmost respect and compassion. Dr. Kenan reassured my family and I throughout our ordeal. Dr. Kenan's exceptional bedside manner made my son feel comfortable during his darkest hours. My family and I cannot put into words how thankful we are for you, Dr. Kenan. We will be forever grateful for you. You saved my son Vincent's life. Thank you.”

Philip Savides

  • Osteosarcoma

“Dear Dr. Kenan,

Hello, my name is Philip Savides I am 18 years old, was born in USA and at present I am living in Cyprus Island, at age of three years old I was diagnosed with osteosarcoma which involved the right proximal tibia. Dr. Kenan performed surgery on my leg where he removed the tumor and replaced the bone with a kind of an expandable prosthesis. Ever since I have been under Dr. Kenans care. During the last 15 years I underwent several surgeries to lengthen my leg and to revise the prosthesis with a longer prosthesis. I am very thankful for the life I have now. Thanks to Dr. Kenan I can ambulate quit good both leg are at the same length I can do pretty much everything that I would like to do.

Thank you,

Philip Savides (May 2005)”

Helena So

  • Osteosarcoma

“Dear Dr. Kenan,

Hi! My name is Helena So. I was 8 years old when I found out that my diagnosis was osteosarcoma (bone cancer). Thank you so much for doing my leg surgeries. You are a wonderful surgeon. Right now I can run a little, thanks to you. Also I'm really happy because I'm going to school now, and I'm in the fifth grade. My surgery was on April 19, 2005, I was 10 years old that time. I started my chemotherapy on January 2005 and finished on August 20, 2005. Sometimes in school I wonder if I really finished my chemo, because it was too good to be true. It was a long journey, but I made it. You are the best doctor. Happy Thanksgiving, and thank you so much.


Helena So”

Helena So's Mom

  • Osteosarcoma

“Dear Dr. Kenan,

How have you been? Thank you for doing a successful surgery. Now she can stretch her leg well, and soon will walk properly thanks to you. You are a miracle doctor. Thank you very much.


Helena's Mom”

Soleidy Estavez

  • Osteosarcoma

“Dear Dr. Kenan,

When I was seven years old, I found out that I had cancer in my right leg. When I first heard about this I felt nervous because I didn't know what was going to happen. But then Dr. Kenan told me that I would be able to walk again and that everything was going to be okay. I was relieved.

Now that I am twelve years old, I can run and go to my dance classes. Thanks to God and Dr. Kenan my life is normal again. I thank Dr. Kenan for his cooperation and patience with me. Now when I see Dr. Kenan I feel very happy because I know that everything is okay.

Thank you all,

Soleidy Estavez”

Soleidy Estevez

  • Osteosarcoma

“Dear Dr. Kenan,

I don't know what to say to you, because you have saved my life. That is something that God is seeing and will reward you. I truly love you with all my heart.

Much Love, Soleidy Estevez”

Spadicia Harris

  • Osteosarcoma

“Dear Dr. Kenan,

Spadicia Harris is 8 years old girl born on a beautiful Caribbean island called Antigua. On August of 2004 while jumping rope, Spadicia slipped and fell on her right leg. From that moment on, Spadicia has complained of pain and swelling around the knee. As a concerned parent I took her to the emergency room where an X-ray was done. I was very concerned because the femur looked unusual on x-ray. A biopsy was suggested and the result of the biopsy was osteogenic sarcoma. After researching osteosarcoma on the internet, I was crazy realizing my little girl was very sick. Determined to find a solution, we went to New York City. I met a wonderful doctor at the Westchester County Medical Center who was willing to treat Spadicia - Dr. Jayabose, a pediatric oncologist. In November of 2005, Spadicia started chemotherapy. I was then referred to another wonderful doctor named Dr. Samuel Kenan, an orthopedic oncologist and chief of the orthopedic oncology at NYU/Hospital for Joint Diseases. Along with his team, Dr. Kenan transferred my daughter to NYU where a limb sparing surgery was performed. Dr. Kenan removed the tumor from Spadicia's leg and replaced it with a telescoping expandable prosthesis.

A few days following the surgery Spadicia was already up, out of bed, and walking with a walker.

I give thanks for the generosity of these who donated to the fund for her prosthesis. I also thank Dr. Jayabose and Dr. Kenan who donated their time and expertise so that Spadicia could see a better future: a future where she is able to walk and hopefully return back home and play with her friends.

With Thanks,

Mrs. Harris”

Rhaiza O'neill Santiago

  • Aneurismal Bone Cyst

“Hi Dr. Kenan,

I'm not sure if you remember me, but I just wanted to thank you for your excellent job. My arm is working very well, and I am extremely pleased. As you remember, I am from Puerto Rico. In 1990, when I was seven years old, you operated on me for Aneurismal Bone Cyst of my left humerus.

Thanks a lot,

Rhaiza O'neill Santiago (March 2005)”

Damon T. Taylor, Jr.

  • Leg Tumor

“Dear Dr. Kenan,

I enjoyed my recent visit to your office and I am very happy to introduce myself to your patients. My name is Damon and I am 24 years old. I'm a city kid but my family now lives in Delaware. I'm studying to be a lawyer and my favorite hobby is golf. I'll probably never be Tiger Woods but I wouldn't mind being his lawyer some day.

When I was 12 years old the doctors found a tumor on my left leg near the kneecap (distal femur). I was playing little league baseball at the time and I thought it was just tendentious. It was a huge shock to my whole family. No one could sleep. We were all on pins and needles. We visited several hospitals and saw a number of doctors. That's when I met Dr. Kenan and his colleagues. Its tough to make an important personal decision, but you have to make it. Dr. Kenan didn't have as many titles then but we placed our trust in Dr. Kenan. I don't for one second regret the decision my family made. But how did we get to that point? Many of the doctors we consulted wanted to simply amputate my leg. Everyone in my family remembers my father, with tears in his eyes, emphatically stating that that was not an acceptable option. Some of the doctors attempted to justify the amputation technique by saying that it was the same procedure performed on Senator Edward Kennedy's son. Dr. Kenan and his colleagues offered the only viable internal prothesis technique. Hence, I am proud to say that he has been my doctor for twelve healthful years.

I'm very lucky because I have a loving family that has been with me through thick and thin. In a sense, its like going to war. You need people you can rely on and trust. The patient has the easiest job. The parents and guardians worry over the medical bills, insurance, schooling, hospital stays and a thousand other things. The patient just needs to be mentally tough. He or she has to be observant and talk with the other patients. Doctors can only say so much. The other patients will open your eyes to their problems and often give you inspiration.

When I was just starting treatment I met a young man with almost the exact same tumor related problem. He had completed treatment and was enrolled in Princeton University. He wanted to be a doctor and was an avid golfer. He looked like and was a regular, well adjusted guy. I can't tell you how much of an inspiration he was to my whole family. To see that there was hope and normality at the end of all the confusion was a beautiful gift.

The reality of my situation is that I have grown to almost six feet tall. This has necessitated more than one operation. I walk without a limp because I went through gait therapy. Running is something I do not like to do. However, I feel no pain and have no other side effects. My left foot is one size smaller than my right foot, but if you go to an established shoe store they will make the proper adjustments. I have a seven inch scar around my left kneecap that is probably less noticeable than 50% of the knee scars of the players in the Football League (NFL). What I am trying to say is that I am not embarrassed to wear shorts in the summer. I'm not ashamed of my leg. My father calls it a real Chippendale. People do not notice my scar and when they do, they think it is a sports related injury. If asked, I will tell them the truth. I appear to be the average guy on the street that has never experienced a major medical problem. But you know and I know that I was in a life and death struggle.

A child that has gone through cancer treatment necessarily adopts an attitude similar to water (problems) rolling off a duck's back. Most, but not all, are shy and retiring. They have seen the worst and like war-scarred veterans, everyday problems do not enter into the equation. This feeling never goes away. My father often jokes that if the house were burning down I'd ask if there was time enough to eat. Just as the attitude of the patient changes so do the attitudes of parents and guardians. Parents become overprotective. Even a younger sister will become your mother hen. Most kids that have gone through cancer will accept this for what it is: a sign of LOVE. Even the doctors can get into the act. There was a young man in his late teens from the Bronx who liked fast cars and motorcycles. He'd come rolling into the clinic in his motorcycle leathers flashing a big smile. Most of the young nurses thought he was quite handsome. The doctors would tell him that riding a motorcycle was a huge "No No" because of the possibility of injury to his prosthesis. He'd just smile and put his arm around the doctors and say he'd be careful. Most of the parents thought he was foolish, but to many of the other patients he was an inspiration. The boy from the Bronx knew what he loved and cancer was not about to interfere with his dreams. Dreams are important to kids with cancer. Everyone is always telling you what you can't do. What you want is rarely discussed. But, I'd definitely give motorcycles a wide berth.

Finally, stay close to your family! Give your parents a hug because they need it. Your parents are not as tough as they seem. You are now the center of their world. We are the tough guys and tough guys can sometimes give hugs. Finally, to the parent or parents I would say: don't be surprised if you actually become friends with your child. You have no idea how strong the bond is that is being established. You will see I am right in another ten years when cancer is only a distant but horrifying memory. May the road rise to meet you and may the wind be at your back.

From my heart,

Damon T. Taylor, Jr.”

Clayton Deming

  • Ewing's Sarcoma

“Dear Dr. Kenan,

I would like to thank you very much for helping me through my unexpected journey. In 2001, at age of 24, I was living in Colorado enjoying myself by skiing and participating in other adventurous activities and enjoying healthy life. Unexpectedly I started to have pain in my right thigh and hip area. I was eventually diagnosed with Ewing's sarcoma of my right proximal femur. My life was about to change. I underwent chemotherapy for twelve months followed by a resection of two thirds of my proximal femur and replacement by internal prosthesis.

After surgery I did another round of chemotherapy. I started to go downhill very fast. I contracted a staff infection of my prosthesis with extensive wound discharge. The surgeon at that time did two washouts to try to save the prosthesis.

I moved back to Connecticut and started to feel better but I knew something wasn't right. Again I had discharge from my wound for which I had another two unsuccessful washouts.

Eventually I was referred to Dr. Kenan in New York. When I met Dr. Kenan he told me that I would have to have a major surgery in which he would remove the entire prosthesis and replace it in two stages. During the first procedure, he would remove the prosthesis and insert a cement spacer. The second procedure would be a revision of the new prosthesis.

I am twenty seven years old now and the past three years have been pretty rough. If I hadn't met Dr. Kenan, I don't know what would have happened. I am very grateful to him and I am starting to get my life back together. I am currently working part time and even played golf a couple of times; it felt great. My leg is starting to get stronger and currently I am walking without a cane. I would like to say that without the support of family and friends I don't know what I would have done. Staying positive is very important. Thanks to all that helped me through this unexpected journey and special thanks to Dr. Samuel Kenan.


Clayton Deming”

Roberta Baye

  • Angio-sarcoma

“A Survivor of Angio-sarcoma Looks Back After 14 Years:

How can a cancer patient cope after having surgery and treatment? How often do they ask their doctor, or themselves, what more can be done to ensure that the cancer won't spread? When the answer offers little information, few details, or just periodic doctor visits and constant surveillance, it is then that the patient must truly fight to survive.

And how does one fight?

It is at this moment that you conjure up your will power to endure hardship. You change your attitude to see the good in people, to see the wonderful in your day, to see the positive in whatever activity you do. It is this attitude, this optic of viewing life, that changes you psychologically and helps you fight.

The reward is the most important trophy of all time- LIFE! And with modern medicine, new techniques and dedicated physicians and medical staff, you can win. There is hope. Ahead is a new life, a different life, where each day finds another pleasure to reward you that you achieved what not many people have the courage to face.

- Roberta Baye”

Richard G. Galef

  • Leg Tumor

“Dear Dr. Kenan,

I am very pleased to recount the history and treatment of my leg tumor in the hope that it will give help and hope to others faced with similar afflictions.

In 1990, at age 67, I was presented with a huge swelling over my left hip area. A biopsy revealed it to be a low-grade malignancy. Dr. Lewis performed a wide resection of the tumor. Recovery was swift and functioning restored to normal.

In 1997, seven years later, I had a recurrent ossifying fibromyxoid tumor. With the diagnosis, the pathologist sent a letter to my friend recommending a surgeon he would use if he had that diagnosis, Dr. Samuel Kenan, who was then at the Hospital for Joint Diseases.

Dr. Kenan revealed that the tumor had invaded much of the upper leg including major muscles and the femur. My fears that I would lose my left leg were put to rest by Dr. Kenan. While he could not replace the muscles, Dr. Kenan said, a titanium prosthesis would replace my femur. In my case, because of the extensive muscle loss, I should use a cane or a forearm crutch to support my leg. With that you will walk very well, he told me.

Today, seven years later, I use a forearm crutch and walk very well. I just spent seven days walking the streets of Amsterdam, almost keeping up with my wife, a vigorous athletic woman and a mean walker. I am a serious gardener and builder of stone walls. Thanks to Dr. Kenan's dedication and devotion, I had my life back. I have made a number of small adaptations but nothing that has diminished the quality of my life. I am just a few weeks short of my eighty-second birthday. It is my hope that the prosthesis lasts another eighteen years. If not, Dr. Kenan, you will have to replace it for me.

With gratitude,

Richard G. Galef”

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