Pelvic tumour surgery

1 / The assessment

Understand the tumour and nearby structures.

The pelvis supports the trunk and contains structures important for walking, bladder and bowel function. A pelvic tumour may involve bone, soft tissue or both. Planning depends on its exact position and diagnosis.

CT and MRI help define the local extent. Imaging and pathology are considered together before the operation is chosen; the biopsy route should be planned with the treating team.

Further reading: [1] [2]

2 / Treatment goals

Be clear about what treatment can achieve.

Surgery may aim to remove a tumour completely or address a specific problem such as pain or pressure. These aims should be explained separately. Some diagnoses also need chemotherapy or radiotherapy.

Surgery is not appropriate for every pelvic tumour. The recommendation considers the possibility of removal, its likely effects and whether another treatment offers a better balance for that individual.

Further reading: [1] [3]

3 / Surgical planning

Resection and reconstruction are separate decisions.

Resection means removing the tumour and the involved tissue. The amount of pelvic bone or surrounding tissue removed differs substantially between operations. Preserving the leg may be possible, but cannot be promised.

Reconstruction may be advised after removal, particularly when support around the hip is affected. Some pelvic resections do not require bony reconstruction. The choice must balance stability and function against the added risks of reconstruction.

Planning at Aster MIMS Kannur can draw on the dedicated plastic and reconstructive surgery department, with regular multidisciplinary tumour board review.

Further reading: [2] [4]

4 / Informed decisions

Discuss the risks relevant to your operation.

Important risks can include bleeding, infection, wound problems, blood clots and injury to nearby structures. Pelvic surgery can affect bladder or bowel function. Reconstruction adds potential problems such as implant failure or dislocation.

Ask which risks apply to the proposed resection, how they are managed and what could require further surgery. A list cannot replace a discussion based on your scans, health and priorities.

Further reading: [2] [3]

5 / Preparing for recovery

Plan activity and support before surgery.

Recovery depends on the tissues removed, reconstruction, wound healing and any additional cancer treatment. Ask for individual guidance about getting out of bed, weight bearing, sitting, stairs, work and assistance at home.

Before discharge, clarify pain control, wound care, activity restrictions and whom to contact about problems. Follow-up also reviews the final pathology and whether further treatment is needed.

Rehabilitation support is available at Aster MIMS Kannur. Ask how the plan addresses your mobility and practical needs at home.

Further reading: [2] [3]

6 / Continuity

Continue review beyond the operation.

Longer-term follow-up considers tumour control as well as the consequences of treatment. A written treatment summary and follow-up plan help connect care between the surgical team, oncology team and other clinicians.

Report new or worsening symptoms between planned visits. A new symptom does not necessarily mean recurrence, but it deserves an appropriate assessment.

Further reading: [5]