Ewing Sarcoma Treatment in India

Ewing Sarcoma is a rare but aggressive cancer that primarily affects the bones or soft tissues, especially in children and young adults. India provides advanced, cost-effective treatment through leading hospitals and internationally trained specialists. From chemotherapy and surgery to radiation and rehabilitation, patients receive comprehensive care tailored to international standards. With renowned experts like Dr. Ankur Bahl, India offers a world-class treatment experience at a significantly lower cost—$6,500 to $16,000, compared to $75,000+ in the U.S. or $25,000–$40,000 in Thailand.

What Is Ewing Sarcoma and Who Is at Risk?

Ewing Sarcoma is part of a group of tumors known as the Ewing family of tumors, which includes classic Ewing Sarcoma of the bone and extraosseous Ewing Sarcoma (soft tissue). It is caused by a genetic mutation involving the EWSR1 gene, but it is not hereditary.

Risk Factors:

50. Age: Most common between 10 and 20 years
50. Gender: Slightly higher prevalence in males
50. Ethnicity: Primarily affects Caucasian populations
50. Genetic Abnormality: Specific gene translocations (usually t(11;22))

What are the types of Ewing Sarcoma?

Types of Ewing Sarcoma:

50. Classic Ewing Sarcoma (Bone)
    The most prevalent form, often found in long bones like the femur or pelvis.
50. Extraosseous Ewing Sarcoma (Soft Tissue)
    Arises in soft tissues without direct bone involvement, such as muscle or fat.
50. Askin Tumor
    A subtype located in the chest wall, particularly challenging due to proximity to lungs and heart.

What are Symptoms and Diagnosis of Ewing Sarcoma?

Symptoms and Diagnosis

Common Symptoms:

50. Persistent localized bone pain
50. Swelling, warmth, or redness at the tumor site
50. Fatigue, fever, and weight loss
50. Difficulty walking or using a limb
50. Unexplained bone fractures

Diagnostic Tools in India:

50. X-rays to detect bone damage or lesions
50. MRI Scans for precise soft tissue and bone assessment
50. CT Scans for chest and pelvic involvement
50. PET-CT to identify metastases and monitor treatment response
50. Biopsy (open or core needle) for pathological confirmation
50. Immunohistochemistry and Molecular Testing to detect the EWSR1 mutation and distinguish from similar tumors

What is the Treatment Protocol in India?

1. Neoadjuvant Chemotherapy

50. Purpose: Shrink the tumor before surgery
50. Drugs: Vincristine, Doxorubicin, Cyclophosphamide (VDC), alternating with Ifosfamide and Etoposide (IE)
50. Duration: 6–8 cycles over 3–4 months
50. Advantages: Better surgical outcomes, early control of microscopic disease

2. Surgical Resection

Options:

Limb-sparing surgery (most common)

Amputation (for extensive tumors)

Goal: Remove tumor completely with safe margins

Specialized equipment: 3D planning, robotic assistance, custom implants

3. Adjuvant Chemotherapy

50. Purpose: Eliminate residual cancer cells
50. Timeline: Begins 2–3 weeks post-surgery
50. Duration: Another 6–8 cycles over 3–4 months

4. Radiation Therapy

50. Indications: Tumors that are inoperable or have positive surgical margins
50. Techniques: IMRT, IGRT, and SRT (stereotactic radiosurgery)
50. Duration: 5–6 weeks, daily sessions

5. High-Dose Chemotherapy with Stem Cell Rescue

50. Reserved for high-risk, relapsed, or metastatic cases
50. Process: Harvesting stem cells, delivering intensive chemo, then reinfusing stem cells
50. Requires isolation and intensive care

6. Rehabilitation and Long-Term Follow-Up

50. Physical therapy for mobility
50. Counseling for mental health
50. Imaging every 3–6 months for 2–3 years

Cost Breakdown in India

International Cost Comparison

What are the Treatment Process for Foreign Patients?

The Treatment Process for Foreign Patients:

Online Consultation

50. Share medical history and scans
50. Receive provisional treatment plan and quote

Visa Assistance

50. Invitation letter from hospital
50. Support for caregiver visa

Travel & Airport Pick-up

50. Hospital arranges transportation and lodging

On-site Evaluation

50. Confirm diagnosis, update treatment plan

Treatment Initiation

50. Multidisciplinary execution (chemo, surgery, radiation)

50. Discharge & Follow-Up
50. Digital copies of reports
50. Online follow-up consultations for 12–24 months

Technologies and Infrastructure

50. 3 Tesla MRI machines for clear soft-tissue imaging
50. PET-CT Scanners for full-body staging
50. Neuronavigation during complex surgeries
50. Robotic-assisted surgeries for precision
50. IMRT & IGRT for targeted radiation
50. 3D Printing for custom implants after bone removal

Why Choose Dr. Ankur Bahl?

50. Senior Consultant at Medanta Hospital, Gurgaon
50. 20+ years of experience in adult and pediatric oncology
50. Specialized in rare cancers including sarcomas
50. Trained at top institutions globally
50. Known for ethical, empathetic, and holistic care

What are the Advantages of Getting Treated in India?

Advantages of Getting Treated in India:

50. Up to 80% cost savings
50. Zero waiting period
50. Global-standard hospitals (JCI/NABH-accredited)
50. Multilingual medical staff
50. Holistic support: travel, food, accommodation
50. Excellent outcomes and long-term care

Can You Provide an Example of a Personalized Treatment Plan?

Yes. Here's a typical example of how an international patient’s treatment might proceed:

Patient: 14-year-old girl from Nigeria
Diagnosis: Classic Ewing Sarcoma of the right femur
Staging: Localized, no metastasis
Treatment Plan:

50. Week 1–2: Online consultation, medical visa, travel to India
50. Week 3: Imaging, biopsy confirmation, PET-CT scan
50. Week 4–16: 6 cycles of neoadjuvant chemotherapy (VDC/IE regimen)
50. Week 17–18: Limb-sparing surgery with a custom titanium implant
50. Week 19–28: 6 cycles of adjuvant chemotherapy
50. Week 29–34: Radiation therapy (IMRT), 5 sessions/week
50. Follow-up: PET scan at 6 months; virtual consultations every 3 months

This kind of plan ensures coordination between oncologists, orthopedic surgeons, and rehabilitation experts.

What Other Services Are Offered to Foreign Patients?

Top hospitals in India offer a full suite of services designed for international patients:

50. Airport Pickup & Drop: Staff at arrival gates with signage
50. Dedicated International Desk: Single-point contact for your entire stay
50. Customized Meal Plans: Halal, vegetarian, African, continental options
50. Lodging Assistance: Hotel, guesthouse, or serviced apartment tie-ups
50. Sim Cards & Banking Help: Support for local mobile and payments
50. Tourism Support: Sightseeing, wellness programs for recovering patients

These services make the medical trip feel more like a supported experience than a burden.

India offers unmatched value for Ewing Sarcoma treatment, especially for foreign patients. With compassionate experts like Dr. Ankur Bahl, advanced infrastructure, and a fraction of the cost compared to the West, India stands as a trusted healthcare destination.

Start your consultation today. Receive world-class care without delay.