That summer I went to sleep over camp. I feel and hit my knee on a rock- no big deal until I got a bump that wouldn’t go away. I had my physical the week after I got home so I mentioned it to our NEW pediatrician. She felt it and kept her hand on it while talking to us. She sent me for an X-ray that day (a Wed), and that night I went to my friends summer home. The doctor called my mom the next day and said I needed an MRI and it needed to be done Friday. I had it done and we received a phone call around 7pm that night saying there was something on the MRI and whatever it was needed to be checked.

An appointment was made for me at Mass General on Monday morning. We went to the appointment- outside the office was a sign that said “orthopedic oncology.” At 13 I had no clue what that meant, but my parents knew. The same day I had a biopsy done and within an hour we had the results that it was osteosarcoma. I went home that night crying, afraid I was going to die. Wednesday I was back at the hospital to get my central line put it and to start chemo.

Treatment: I had 10 weeks of chemo and then an allograft done, then had another 7 months of chemo. What a way to start off my freshman year of high school! Before I started chemo my mom asked about freezing eggs because she knew it could affect fertility, but they told her we needed to think in the now not the future.

Life After Treatment: During a routine CT scan to follow up after chemo they found a cyst on my ovaries-totally unrelated to the cancer. They needed to remove it, and in doing so ended up taking the ovary also. I was told then I would probably never have children. I was devastated. Two years later I found out I was pregnant! I was a miracle and a dream come true. I now have 2 beautiful children 6 and 4. It is hard some days when my knee is bothering me and I can’t get around easily and I can’t really run. It is a constant reminder of what I went through.

Thoughts and Hints for New patients: People tell me all the time they couldn’t do it. You might think that but when you are faced with this you don’t give yourself an option. My biggest thing that helped me was I never let myself get down. I always stayed positive. You have to stay positive and know you are going to get through this!

Osteosarcoma at the distal femur
Date of Diagnosis: July 1996
Age at diagnosis:13
Location:Massachusetts
Surgeon (optional): Dr. Hornicek
Oncologist (optional):Dr. Ebb

Diagnosis: During 1993 I bought a small trampoline for use at home. I’d read it was good exercise and was keen to keep fit. I started to use it daily and almost immediately I experienced an excruciating pain in my left leg. It was like a bee sting that lasted ages, so severe that it made me stop in my tracks and gasp. Once the pain had been triggered it didn’t go away – I intermittently felt it. I was no longer able to use the trampoline so packed it away and made an appointment to see my Doctor. He suggested I’d pulled a muscle on the trampoline – even though I knew it wasn’t that kind of pain. The pain continued and became more intense and more regular so that I was walking with a limp and could not walk any distance. It felt like a rat was gnawing the bone of my leg all the time. During this time (over two years) the Doctor kept fobbing me off and not taking my pain seriously. Then one day in complete despair I went to his surgery and refused to leave until he sent me for an x-ray. The x-ray showed a mass inside the bone of my Tibia. I then was sent from one specialist to another each misdiagnosing the mass. I had scans, MRI, more x-rays. Eventually having painfully tramped all over England seeing these specialists I was referred to Mr Steven Cannon (privately) in London. He recognised the mass for what it was immediately and said I needed urgent surgery.I had been feeling depressed about the pain and felt helpless despair but once it was diagnosed and was to be treated the depression lifted.

Treatment: Within a few days I was in hospital undergoing surgery. The tumour was Chondrosarcoma grade 1 and it was surgically removed in December 1995. The leg was not strengthened at the time as it was not thought it was necessary and it was also thought that bone cement might disguise a recurrence. I was in plaster for eight weeks.

Recovery: I was surprised at how wasted my leg was when the plaster was removed. Also the tumour had been near the ankle joint and as a result the ankle joint lost a lot of its flexability initially. After the inital healing process I had several months of physiotherapy which improved flexibility of the ankle joint.

Further Treatment: Over the first five years I had regular follow up x-rays, sometimes scans or MRI. I found towards the end of the five years that I was getting what I was later informed was “stress pain” – because the bone had ben weakened by surgery and the cavity left from where the tumour had been situated had not filled back in. So in 2001 I had further surgery – curetage and biopsy and bone cement was used this time to fill the cavity. Again I was on crutches initially and had phisiotherapy after the healing time. I continue to have follow ups but am currently free of recurrence 10 years later.

Life Now: My life is completely normal although I do have residual problems – nothing I can’t handle though! If I do any serious walking my leg aches afterwards (very uncomfortable) the ankle joint swells on that leg if I fly, in hot weather or if I exercise a lot. I tend to wear a support stocking on it and raise it when I sit down if its bad! I still wear stilletto heel shoes though when I’m going out!!

Thoughts and Hints for New Patients: Don’t panic! Being diagnosed is good because then you can start to figure out how to treat your condition. It was being in pain without being diagnosed that I found awful and depressing – there were days when I thought I would never walk properly again and nights when I woke in a muck sweat thinking I was going to die.

I believe knowledge is empowering so I recommend you find out as much as you can about your condition so that you can make informed choices. Make sure you’ve got plenty of support (maybe join a support group because they tend to have lots of information and expertise you can draw on.)Don’t just rely on your family and close friends because it can be hard for them too. And finally remember that: COURAGE IS NOT THE LACK OF FEAR – IT IS THE MOVING FORWARD IN SPITE OF IT. Take care.

He scanned, x-rayed, scoped…you name it, he did it.  On the very last day, he opted to run a bone scan to see if he could pinpoint the reason for my now phantom (as in gone) pain.  During the bone scan, my tumor was found.  Of course the x-ray tech couldn’t tell me that; she simply told me to get it checked as it wasn’t normal.  As a side note…no cause was ever found for the original kidney pain.

Off to the ortho (Dr. Robert Fain) I go…after all, I thought I had a knee problem.  He says, “You have to go to M.D. Anderson.”  I’m in utter disbelief!  For what?  I thought this was just arthritis.

Dr. Fain paves the way for me to get in to M.D. Anderson, where my case is picked up by the Chief of the Sarcoma Clinic, Dr. Robert Benjamin. I’ve come to truly love this man.  More tests.  Everyone who is on the web page knows about the tests.  I’m going to glow & poop in technicolor for the rest of my life!  The bone biopsy is not specific.  They can only tell that it’s a spindle cell sarcoma, not the specific “make & model”.

Treatment: Chemo is begun on 6/30/2000, and my hair is gone three weeks later.  Many rounds of chemo ensue until, in September 20o0, I am scheduled for surgery.

Dr. Kristi Weber is a great doctor, an excellent surgeon & the best cheerleader there is!  She performs an allograph on my right femur.  So now I have a little over 5 inches of someone else’s femur bone in my body.  I’m now to be completely non-weight bearing until the two bone grafts heal.  This ends up being 13 months…bear in mind that I’m an overweight 45 year old woman by this point.

In November 2000, during my monthly appt. Dr. Benjamin comes into my exam room and smiles at me.  For the first time since I’ve been his patient, he is smiling.  I start to cry.  Maybe I’m going to live through this after all. He tells me my tumor is MFH (I’ve have lots of words that fit those initials – can’t put any of them here tho!).  I’m told this type of cancer in the bone in someone my age is very rare.  Woo-hoo, lucky me!  He tells me there will be more chemo, inpatient & outpatient.  And that 2001 will probably suck, but 2002 will be great!  2002!!! Up till this point, no thoughts had strayed that far ahead.

The new, tougher chemo regimen starts and he’s right, it still sucks…until, in April 2001, my bone marrow dictates that there is to be no more chemo.  The other thing that has been dictated is that I have to have another surgery.  The original one has not healed.  This time, my fibula is transplanted to my femur.  The original metal brace is removed & a longer one is put in…along with 13 screws…on an Xray, I look bionic. But I still have my leg.  Since there is no chemo to interfere, the leg finally heals. My gift for my 45th birthday is that I’m allowed to walk on both legs!

Life Now: My other, ongoing gift is that I am here.  I am writing my story.  This month – April 2009 – is my 8th anniversary off chemo.  I’ve had no recurrences. I have come to believe in Guardian Angels (remember that phantom pain?) and the people at M.D. Anderson.  Dr. Weber has moved on to Johns Hopkins and I truly miss seeing her.  There’s just something about the people who save your life that you never get over.

Malignant Fibrous Histiocytoma at the distal femur
Date of Diagnosis: June 2000
Age at diagnosis: 44
Location: Houston, Texas – USA
Surgeon: Kristi Weber
Oncologist: Robert Benjamin

Diagnosis: I was playing high school field hockey (fall 1998) and my back hurt more and more each day. The pediatrician thought it was from my backpack being too heavy. Then basketball season started and it was hurting even more. One morning I woke up and my feet felt strange. I didn’t think too much of it. The next day my legs and chest were numb. We called the orthopedic doctor (since I was so healthy and only broke my arm once). They said it sounded neurological and gave us names of neurologists. Well one could schedule me in a month, another on Monday (it was Friday). My mom was on the phone with my dad trying to decide what to do and the third neurologist broke into the phone line and said he was off that day but to come in anyways. He did some tests and when we returned from the MRI, he had an oncologist, surgeon, anesthesiologist, etc. lined up.

I had an egg-sized tumor pressing on my spinal cord at T3 and T4. It was already rapidly suppressing my breathing and emergency surgery was in order. I had the surgery early the next morning. Thankfully I regained all my feeling during surgery. I started chemotherapy within a few days when it was determined it was Askin’s Tumor (in the Ewing’s Sarcoma family) It all happened so fast but I recall comforting my mother and worrying about letting people know about what I was going to miss. From the first minute of this crazy journey, I accepted it and whatever I had to do to get through it, I just would do it.

Treatment: I had emergency surgery Dec. 5, 1998 for my first tumor. They removed as much as they could of the egg-sized tumor but it had spindles that went all over. I did a year of chemotherapy–I had a “lovely” time with VP16 and Ifosamide every 6 weeks. Then every 3rd week in between I’d have “fun” with juicy red Adriamycin (the word still makes me shudder) and Cytoxan. Vincristine was a weekly event until I had trouble walking in March of 1999 and it was stopped. In March and April, I had 6 weeks of radiation interlaced with the chemo.

I was in remission for 2000. December of 2000 stem cells were taken to store in case I ever needed them. While studying them, cancer cells were discovered. I was more IN than out of the hospital for the next 5 months. Cisplatin and Ironotecan were the enemies of choice this time. June 3rd, 2001 I was admitted for my autologous stem cell transplant. Days of fluids led to VP16, Cytoxan and thiotepa. I was in for a good 6 weeks and had many complications.

Another year and a half of remission followed. Then Nov. 2002, a new tumor was found between my heart, lung and spine. I had maxed out on a lot of chemo and had a lot of radiation already and a transplant. Everyone else who ever had Askin’s Tumor and relapsed after a transplant had died within weeks. My prognosis was nonexistent. Months passed and the tumor only grew slightly. I had a tiny bit of radiation and a tiny bit of chemo just to keep me comfortable and help with breathing. A year passed and it seemed stable and not growing. The PET scans showed little to no activity in the tumor region. In May of 2004, a cardiovascular and thoracic surgeon took the tumor out safely. It was the size of a small nerf football. When they biopsied it, it was completely dead. The doctors were baffled and it is a HUGE miracle. It is believed I am the only person ever to survive this long with my type after a relapse after a transplant. I have been in remission for 4 1/2 years now and just take it a day at a time–there’s no one to compare me to!

Recovery:I have come a long way but still deal with many long-term side effects and take various medications. I have a weak right lung from radiation, my knees have arthritis, my gall bladder was removed and my thyroid does not work so I take medicine for that. I also have hormone deficiencies and chronic pain in my back and legs along with chronic fatigue. My intestines are damaged from my transplant and give me some problems although with time, it has improved dramatically.  Despite all of these possible deterrents, I live a very active and full life . There have been lots of ups and downs physically, emotionally and psychologically in this journey.

Life Now: I received my Associate’s in Interior Design last year and am now finishing my bachelor’s in Studio Art and Art Therapy (to prepare for a Master’s in Art Therapy). I do art commissions (murals, furniture, t-shirts, logos, canvases, a little bit of everything). I travel quite a bit for cancer related events and speaking opportunities. I help out with cancer kids’ camps and do things for local and national charities having to do with various aspects of cancer and other causes. I am also a published writer, national inspirational speaker and maintain a blog- www.obsessedwithlife.com.  I was voted as Glamour magazine’s 2008 Woman of Your Year which was a very amazing honor. I am always up for helping people and meeting new people.

Thoughts and Hints for New Patients: Trust your instincts and speak up.  Ask lots of questions! Find a doctor that you feel comfortable with and is familiar with your disease. You can get through this. Take it a day at a time. Plan little things to look forward to: a trip, buying a new book, whatever it is. It’s key to have things to life for and work towards. Accept that some days are bad and some are good and that’s ok. Surround yourself with people who support you-not ones that bring you down.  And don’t ever underestimate hope!

Editor’s Note: Rachel’s poetry has been published here and here. She has also written an essay in Cure Magazine. Visit Rachel’s weblog to learn more about her and keep in touch.

I began having leg pain in 1992 when I was 20 years old.  It was a strange pain that I would notice when I was pressing my foot on the accelerator in the car.  I had a bone scan that showed a hot spot on my tibia.  I was diagnosed with a “stress fracture” and ran around in a cast, a boot, and a leg brace for almost a year with no improvement.  A tiny lump started to appear in my x-rays and my doctor felt it was probably new bone growing in to repair the fracture.  The lump grew VERY rapidly and I was referred to an orthopaedic oncologist.

Surgery was scheduled immediately to remove the lump and the frozen section came back negative!  Unfortunately when I went back a week later to have my stitches removed I was told the biopsy was positive and I was diagnosed with Periosteal Osteosarcoma of the right tibia in October of 1993.

Treatment: I had limb salvage surgery a few days later.  Most of my tibia was removed and replaced with a metal rod.  I had a bone graft from my own hip.  Ouch!   I was in a wheelchair for a while, then crutches, and after physical therapy I was walking normally again.  My major recovery took about a year.  Although the situation interrupted my college career, it definitely made me realize that I was a much stronger person than I ever thought I was.

Life Now: My life is good and i guess you could say normal.  The GREAT news is that I just got married to the love of my life in November 2008.   I love gardening, reading, surfing the web, ans spending time with loved ones.  Believe it or not, I even performed in a circus, juggling and WALKING a tight rope!

I am so glad I found this site.  I wish it was around in ‘93!  I am thankful it is here now to support new patients.  It is so hard to find information about sarcoma.

I definitely always have the cancer in the back of my mind, but in a way I am glad I had the experience.  It’s hard to explain.