Management plan for osteogenic sarcoma of the lower end of femur must include -
The usual protocol is : -


First give neoadjuvant chemotherapy (Pre-operative chemotherapy).
Neo-adjuvant chemotherapy is followed by surgery : - This may be limb salvage surgery (most of the time) or amputation depending on the situation.
Surgery is followed by postoperative chemotherapy.
Radiotherapy, amputation, chemotherapy
Surgery alone
Chemotherapy + Limb Salvage Surgery + Chemotherapy
Chemotherapy + Radiotherapy