In adults, the most common form of bone cancer is when cancer from another organ has traveled to the bone. It has metastasized to the bone. ThatŐs what you see most commonly in the adult population. In women, itŐs commonly breast cancer.  In men, itŐs commonly prostate cancer. The most common primary presenting symptom is pain. So if you have bone pain, thatŐs going to be a clear indicator that something is going on. In some cases, you may have a painless mass, so youŐll feel a lump or a bump around a bone, and thatŐs an indicator that something is going on as well. ThereŐs multiple forms of treatment. Surgically, what I do is sometimes removing the tumor. Sometimes stabilizing the bone and preventing fracture. And there are also adjuvant treatments, like radiation treatment to the area, and medical treatment, like chemotherapy. The biggest thing that UVA offers in treating patients with bone cancer is a multimodal approach. ItŐs a team approach. ThereŐs more than one way to treat these things, and requires different specialties who are really, really good at what they do. My job is kind of the nuts and bolts, where we want to keep the bones healthy and strong, and prevent fractures, and minimize patientsŐ pain, keep them up and moving around when they have metastatic bone cancer. But UVA also offers a variety of other services to treat these patients, which include radiation oncology, hematology oncology, and really a team approach.