Approximately 2400 new malignant tumors of bone (excluding multiple myeloma) are diagnosed each year in the United States. The femur is the most common site, but primary sarcoma can occur in any bone. Osteosarcoma, Ewing's sarcoma, and chondrosarcoma account for approximately 90% of all primary sarcomas of bone. The management of osteosarcoma and Ewing's sarcoma includes chemotherapy and surgery, while chondrosarcoma is treated by surgery alone.[1] The management of these patients, from initial evaluation and biopsy through surgical therapy and long-term followup, is labor intensive and technically demanding. Patients with a bone sarcoma should be treated in a center that has expertise in the management of these tumors.