Stages By Mayo Clinic Staff If you're found to have bone cancer, often the next step is to find out the extent of the cancer. This is called the cancer's stage. Your healthcare team uses your cancer's stage to help create your treatment plan. To determine the stage of the cancer, the healthcare team considers: The cancer's location. The size of the cancer. How fast the cancer is growing. Whether there is more than one area of tumor in the same bone. Whether the cancer has spread to the lymph nodes or to other parts of the body. While staging may vary depending on tumor type and location, in general, the stages of bone cancer range from 1 to 4. Stage 1. The cancer generally is small, confined to the bone and growing slowly. Stage 2. The cancer remains confined to the bone but is growing more aggressively. Stage 3. More than one area of the same bone is affected. Stage 4. The cancer has spread beyond the bone to the lymph nodes or to other parts of the body. Request an appointment Diagnosis & treatmentSurvival rates Aug. 13, 2026 Share on: FacebookTwitter Living with bone cancer? Connect with others like you for support and answers to your questions in the Sarcoma support group on Mayo Clinic Connect, a patient community. Sarcoma Discussions Diagnosed with sarcoma? Let's share 1083 Replies Mon, Aug 10, 2026 chevron-right Malignant Peripheral Nerve Sheath Tumor 15 Replies Sat, Aug 08, 2026 chevron-right Myxofibrosarcoma: What treatments did you have? 159 Replies Thu, Jul 30, 2026 chevron-right See more discussions Show references Hosseini H, et al. Bone tumors: A systematic review of prevalence, risk determinants, and survival patterns. BMC Cancer. 2025; doi:10.1186/s12885-025-13720-0. Primary bone cancer. National Cancer Institute. https://www.cancer.gov/types/bone/bone-fact-sheet. Accessed Aug. 5, 2026. Bone cancer. National Comprehensive Cancer Network. https://www.nccn.org/guidelines/guidelines-detail?category=1&id=1418. Accessed Aug. 5, 2026. Hornicek FJ, et al. Bone tumors: Diagnosis and biopsy techniques. https://www.uptodate.com/contents/search. Accessed Aug. 5, 2026. Azar FM, et al. Malignant tumors of bone. In: Campbell's Operative Orthopaedics. 15th ed. Elsevier; 2027. https://www.clinicalkey.com. Accessed Aug. 5, 2026. Member institutions. National Comprehensive Cancer Network. https://www.nccn.org/home/member-institutions. Accessed Aug. 5, 2026. COG institution locations. Children's Oncology Group. https://childrensoncologygroup.org/patients-families/member-institutions/. Accessed Aug. 5, 2026. DeVita VT Jr, et al., eds. Sarcomas of bone. In: DeVita, Hellman, and Rosenberg's Cancer: Principles and Practice of Oncology. 12th ed. ProQuest Ebook Central. Wolters Kluwer; 2023. Accessed Aug. 5, 2026. Cancer stat facts: Bone and joint cancer. National Cancer Institute. https://seer.cancer.gov/statfacts/html/bones.html. Accessed Aug. 5, 2026. Bone cancer. American Cancer Society. https://www.cancer.org/cancer/types/bone-cancer.html. Accessed August 6, 2026. AJCC Cancer Staging Manual. American Joint Committee on Cancer. 9th ed. Springer. Bone - TDS Health. https://online.statref.com/document/jTSxI4qE0EuuzAV9TV3CoD. Accessed August 6, 2026. Benign vs. malignant bone and soft tissue tumors. Musculoskeletal Tumor Society. https://www.msts.org/benign-vs--malignant-bone-and-soft-tissue-tumors. Accessed August 6, 2026. Prognostic factors and survival rates for Ewing sarcoma. American Cancer Society. https://www.cancer.org/cancer/types/ewing-tumor/detection-diagnosis-staging/survival-rates.html. Accessed Aug. 7, 2026. Survival rates for osteosarcoma. American Cancer Society. https://www.cancer.org/cancer/types/osteosarcoma/detection-diagnosis-staging/survival-rates.html. Accessed Aug. 7, 2026. Related Osteosarcoma Associated Procedures Alkaline phosphatase (ALP) blood test Bone scan Cancer treatment Chemotherapy CT scan MRI Needle biopsy Positron emission tomography (PET) scan Radiation therapy X-ray Show more associated procedures News from Mayo Clinic Mayo Clinic Q&A: Does a bone tumor always mean cancer? Products & Services A Book: Mayo Clinic Family Health Book Newsletter: Mayo Clinic Health Letter — Digital Edition Show more products and services from Mayo Clinic Bone cancerSymptoms &causesDiagnosis &treatmentStagesSurvivalratesDoctors &departmentsCare atMayo Clinic CON-20126372 Diseases & Conditions Bone cancer