This is a working tumor board that covers active cases of patients with bone and soft tissue lesions associated with sarcoma, metastatic carcinoma, and some metabolic bone disease. We discuss treatment plans/options/protocols for newly diagnosed and/or established adult musculoskeletal oncology patients based on the most up to date data/literature, evidence- based medicine, outcomes of our own research, and data accumulated at our tumor board via our ongoing data base. Discuss is had on treatment outcomes in comparison to the standard of care in evidence-based medicine and literature. Collaborate research efforts and establish research studies based on our findings and publish our outcomes. Continue to strengthen the multidisciplinary relationships that have evolved over the many years since this tumor board was established. It continues to grow as new treatment modalities that are founded/developed based on the on-going experience of the providers who are dedicated to attending our tumor board. These relationships continue to provide new collaborations, increase respect/trust, referrals, utilization of treatment resources and consistent continuity of care