Greater Manchester and Oswestry Sarcoma Service

The service, based at Manchester Royal Infirmary treats and supports patients who are thought to have, or who have been diagnosed with, sarcoma of the limbs. GMOSS is made up of three hospitals who work together to provide a comprehensive service: MRI, Christie and Oswestry.

Patients with suspected bone sarcomas are referred to Mr Paul Cool at the Robert Jones and Agnes Hunt Orthopaedic and District Hospital NHS Trust, Oswestry.

What is sarcoma?

Our bodies are made up of tine structures called cells, which are not visible to the naked eye. Each group of cells has a very particular function. Cells reproduce themselves by dividing in a very controlled way so that the body can grow and repair itself.

Sometimes some cells grow in an uncontrolled way which can cause swelling or a tumour.

Sarcoma is a specific type of cancer which affects the soft tissues of the body, and is more common in the arms or legs. Cancer is a word that is used to describe many different diseases which are treated in different ways.

This can happen when cancer cells travel through the blood stream or lymphatic system. the lymphatic system of the body helps to fight infection. It is made up of a network of vessels (tubes) and nodes (glands) throughout the body.

What if I think I have sarcoma?

The Referral Guidelines for Suspected Cancer is a guide for doctors, to help ensure that the patient is seen quickly if the doctor thinks he or she may have cancer. Information about the guidelines can be seen by clicking here.

You will also find information about what to look out for, and tests that may be carried out if your doctor thinks you might have a sarcoma.

If you are worried that you might have a sarcoma, you should go and see your family doctor (GP) as soon as possible. Your GP will then decide whether you should be sent to see a doctor who specialises in sarcomas.


Treatment for sarcoma will depend on the grade (how like normal tissue the tumour cells are) and stage of the tumour (whether it has spread to other areas). The treatment for cancer is decided on an individual basis, so the treatment may not be the same for everyone. In most cases, surgery is the treatment choice for soft tissue sarcomas.

Surgery is carried out at Manchester Royal Infirmary. Patients are admitted to either The Elective Treatment Centre at Manchester Royal Infirmary (Tel no. 0161 276 8688) or Trafford Healthcare Trust (Tel no.0161 746 2100) for surgery. All radiotherapy and chemotherapy, and some surgery for sarcoma, is performed at Christie Hospital, Manchester.


Department of Orthopaedic Surgery Purple Zone Manchester Royal Infirmary

Contact Details

Telephone Number: 0161 276 3639

Fax: 0161 276 8006


Mr Ashok Paul

Lead Clinician

(sarcoma and complex and benign tumours)

0161 276 4037
(Oncology Secretary)
Mr Amit Kumar

Consultant Orthopaedic Surgeon

(sarcoma and complex and benign tumours)

0161 276 4376
(Oncology Secretary)
Ms Helen Murray Orthopaedic Oncology Specialist Nurse 0161 276 6167
Professor Anthony Freemont Consultant Pathologist 0161 275 5266
Dr Anand Kirwadi Consultant Radiologist

0161 276 8799

(Radiology Secretary)

Ms Catherine Lindop Admissions Officer
(Mr Paul and Mr Kumar)
0161 746 2698
Dr James Wylie Clinical Oncologist

0161 446 8323

(The Christie)

Mr David Mowatt Consultant Plastic Surgeon

0161 446 3368

(The Christie)

Ms Ann Buchan Clinical Nurse Specialist

0161 446 3094

(The Christie)

Mr Paul Cool Consultant Orthopaedic Surgeon

01691 404 107


Ms Gill Cribb Consultant Orthopaedic Surgeon

01691 404 107


Ms Caroline Pemberton Orthopaedic Oncology Specialist Nurse

01691 404 107


Multi-disciplinary team meetings are held on Tuesday morning and Wednesday afternoon. Patients who have been newly referred to the service are discussed at the Tuesday meeting.


All urgent referrals should be faxed to the booking centre by the patient’s GP, on 0161 276 8006  using the urgent referral form. As soon as the patient is referred, any scan or x-ray reports need to be sent urgently to the department or to our PACS system.

Additional Information

Support contacts

The authors of this site do not endorse any particular groups, and anyone looking for a support group is advised to find out more about the group, including who runs it, what it offers and what its aims are.

Sarcoma UK
Sarcoma UK
49-51 East Road
N1 6AH
Tel: 0808 801 0401

Organisation providing information and suppport to people affected by sarcoma, to reduce the feeling of isolation felt by patients with a rare cancer, and to support research which leads to better treatment and better outcomes for sarcoma patients. Also acts as a pressure group for change in the NHS.

3 Bath Place
Rivington Street

Freephone helpline 0808 800 1234
Support and information for people affected by cancer, including over 50 booklets and 134 factsheets on cancer, treatment and living with cancer
Helpline staffed by nurse specialists

Macmillan Cancer Support
89 Albert Embankment

Macmillan CancerLine freephone helpline 0808 808 2020
Textphone: 0808 808 0121

Support and information for people affected by cancer, including information on cancer support and care charities in the UK, and leaflets/booklets about different cancers and living with cancer. Also information about Macmillan services, from nursing to grants. Link to Language Line to help callers in up to 150 languages.

Cancer Aid and Listening Line
Tel: 0845 123 23 29
Confidential helpline for people affected by cancer, run by trained volunteers with personal experience of cancer.

Manchester Sarcoma Support Group
A support group for patients and their families affected by soft tissue sarcoma.  Meetings on the 4th Tuesday of alternate months from 7 to 8.30 pm., at Manchester Royal Infirmary.  Contact Helen Murray on 0161 276 6167 for further details.

If you would like more information or have any questions about any aspect of cancer please e-mail your question by clicking here

Out-patient Service

Monday (am) Mr Paul
Tuesday (am/pm) Mr Kumar