Stages of childhood bone cancer

Last medical review:

Staging describes or classifies a cancer based on how much cancer there is in the body and where it is when first diagnosed. This is often called the extent of cancer. The healthcare team uses information from tests to find out the size of the tumour, which parts of the organ have cancer, whether the cancer has spread from where it first started and where the cancer has spread to. Doctors use the stage to plan treatment and estimate the outcome (your childʼs prognosis).

The most common staging system for childhood bone cancer is the TNM system. It is used for both adult and childhood bone cancer. Find out more about the stages of bone cancer.

When describing childhood bone cancer, doctors may use the words localized and metastatic.

Localized means that the cancer is only in the bone that it started in and in nearby soft tissues. It has not spread to other parts of the body.

Metastatic means that the cancer has spread to other parts of the body, farther away from the bone where the cancer started. The most common place for bone cancer to spread to is the lungs.

Expert review and references

  • Kriti Kumar, MD, MHSc FRCPC
  • Kneisl JS, Rosenberg AE, Anderson PM, Antonescu CR, et al. Bone. Amin, MB (ed.). AJCC Cancer Staging Manual. 8th ed. Chicago, IL: American College of Surgeons; 2017: 38:471–486.
  • Strauss SJ, Frezza AM, Abecassis N, et al. Bone sarcomas: ESMO–EURACAN–GENTURIS–ERN PaedCan Clincial Practice Guideline for diagnosis, treatment and follow-up. Annals of Oncology. 2021: 32(12):1520–1536.

Your trusted source for accurate cancer information

With support from readers like you, we can continue to provide the highest quality cancer information for over 100 types of cancer.

We’re here to ensure easy access to accurate cancer information for you and the millions of people who visit this website every year. But we can’t do it alone.

Every donation helps fund reliable cancer information, compassionate support services and the most promising research. Please give today because every contribution counts. Thank you.

Medical disclaimer

The information that the Canadian Cancer Society provides does not replace your relationship with your doctor. The information is for your general use, so be sure to talk to a qualified healthcare professional before making medical decisions or if you have questions about your health.

We do our best to make sure that the information we provide is accurate and reliable but cannot guarantee that it is error-free or complete.

The Canadian Cancer Society is not responsible for the quality of the information or services provided by other organizations and mentioned on cancer.ca, nor do we endorse any service, product, treatment or therapy.


1-888-939-3333 | cancer.ca | © 2026 Canadian Cancer Society