Like all types of cancer, the earlier Ewing sarcoma is diagnosed, the easier it is to treat. Ewing sarcoma is usually treated with a combination of chemotherapy, surgery and radiotherapy. Chemotherapy may be used before surgery to shrink the tumour and make it easier to remove. Ewing sarcoma also responds well to radiotherapy. It can be used to shrink the tumour after chemotherapy, and before or after surgery to lower the risk of the cancer returning. In some cases, surgically removing Ewing’s sarcoma can be difficult – for example, if it develops in the pelvis. In this case, radiotherapy may be used as the main treatment. If surgery is recommended, the type will depend on: the size of the tumour; where it is in your body and whether it has grown into the tissues surrounding the bone.