Surgical Oncology

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

A surgical oncologist is trained in performing special and unusual operations for patients with complex or recurrent neoplasms. Has also expertise in diagnosis and management of rare or unusual tumors, as well as in palliative techniques including proper selection of patients, proper performance of appropriate surgical procedures, and knowledge of nonsurgical treatments, all this based on knowledge of the natural history of such cancers to determine disease stage and treatment options for individual cancer patients, at the time of diagnosis and throughout the disease course.

A surgical oncologist is a surgeon that has obtained broad knowledge of other cancer treatment modalities (including radiotherapy,chemotherapy, immunotherapy, and endocrine therapy). This requires an understanding of the fundamental biology of cancer, clinical pharmacology, tumor immunology, and endocrinology as well as an understanding of potential complications of multimodality therapy.

Tumors treated by surgical oncologist include: head and neck tumors, thyroid and salivary gland neoplasms, esophageal carcinoma, neoplasms of the hollow GI viscera, hepatobiliary and pancreatic tumors, breast cancer and related breast conditions, soft tissue sarcomas and related tumors, melanoma and other tumors of the skin, and recurrent/metastatic cancers.

 

Procedures:

  1. Neck dissections: removal of lymphatic nodal groups in the neck to stage and remove metastatic tumor like squamous cell carcinomas, melanomas and advanced endocrine malignancies.
  2.  Transhiatal esophagectomy: removal of the entire thoracic esophagus through the hiatus via an abdominal incision and a neck incision with reconstruction using the stomach. New minimally invasive approaches can be applied based on the stage of disease and patient’s condition.
  3. Radical gastrectomy: Removal of stomach partially of totally with surrounding lymph nodes or adjacent involved organs followed by reconstruction using small intestine. Minimally invasive techniques can be used based on stage and patient’s condition.
  4. Hepatectomy: Removal of a segment or entire lobe of the liver for primary or metastatic tumors. Minimally invasive techniques can be used based on stage and patient’s condition.
  5. Whipple procedure (Pancreaticoduodenectomy): procedure used to remove tumors in the head of the pancreas or bile duct, consisting of removal of the head of the pancreas, distal bile duct and gallbladder, duodenum and part of the stomach with reconstruction using small intestine.
  6. Distal pancreatectomy: Removal of the body and tail of the pancreas with or without removal of the spleen. Minimally invasive techniques can be used based on stage and patient’s condition.
  7. Bile duct resection: Removal of bile duct involved with tumor with reconstruction using small intestine.
  8. Colon resection: open and laparoscopic
  9. Sarcoma resection: radical resection of tumors in the soft tissues from the back of the abdomen (retroperitoneal sarcomas) or extremities.
  10. Melanoma: wide local resection of a melanoma with sentinel lymph node biopsy, which is the first node to drained the involved area. Lymph node dissection of the involved lymph node group is necessary if the sentinel lymph node is involved with tumor.
  11. Modified radical mastectomy: removal of the entire breast and lymph node from the axilla with immediate or delayed reconstruction based on the stage of disease.
  12. Lumpectomy with sentinel lymph node biopsy: removal of a segment of breast with biopsy of the first lymph node group to drain the affected area of the breast. Complete removal for staging and disease control is necessary if the sentinel lymph node is involved with tumor. Oncoplastic surgery principles are applied to reconstruct the breast after resection.

Surgical Associates of Palm Beach County / Boca Care (SAPBC) is a multi-specialty surgical group practice with expertise in General, Breast, Vascular, Endovascular, Thoracic, Colon Rectal, and Surgical Oncology. Our office is located in Boca Raton Florida.

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Surgical Associates of Palm Beach County / Boca Care | 670 Glades Rd, Ste 300 Boca Raton, FL 33431 | Phone: 561-395-2626

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