Referrals & Appointments
Cancer Surgery at the Edward Cancer Center
At the Edward Cancer Center, surgical oncology is an important component of our program. Along with prevention, screening, diagnosis, treatment, and minimizing side effects and discomfort, surgery plays a vital role in the battle against cancer.
Surgical Oncology Procedures at the Edward Cancer Center
Dr. Salti specializes in surgical treatment of these forms of cancer:
Breast cancer – Breast cancer, the diagnosis for a malignancy that originates in breast tissue, affects one in eight women in this country. Though rare, men can also have breast cancer.
- Breast Conserving Surgery, including partial mastectomy, lumpectomy and quadrantectomy
- Mastectomy, including simple, skin-sparing, nipple-sparing, modified mastectomy and radical mastectomy
- Lymph node surgery, including axillary lymph node dissection and sentinel node surgery
- Breast reconstruction
Colorectal cancer – One in 20 Americans will develop colorectal cancer (cancer that occurs in the colon or rectum). With regular colonoscopies, colorectal cancer can be prevented; caught early, it is highly treatable.
- Colectomy, including open and laparascopic-assisted colectomy
- Local transanal resection
- Low anterior resection
- Prototectomy with colo-anal anastomosis
- Abdomino-perineal resection
- Pelvic exenteration
- Laparoscopic minimally-invasive resection
Esophageal cancer – Cancer that develops in the hollow tube connecting the throat to the stomach is called esophageal cancer. The average American’s lifetime risk of developing esophageal cancer is one in 125; esophageal cancer is four times more common in men.
Gallbladder cancer – Approximately 10,000 men and women are diagnosed with cancer of the gallbladder in the US each year. The gallbladder is a small organ located under the right lobe of the liver; this cancer is often not detected until it reaches an advanced stage.
Liver cancer – Cancer can begin in the liver, the body’s largest organ. More commonly, though, cancer found in the liver has metastasized (spread) from another part of the body.
- Partial and major hepatectomy (liver resection)
Melanoma – Melanoma is the least common but most deadly form of skin cancer. A melanoma usually looks like a brown or black mole, though some are red, tan, pink or white. Full body skin exams are helpful in detecting melanoma early, when it is most treatable.
- Wide excision
- Sentinel node biopsy
- Lymph node dissection
Metastatic cancer – Metastatic cancer is the diagnosis for cancer that has spread from one part of the body to another.
Pancreatic cancer – There are several different types of cancer that can develop in the pancreas, a small organ located behind the stomach. Early stage pancreatic cancer has no symptoms so the disease is most often detected in the advanced stages.
- Whipple procedure
- Distal pancreatectomy
- Total pancreatectomy
Peritoneal carcinomatosis – Peritoneal carcinomatosis is a type of cancer that affects the lining of the abdominal cavity.
Sarcoma – Cancer that begins in the bone or soft tissue is called sarcoma. More than half of sarcomas originate in an arm or leg, but the disease can also begin in the trunk/abdomen or the head or neck.
Skin cancer – The most common of all cancers, skin cancers affect more than one million Americans each year. The vast majority are non-melanoma (basal cell or squamous cell), both highly treatable with surgery.
- Simple excision
- Wide excision
Stomach Cancer -- Cancer can develop in any of the abdominal organs, including the stomach – specifically, the sack-like organ where food gets mixed with gastric juices to start the digestive process. Also called gastric cancer, the prognosis for stomach cancer depends on how deeply into the stomach’s layers the tumor has grown, and whether the tumor has spread to regional lymph nodes.
Endoscopic mucosal resection
Endoscopic tumor ablation
Gastrectomy (subtotal and total)
Cancer Surgery for the Prevention of Cancer
With today’s advances in genetic science, it’s possible to learn whether your family history puts you at high risk for certain types of cancer. In some cases (for instance, with breast or ovarian cancer) people who learn they are at high risk may opt to have a surgical oncologist remove these organs to minimize the risk of future cancer.
Additionally, cancer surgery is sometimes used to identify and then remove precancerous cells. For example, precancerous polyps found during a colonoscopy are removed during the procedure, so they don’t have the opportunity to become cancerous.
Surgical Oncology for the Diagnosis & Staging of Cancer
A biopsy, in which a sample of tissue is extracted and examined under a microscope to detect the presence of cancer cells, is often the first step in cancer treatment. Cancer surgeons also use biopsies to “stage” cancer. Staging is the process of determining how much cancer is in your body and where it is located.
At the Edward Cancer Center we perform the following types of biopsy:
- Needle aspiration biopsy – a very thin, hollow needle is used to extract a small sampling of tissue from the tumor, which will then be examined under a microscope.
- Core biopsy – A larger needle is used to withdraw a cylinder-shaped tissue sample from the tumor, which will then be examined for the presence of cancer
- Image-guided biopsy – Imaging technology, such as ultrasound or CT scan, may be used to help guide a needle to the site of a tumor that is located deep inside the body
- Incisional biopsy – After application of a numbing agent, the surgeon cuts into the tumor to remove a tissue sample for examination
- Excisional biopsy – A numbing agent is applied before surgical removal of the entire abnormal tissue, after which it is examined for the presence of cancer
Cancer Surgery is Effective Cancer Treatment
According to the American Cancer Society, surgical removal offers the best odds for a cure for cancers that haven’t spread to other parts of the body. At the Edward Cancer Center, our goal is always to provide the most effective treatment in the least invasive manner. Sometimes one procedure is all that’s necessary to examine and completely remove a tumor; in other cases, several different procedures are required for treatment.
Surgical oncologic procedures for examination and treatment of cancer include:
- Endoscopy – A long, thin tube with a fiber optic light may be inserted into one of the body’s natural openings to visualize a tumorz
- Laparascopy – A small incision is made, through which the endoscopic equipment is inserted into the body to examine and sometimes sample or remove a mass
- Traditional open surgery – If less invasive techniques don’t provide sufficient access or information, traditional open surgery may be necessary
- Excision – If a tumor or mass has not spread, surgical removal is optimal
- Debulking – When size or location makes complete removal of a tumor impossible, “debulking” or “cytoreductive surgery” is used to reduce its size, increasing the effectiveness of chemotherapy and radiation treatments.