Specialized Treatment Services

Breast Surgery

Assessment and treatment is performed for women with both benign and malignant breast diseases, including cysts, nipple discharge, breast masses and mammographic calcifications.

State-of-the-art digital mammography equipment is utilized, including CAD (computer-aided detection software) and in-office biopsies are performed using ultrasound guidance.

Diagnosis and Treatment for breast cancer includes:

  • Sentinel lymph node biopsy - a procedure which uses lymph node mapping to determine which nodes are cancerous
  • Mammosite®, a state-of-the-art 5-day radiation treatment alternative for early stage breast cancer
  • Breast conservation

The MammoSite® device is a small, soft balloon attached to a thin catheter (tube) that fits inside the lumpectomy cavity (the space left after the tumor is removed). A tiny radioactive source (seed) is placed within the balloon, utilizing a computer-controlled device.

Because the source is inside the balloon, radiation is delivered to the area of the breast where cancer is most likely to recur. When used as primary therapy - the only form of radiation following a lumpectomy - you would receive treatments twice a day for up to 5 days.

If your doctor feels that whole-breast external beam radiation is more appropriate for you, MammoSite® Radiation Therapy System (RTS) may be used as boost therapy. This therapy combines MammoSite® RTS with external beam radiation to deliver additional radiation directly to the area of the breast, where cancer is most likely to recur. In this case, MammoSite® RTS therapy is delivered over 1 to 2 days.

*Image courtesy of Cytyc Corporation and affiliates

Colorectal Cancers

Screening, diagnosis and treatment of colorectal cancers — are offered. While removing the cancer is the primary goal of surgery, maintaining quality of life remains an important consideration. Avoiding a permanent colostomy following colorectal cancer surgery is often possible using sphincter-saving techniques. A variety of techniques such as local excision, preoperative radiation and chemotherapy and reconstruction,-(such as the colonic J-pouch,-) may be used to lessen the likelihood of the need for a permanent colostomy. For rectal cancers, a technique called Sharp Mesorectal Dissection is performed. This technique allows the exclusion of all cancerous tissue in and around the rectum, but carefully avoids severing the nerves that are involved in sexual and urinary functions, and also reduces local recurrences. Whenever possible, laparoscopic surgery is considered.

Dermatological Malignancies

Melanoma: As the deadliest form of skin cancer, melanoma requires aggressive and skillful treatment. We offer surgical excision of the melanoma with sentinel lymph node biopsy and lymph node dissection, if indicated.

Malignant Melanomas

Malignant Melanomas are usually small brown-black or larger multicolored patches, plaques or nodules with irregular outline. They may crust on the surface or bleed. Many of them may arise in pre-existing moles.

Squamous Call Carcinoma:
Many cancers of the head and neck begin as what is known as squamous cell carcinoma. In this case, the usual treatment consists of primary excision of the lesion, with reconstruction, when necessary.

Endocrine System

The majority of thyroid masses are benign; however the division of surgical oncology has experience with the management of both benign and malignant thyroid growths. Specialized surgical procedures available include pancreatic resection of endocrine tumors and adrenalectomy (removal of the adrenal gland), when indicated.

MIRP: Minimally invasive parathyroid surgery. This technique involves removal of a parathyroid adenoma (a generally benign growth) through a small incision placed directly over the parathyroid gland. MIRP significantly reduces the risk of nerve damage.

Gastro-Intestinal Surgery

The goal of gastro-intestinal surgery is to remove the cancer, with the focus on maintaining the patient’s quality of life.

Gastric Cancers

Treatment for gastric cancers usually involve radical surgery, such as removal of the stomach and draining of the surrounding lymph nodes.

Head and Neck Cancer

Diagnostic testing for head and neck cancer may include endoscopic techniques, such as nasopharyngoscopy, pharyngoscopy or laryngoscopy. All of these allow a physician to utilize a flexible microscopic camera to view the inside of the nasal cavity, oral cavity and voice box.

Imaging Scans

Available imaging tests include: CT scan, MRI, barium swallow, radionuclide bone scan and/or standard X-rays. Surgical and percutaneous needle biopsy (a procedure in which a needle is inserted through the skin to obtain a sample of questionable tissue) can also be performed, if necessary. Most head and neck cancers are treatable when detected early. Surgical treatment may include resection with reconstruction. Because of surgical advances, normal functioning of the larynx can be preserved in many cases. When extensive surgery is required, reconstruction is often initiated immediately. Comprehensive rehabilitation services are offered and include speech and swallowing therapy.

Hepatobiliary Cancers

Surgery remains the gold standard of treatment for liver tumors. Unfortunately, only about 20% of patients with liver tumors are candidates for surgery, due to the extent of the disease, the size or location of the tumor, or other medical conditions. The majority of patients with inoperable liver tumors may be candidates for radio frequency ablation (RFA). RFA, available at South Nassau, involves the treatment of cancer using radiofrequency energy to create thermal ablation of the cancer. This technique has emerged as a safe, effective and predictable technology that can be utilized laparoscopially, open and in combination with surgical resection.

Pancreatic Tumors

Treatment of pancreatic tumors includes major resection such as the Whipple procedure. The Whipple operation removes the head of the pancreas, a portion of the bile duct, the gallbladder and the duodenum. Occasionally, a portion of the stomach may also be removed. After removal of these structures the remaining pancreas, bile duct and the intestine is sutured back into the abdominal cavity to direct the gastrointestinal secretions.

Soft Tissue Tumors

Often occurring in the tissues of the fat, muscle, nerve, blood vessels, or deep skin tissues of any part of the body, soft tissue tumors may be treated with surgery, radiation therapy, and/or chemotherapy. The goal of surgery is to remove the entire tumor plus 2 to 3 cm of surrounding tissue. The evolution of limb-sparing surgical techniques has resulted in a dramatic decline in the number of amputations performed to treat tumors in the limbs.

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