Jefferson Surgical Solutions

Volume 8 Issue 2 Article 2

2013

Surgeon Speaks

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Recommended Citation (2013) "Surgeon Speaks," Jefferson Surgical Solutions: Vol. 8 : Iss. 2 , Article 2. Available at: https://jdc.jefferson.edu/jss/vol8/iss2/2

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A publication for friends and colleagues of Jefferson’s Department of Fall 2013 SurgicalSolutions Volume 8, Number 2 Care Center Welcomes New Leadership, Offers Latest Surgical Techniques

the position of Director of Outpatient Surgeon Speaks Breast Services at the Smilow Cancer Hospital Network, after spending more “After , a woman can than a decade at Johns Hopkins. His undergo reconstructive surgery using practice has been focused exclusively breast implants or using her own tissue. on breast surgery for some 20 years. “Implants remain a viable option, but As he notes, women with a known they are not free of risk. Women with predisposition to are implants may experience shell rupture, increasingly choosing prophylactic infection and/or visible rippling over mastectomy. Dr. Tsangaris has gained time. Also, implants have an average expertise in mastectomy that can lifespan of just 10 years. Thus, some cosmetically preserve the nipple. He women, particularly younger patients, has also honed techniques designed to simply aren’t comfortable using respect the anatomical boundaries of implants. Other women have previously breast tissue. undergone , leaving their skin unsuitable for an implant- As the most recent addition to the team, based reconstruction. Dr. Tsangaris sees tremendous value and “In such cases, using a woman’s own In August, Theodore Tsangaris, MD, (second from right) was appointed the new Surgical Director of the potential in the Jefferson Breast Care Jefferson Breast Care Center. The Center’s surgical team includes plastic surgeons Stephen Copit, MD, tissue for reconstructive surgery may and Patrick Greaney, MD, (see sidebar) and breast surgeons Anne Rosenberg, MD, Adam Berger, MD, and Center: “Ours is not a ‘virtual’ breast be the best choice. In the past, this type Melissa Lazar, MD. center. It’s an actual center with one of surgery required use of large muscle physical location where specialists come tissue – typically an abdominal muscle With a team of top medical oncologists, MD, FACS, and plastic surgeons together and see patients in tandem. with skin attached to it. With free-flap reconstruction, we are often able to surgeons, plastic surgeons, radiation Steven E. Copit, MD, Director of We have breast imaging one floor above perform reconstruction without using oncologists and pathologists, the the Division of Plastic Surgery, and the Center, and at any given time, we have a medical oncologist, surgeon or muscle tissue. Instead, we harvest skin Jefferson Breast Care Center has long Patrick J. Greaney, MD. and fat from a patient’s belly, buttock radiation oncologist seeing patients provided high-quality, integrated care or thigh. to women with diseases of the breast. “Ours is not a ‘virtual’ breast here.” Looking to the future, he would like to explore opportunities to extend “Free-flap reconstruction, offered With the recent appointment of new center. It’s an actual center through the Jefferson Breast Care leadership – Massimo Cristofanilli, MD, the Center’s capabilities beyond Center with one physical location City – offering patients care closer to Center, is typically a more complex surgery than implant-based as Director of the Breast Care Center where specialists come together where they live and work. and Deputy Director of Translational reconstruction. However, for many and see patients in tandem.” women, this option produces a very Research at the Kimmel Cancer Center “Our patients benefit from our specially trained support teams that include natural, comfortable and long-lasting and Theodore N. Tsangaris, MD, FACS, Offering the most advanced screening nurses, social workers, therapists and result.” as Surgical Director – the Center is and treatment options, the Center has techs,” says Dr. Cristofanilli, whose poised for further growth and evolution. extensive experience in inflammatory research centers on inflammatory breast cancer, breast cancer during The Center has also welcomed Melissa breast cancer, locally advanced breast pregnancy, breast cancer in young Lazar, MD, a Jefferson residency cancer, and genomic and biomarkers women, breast cancer in men and program graduate who recently development – with a focus of rare breast tumors, as well as early completed fellowship training in Breast developing better, more personalized and advanced breast cancer. It also Oncology at Northwestern Memorial therapies. “We work hard to provide offers surgical expertise in nipple- Hospital. Drs. Cristofanilli, Lazar and coordinated, personalized treatment sparing mastectomy with free-flap Tsangaris have joined a well-established and care to all of our patients.” reconstruction (see “Surgeon Speaks”). team of surgeons and clinicians – including breast surgeons Adam Berger, Dr. Tsangaris joined Jefferson from the To learn more visit: Patrick J. Greaney, MD MD, FACS, and Anne Rosenberg, Yale School of Medicine where he held www.jeffersonhospital.org/breast Assistant Professor

Clinical Integration On the Job In this issue Robotic Technology in General Surgery – Page 2 Eleanor Fitzpatrick, RN, MSN, CCRN – Page 3 Changing Lives Through Research Those Who Give High School Student’s Summer of DNA – Page 3 The Pasquarellas Support Transplant Institute – Page 4

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