Tel: 248-551-9910
SURGERIES
SARCOMAS
Sarcomas are dangerous cancers that originate in the bone or soft tissues.
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Treatment requires a multidisciplinary team approach often involving an orthopaedic surgeon, radiation oncologist, pathologist, radiologist, and medical oncologist amongst others.
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Since these are rare cancers, it is important to choose a location where all the necessary specialists are available and regularly treat them.
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Orthopaedic oncology is the rarest of the orthopaedic specialties and each state typically has a couple, if any, meaning access to an experienced orthopaedic oncologist such as myself can be challenging, but worth the effort for that level of expertise. We tend to be found in the largest "tertiary care" or advanced care hospitals in the region.
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As the surgeon portion of the team, our focus is on the surgical removal of the tumor and reconstruction of the defect to optimize function and minimize pain to promote a healthy and active lifestyle for sarcoma patients.
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Examples:
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Soft tissue sarcomas
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Bone sarcomas: Osteosarcoma, Chondrosarcoma, Ewing's sarcoma
BONE &SOFT TISSUE
The majority of bone and soft tissue tumors are benign or noncancerous, however for most patients and discovering physicians, the goal is to rule out cancer.
Many patients are referred for workup of a mass or lesion seen on imaging. Given our expertise with these issues, we will evaluate the patient and imaging and devise a list of possibilities. Based on our suspicions we will devise a treatment plan that may involve observation, biopsy, or surgery. As tumor specialists, we are always prepared if it is something cancerous.
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Examples
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Soft tissue: Lipomas, hemangiomas, PVNS, nerve tumors, desmoids.
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Bone: Cysts, Fibrous Dysplasia, Paget's Disease, Enchondromas, Giant Cell Tumors, Non-ossifying Fibromas, Osteoid Oseomas, Histiocytosis, Osteochondromas, Osteoblastomas.
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METASTATIC
Metastases are tumors that started somewhere else and spread to bone or soft tissue. Common examples are breast, lung, thyroid, prostate, and kidney cancer.
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If they erode the bone, the can cause pain and make the bone prone to breakage.
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Patients with metastases are typically referred to an orthopaedic oncologist to evaluate if the bone is at risk of breaking, or if surgery would improve the patient's pain.
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While surgery does not typically "cure" these patients, the goal is to maximize function and minimize pain to maintain and improve quality of life.
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A similar approach is taken to bone marrow cancers such as myeloma and lymphoma.
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JOINT REPLACEMENT
Joint replacement surgery was one of the 20th century's greatest medical achievements and has become one of the most common orthopaedic surgeries performed throughout the world.
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It is most commonly performed to treat the pain and disability caused by advanced osteoarthritis or wearing out of joint cartilage.
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As an orthopaedic oncologist, I am specialized to perform the most extenstensive and complicated types of joint replacements to compensate for large areas of bone loss or tumor removal. However, I also perform routine hip and knee replacements for arthritis using the latest technology and minimally invasive methods.
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I also offer robotic assisted minimally invasive Mako hip and knee replacements.