Surgical Oncology

Sections

We strive to provide a full range of educational opportunities for physicians, nurses and patients in the treatment of disease and are active in the recruitment of patients for up-to-date clinical protocol for evaluation of therapeutic diagnostic modalities throughout Surgical Oncology.

The Endocrine Surgery program specializes in surgical treatment of endocrine diseases.  This is primarily dedicated to the evaluation and surgical management of benign and malignant diseases of the thyroid, parathyroid, and adrenal glands. For all of these procedures, there is good evidence that patient outcomes are significantly improved by having these operations performed by a “high-volume” surgeon. Endocrine Surgeons at UVA are high volume in all of these areas.

Endocrine Surgeons have received specialty training regarding the medical aspects of these glands, the lab work and imaging studies particular to these glands, and the latest in surgical techniques to manage diseases of these glands. Endocrine Surgeons work closely with physicians from Medical Endocrinology, Primary Care, Pathology, Radiology, Nuclear Medicine, Anesthesiology and others to provide true integrated and multidisciplinary care. Endocrine Surgeons at UVA offer a broad spectrum of surgical approaches including minimally invasive techniques as well as open procedures when appropriate.

The HPB (Hepato-pancreato-biliary) team (comprised of Dr. Adams, Bauer and Zaydfudim) within the Department of Surgery has a long history of excellence and national leadership in providing comprehensive care for patients with malignant and benign conditions of the pancreas, liver and biliary system, as well as the stomach, duodenum, and small intestine. This group works in close cooperation with members of the Cancer Center, the Digestive Health Center, and many other specialists at UVA. Specifically, patients are seen and evaluated in clinic, receive either surgical or non-surgical evaluation and are evaluated on an acute or chronic basis. When appropriate patients are reviewed at the UVA Multidisciplinary Gastrointestinal Conference (Tumor Board) for input regarding optimal management.

Patients at risk for pancreatic cancer who require continued surveillance are then seen in the UVA High Risk Pancreatic Cancer Clinic, which is led by Dr. Bauer.

High Risk Pancreatic Cancer Clinic
About the Whipple Procedure
Pancreatic Cancer Research

Dr. Bauer is a leading expert in the management of patients with sarcoma and other soft tissue tumors. These rare tumors may arise in the abdominal cavity or pelvis, arms, legs, or trunk and may be malignant or benign. Optimal outcome for patients requires a thoughtful work-up by a clinician with specific expertise in these rare tumors. Radiographic imaging (ultrasound, CT, or MRI) will be performed when appropriate and biopsy will be performed when appropriate. Many tumors are best treated with surgical excision, whereas some tumors may be left alone. For malignant tumors, additional therapy is recommended for some patients and may consist of radiation and/or chemotherapy. The decision for radiation and chemotherapy and the timing of these (before versus after surgery) is tailored to each patient. Dr. Bauer works closely with other Cancer Center members in Medical Oncology and Radiation Oncology to provide optimal, team-based care for patients with sarcoma and other soft tissue tumors.

Contact
Todd W. Bauer, MD
Division Chief
Professor of Surgery
twb7f@virginia.edu
(434) 924-0391
Reid B. Adams, MD
S. Hurt Watts Professor and Chair, Department of Surgery
Professor of Surgery
rba3b@virginia.edu
(434) 924-0391
Philip W. Smith, MD
Associate Professor of Surgery
pws7v@virginia.edu
(434) 924-0376
Victor M. Zaydfudim, MD
Associate Professor of Surgery
vz8h@virginia.edu
(434) 924-0391

Call (434) 924-9333 to Make an Appointment

Endocrine Surgery

The Endocrine Surgery Service has been developed within the Department of Surgery and works very closely with the Division of Endocrinology in the Department of Medicine in evaluation of patients of all ages with endocrine diseases.

The Endocrine Surgery Service provides a full range of educational opportunities for physicians, nurses, and patients in regarding endocrine diseases and is active in the recruitment of patients into up-to-date clinical protocols for the treatment and diagnosis of endocrine disease.

Below we offer a brief description of some of the Endocrine diseases treated at UVA. For detailed information please see our Endocrine Surgery Tutorials.

Drs.  Michael Thorner,  Mary Lee VanceAnthony L. McCallAlan DalkinJohn MarshallSusan KirkEugene Barrett,  and Zhenqi Liu,  in the Division of Endocrinology, Department of Medicine have all been involved in the preoperative evaluation of patients with endocrine disease as outlined above. The Endocrine Surgery Group is involved in the preoperative care, case conference and in-hospital management of patients of all ages with endocrine problems. Preoperative evaluation includes imaging studies and fine needle aspiration for the appropriate endocrine masses. Postoperative management includes evaluation of the patients with malignant processes of the adrenal and thyroid in close concert with the Hematology/Oncology Group.

The patient with thyroid masses, thyroid cancer, or problems of hypo-or-hyper-functioning thyroid disease are seen and evaluated by the Endocrine Surgery Service Group. Preoperative evaluation including imaging of patients with thyroid masses can be undertaken. Surgical care and postoperative follow-up of patients after thyroid dissection and evaluation for postoperative follow-up of patients with thyroid cancer are provided.

This area deals with the diagnosis and therapeutic management of patients with adrenal masses due to either functioning or non-functioning adrenal tumors. Trans-abdominal or retroperitoneal and open or laparoscopic approaches to adrenal surgery are within the capabilities of this group.

The Endocrine Surgery Service is equipped and capable of dealing with patients with the diagnosis of primary or tertiary hyperthyroidism. Additionally, patients with MEN 1 or MEN 2 are seen and evaluated. Consultations are available for any patient with hypercalcemia. Preoperative evaluation, surgical care and postoperative follow-up of patients with parathyroid diseases is within the expertise of this group.

The Endocrine Surgery Group has expertise in evaluating and treating patients with Pancreatic Endocrine Tumors.  Doctors Reid Adams, Todd Bauer and Victor Zaydfudim have specific interest in the evaluation of these patients and surgical treatment of their diseases.  A full range of comprehensive pre-operative evaluation and post-operative care is provided by our group in close collaboration with the medical endocrinology group.

News
Video:  Larry Sabato: How the High-Risk Pancreatic Cancer Clinic Helps Those at Increased Risk for Cancer

 

Highlights

WINA’s Les Sinclair discusses pancreatic cancer with Dr. Todd Bauer, part of UVA’s high-risk pancreatic cancer clinic.