Pinnacle - Jupiter Medical Center

Fall 2018

Pinnacle is the official magazine of Jupiter Medical Center which provides world class health care in Palm Beach County

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jupitermed.com | PINNACLE | 39 weeks, thus sparing the patient a great deal of pro- longed side effects. Dr. Nathan Tennyson, head of radiation oncology, adds: "With early-stage lung cancer patients who can't have surgery, we can treat them with the CyberKnife ¨ M6. The survival rates are very good, whereas 15 years ago, if a pa- tient couldn't have surgery, the radiation options were really pretty poor." For cases where surgery is an option, the devel- opment of laparoscopic technology and robotics has led to huge advances over the past few decades. Breast cancer surgery—which once regularly involved removal of all or most of the affected breast—is now much more conservative in nature. "With oncoplastic surgery," says Taft, "we know precisely where the cancer is, and breast surgeons can plan where to put the incision to minimize the scar." Also worthy of praise, she notes, are the pathology teams that regularly analyze specimens and consult with surgeons during procedures, giving immediate feedback for optimal results while the patient is in the operating room. Pinelli is likewise impressed with how far surgical solutions have come. "In the past, particularly in gynecologic oncology, we did radical pelvic surgery," she says. "If a patient came to see me with uterine cancer in 1996, that patient would have a big incision; would be in the hospital several days; would be at risk for things like hernias, infections, blood loss, and transfusions; would have a long recovery of six to eight weeks; and would then have to go on to other treatments as needed. Now that patient can come in and have surgery and basically go home either the same day or, in most cases, by the next day. Patients are spending very little time in the hospital, and the incisions have gone from 8 to 10 inches to half-inch incisions and are relatively painless compared to the large incisions that these patients were subjected to in the past." Jupiter Medical Center's comprehensive approach and investment in new technologies have already seen some extraordinary results, particularly for cancers of the lung, which are among the most common and most difficult to treat. "When I first started, we were around 20 percent in detection of early-stage lung cancer," says Lee. "By imposing lung screening and nodule clinics, combined with minimally invasive technology for diagnosing and staging, we have increased our findings of early- stage cancer to nearly 40 percent. If you find it that early, there is a dramatic uptick in survival." Regardless of a patient's course of treatment, Jupiter Medical Center provides every expertise and resource available to facilitate what can be a difficult lifestyle adjustment. "The goal of comprehensive cancer care is to continue to take care of the patient and to provide all the appropriate cancer-related services—the social worker, the nutritionist, follow-up visits, whatever one needs for survivorship," says Tennyson. In recent years, survival rates have been trending upward for almost all cancers, and the many success stories at Jupiter Medical Center (and the Margaret W. Niedland Breast Center in particular) lend to the encouraging outlook shared today by many experts in oncology: that in the near future, cancer will be- come analogous to conditions such as diabetes and heart disease, illnesses that almost invariably meant a significant reduction in life expectancy 50 years ago but that now can be managed with vigilant ongoing treatment. With oncology in its next phase at Jupiter Medical Center—the Anderson Family Cancer Institute is at the forefront of this pursuit— one gets the impression that we may already be at the threshold of such an era. Ç Jupiter Medical Center's comprehensive approach and investment in new technologies have already seen some extraordinary results... Imagine a day when breast cancer treatment takes just one day instead of three months. For certain women treated with electron intraopera- tive radiation therapy (e-IORT), that day is here. Jupiter Medical Center is among the first to bring this revolutionary technology to breast cancer patients in our region. The Linac 12 is a mobile electron beam linear accelerator that delivers a single dose of radiation to a tumor bed during surgery, allowing patients to be treated quickly without moving them from the operat- ing table. This advanced technology helps kill microscopic disease and, in some cases, can completely eliminate the need for up to six weeks of postoperative radiation. For numerous patients, e-IORT offers an alternative that's not only faster but also highly effective. The treatment includes combining therapy with an initial, concentrated dose of radiation. In the best of cases, this single dose of radiation will be all a patient needs. • Shortened treatment time • Reduced radiation exposure • Excellent cosmetic results • Faster return to normal daily activities Cutting-Edge Treatment for Breast Cancer

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