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ONCOLOGY UPDATE in South Florida ...ONCOLOGY UPDATE in South Florida




                                                       Broward Health Advances Cancer Care

                                                                   with Multiprong Approach



          Each year, nearly two million people in   that includes physicians and rehabilita-  How Transplant
        the United States are diagnosed with can-  tion specialists with expertise in all types   Treats Liver Cancer
        cer, according to the Centers for Disease   of head and neck cancers.      Liver transplant is an
        Control and Prevention. As one of the   “The multidisciplinary team-based   option for patients facing
        largest public healthcare systems in the   approach allows us to provide patients   end-stage liver disease,
        United States, Broward Health is com-  the specialized care they need and   including patients who
        mitted to enhancing detection and treat-  deserve,” said Sobel, who is part of the   have cancerous tumors of
        ment of cancer through robotics, trans-  Broward Health Physician Group.    the liver or bile duct.
        plants and clinical studies.           Head and neck cancer is often tough to   Treatment is determined
          “When it comes to providing passion-  detect and treat if not caught early. Most   by the liver cancer’s type
        ate, skilled and advanced cancer care,   head and neck cancers begin in the cells   and stage.
        Broward Health is in many ways leading   that line the moist surfaces inside the   Cosme Manzarbeitia,
        the charge,” said Mark Sprada, vice pres-  mouth and throat. Other types include   M.D., directs the trans-
        ident of strategy and clinical operations.   tumors of the thyroid and parathyroid   plant program based at   Mark Sprada   Dr. Cosme Manzarbeitia
        “Our dedicated team offers an individu-  glands, salivary glands, as well as skin   Broward Health Medical
        alized, comprehensive and holistic   cancers, such as melanoma. Masses or   Center. He specializes in
        approach to cancer treatment.”       lumps in the neck that persist for more   hepatobiliary and abdom-
                                             than two weeks should be evaluated by a   inal transplant surgery,
        Robotics Progress Treatment of       head and neck surgeon.              multi-organ transplanta-
        Head and Neck Cancers                  “Through the technique of trans oral   tion, and liver and kidney
          Under the direction of Ryan H. Sobel,   robotic surgery, we’re able to access and   transplant.
        M.D., a fellowship trained head and neck   remove hard-to-reach cancerous tumors   “When it comes to liver
        surgeon, Broward Health offers one of   of the throat,” Sobel said. “This approach   transplants,  Broward
        South Florida’s only comprehensive and   often results in excellent oncologic out-  Health’s results have been
        robotics-integrated programs for the   comes with fewer long-term side effects   well documented,” said
        treatment of cancers of the head and   than traditional treatment. Working   Manzarbeitia, who is part
        neck. Sobel’s personal commitment to   closely with the members of our team,   of the Broward Health
        providing individualized, minimally   our patients frequently regain function   Physician  Group.
        invasive treatment plans for each of his   more quickly, enabling a return of their   “Broward Health Medical
        patients is coordinated by a care team   original quality of life.”      Center is one of only 10    Dr. Ryan H. Sobel       Dr. Mehmet Hepgur
                                                                                 hospitals in the United
                                                                                 States — and the only
                                                                                 hospital in Florida — to             opportunity to uncover new treatments
                                                                                 receive a maximum score of five points in   and additional options that may improve
                                                                                 the outcome assessment for liver trans-  patient outcomes.”
                                                                                 plants by the Scientific Registry of   Hepgur, a hematologist/oncologist with
                                                                                 Transplant Recipients.”              the Broward Health Physician Group,
           “ You can’t separate the clinical                                       The liver transplant center offers adults   serves as the principal investigator on a
            and the fi nancial – not anymore.”                                   with severe liver disease the expertise of a   handful of studies, including one focused
                                                                                 multidisciplinary team that includes   on treating head and neck cancer with
                                                                                 hematologists, gastroenterologists and   immunotherapy. The clinical trial
                                  People who know Healthcare, know BDO.          liver transplant surgeons, as well as social   launched in December 2019 and is part of
                                                                                 workers and mental health professionals.    the ECOG-ACRIN Cancer Research
                                                                                   “We offer big medicine in a family envi-  Group.
                                                                                 ronment,” Manzarbeitia added. “You don’t   The trial looks at patients who had can-
                                                                                 need to travel far to get high quality care   cer and have relapsed. One group is treat-
                                                                                 with optimal results.”               ed with standard chemotherapy and
                                                                                                                      observed for 12 months. The second
                                                                                 Clinical Trials Breaking Cancer      group receives chemotherapy followed by
                                                                                 Care Barriers                        monthly immunotherapy for a year, which
                                                                                   The third prong of Broward Health’s   Hepgur said is helping to “find out if the
                                                                                 providing solutions to cancer rests with   immunotherapy will slow or stop the
                                                                                 clinical trials. Many of the system’s physi-  growth of cancer.”
                                                                                 cians partner with universities and hospi-  There are 27 clinical trials being led or
                                                                                 tals across the U.S. to further cancer   supported by Broward Health doctors,
                                                                                 research.                            including a trial with the University of
                                                                                   “By participating in clinical trials,   Arizona on the quality of life experienced
                                                                                 Broward Health is better positioned to   by cancer survivors. Gone are “one-size-
                                                                                 help our large and diverse patient popula-  fits-all treatments,” said Hepgur. “The data
             The BDO Center for Healthcare Excellence & Innovation
                                                                                 tion,” said Mehmet Hepgur, M.D.      shows that patients benefit from individu-
             As the healthcare industry enters an era of unprecedented transformation, anticipating and   “Through the clinical studies, we have the
             understanding the future state model of healthcare is more important than ever. From advising on         alized care.”
             complex joint ventures, to M&A services, to healthcare redesign, BDO’s multidisciplinary teams help
             organizations plan for and implement the fi nancial and clinical changes needed to transform their
             institutions — and thrive in the years to come.
             Alfredo Cepero, 305-420-8006 / acepero@bdo.com                                    Subscribe to...
             Angelo Pirozzi, 646-520-2870 / apirozzi@bdo.com
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         16                        January 2020                                                          southfloridahospitalnews.com                                                                       South Florida Hospital News
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