Why Surgical Experience Is ImportantAfter diagnosis is made, the next step is surgery to remove the cancer. Research has shown a major difference in outcomes between surgeons with expertise in this type of surgery and those without.
"Surgeons with specialized training and experience can maximally remove tumors in more than 75 percent of cases, compared with 25 percent or less for inexperienced surgeons. This translates to a 50 percent improvement in survival, adding more than a year to a patient's life," says Dr. Lewin. "In cases of early-stage ovarian cancer, we can improve recovery time by using minimally invasive surgery with high-precision robotic equipment."
Additional treatment may include chemotherapy medications, radiation and immunotherapy. Treatment plans are individualized to minimize side effects while maximizing quality and length of life.
For more advanced cancers, Dr. Lewin recommends both intravenous chemotherapy and chemotherapy applied within the abdominal cavity, an approach proven to extend survival. She is also studying the use of heated chemotherapy, which has been shown to be effective in treating other cancers.
A Personal ApproachAt NewYork-Presbyterian/Columbia, patients see one doctor who provides a very personalized approach to cancer care. "As gynecologic oncologists, we both operate on patients and administer chemotherapy," explains Dr. Lewin. "This fosters an intimate environment, allowing us to get to know patients and their families and make them feel comfortable."
"An important part of treating cancer is listening to the patient. This includes making sure their emotional needs are met," Dr. Lewin adds. "We understand how hard it is to go through this experience and we make an effort to give them the support they need with access to psychological counseling and peer groups."
Source: Columbia University Medical Center