Surgery

Our Schwab Family Cancer Center providers may recommend surgical treatments to be considered as part of the care of your cancer for a variety of reasons. Some of these surgeries include a biopsy, preventative surgery, reconstructive surgery, and more. It’s common for you to undergo surgery to help make the original diagnosis or to determine the stage of cancer after diagnosis.

Questions? Call 240-964-1400

Contact Us

Biopsy

A biopsy is a surgery performed to aid in the diagnosis of cancer. A biopsy determines whether a tumor contains cancer cells or not. When used for staging purposes, a biopsy assists the doctor in determining if or how far your cancer has advanced. If cancer has not spread beyond its origin point, surgery may be recommended as a primary treatment. Depending on the type of cancer, you may receive a diagnosis ranging from stage 0 to stage 4. The definition of each stage is as follows:

Stage 0


You don’t actually have cancer at this stage. This diagnosis means that there is a strong likelihood that you may develop cancer in the future based on the results of testing. This is also referred to as carcinoma in situ. Individuals at stage zero typically have a flat lesion without any malignant cells in the nearby tissues.

Stage 1


Tumors at this stage generally measure less than two centimeters in diameter. They remain localized to their origination point and haven’t started to spread to other areas in the body. There is no lymph node involvement at this point.

Stage 2


Tumors at stage 2 measure between two and five centimeters in total diameter. They remain localized to the point of the body where they first originated. However, lymph nodes can already be affected at stage 2.

Stage 3


By stage 3, tumors are typically greater than five centimeters. Cancer has spread to other parts of your body, as well as the lymph nodes. Due to the spreading of cancer, treatments are often more aggressive at this stage.

Stage 4


At this advanced stage, tumors have spread to multiple locations in your body as well as the lymph nodes. They may affect the functioning of vital organs, even if that is not where cancer originated. Stage 4 treatment options, if you choose one, are most aggressive.

 

OUR MEDICAL ONCOLOGY TEAM AT THE SFCC ARE HAPPY TO ANSWER ANY QUESTIONS A PATIENT OR FAMILY MEMBER MAY HAVE AT ANY TIME.

Surgery to Relieve Side Effects

Surgeons may also use surgery to reduce the size of a tumor. This is also called “debulking” a tumor. This type of surgery is used when a tumor is too large to be removed entirely or is too close to vital organs to be safely removed. This surgery is often used to relieve side effects caused by the tumor.

Reconstructive Surgery

Depending on the kind of surgery your cancer requires, reconstructive surgery may play a role in the course of treatment. The oncologist and surgeon working with you will always discuss the reasons for a specific type of surgery and what you can expect for an outcome of any kind of reconstruction.

Breast Cancer Reconstruction Surgery

For individuals who undergo a mastectomy or a lumpectomy to remove cancer of the breast, breast reconstruction surgery is available at Western Maryland Health System. A plastic surgeon will help create a breast reconstruction plan based on your general health, body type, amount of breast tissue remaining, and several other individual factors.

WMHS Plastic Surgery

Preventative Surgery

Some individuals with a strong family history of a certain type of cancer opt to undergo preventive surgery to reduce their risk of developing that cancer. Your primary care provider can refer them to a WMHS surgeon to discuss all of your options.