Breast Cancer Awareness: The Importance of Regular Screenings

October is Breast Cancer Awareness Month, a time to highlight the importance of early detection in the fight against breast cancer. Our East Tennessee Premier Surgical Breast Cancer Team of surgeons, is committed to empowering our patients with knowledge about the role of regular breast cancer screenings in saving lives. Early detection is key, and routine screenings are one of the most effective ways to catch breast cancer in its earliest, most treatable stages.

Understanding Breast Cancer

Breast cancer occurs when abnormal cells in the breast grow uncontrollably, forming a tumor. While some risk factors for breast cancer—like age, family history, and genetics—cannot be controlled, there are powerful steps you can take to reduce your risk and detect cancer early. 

According to the American Cancer Society, 1 in 8 women will develop invasive breast cancer in her lifetime, but early detection through regular screenings can significantly increase survival rates.

Why Regular Screenings Matter

The goal of breast cancer screening is to find cancer before it causes symptoms, such as a lump, changes in breast size or shape, or nipple discharge. When breast cancer is found early, treatment options are broader, and outcomes are generally much better. Regular screenings are vital because:

1. Early Detection Saves Lives: Detecting breast cancer early, before it has spread to other parts of the body, increases the likelihood of successful treatment. Early-stage breast cancer is much easier to treat than advanced cancer, and the survival rate for localized breast cancer is around 99%.
2. Screening Can Catch Cancer Before Symptoms Appear: By the time symptoms of breast cancer arise, the cancer may have already progressed to a more advanced stage. Mammograms, which are the most common screening tool, can detect tumors too small to be felt, often years before physical symptoms appear.
3. Improved Treatment Options: Early detection often allows for less invasive treatments and increases the chance that breast-conserving surgery, like a lumpectomy, will be possible. For many women, this means shorter recovery times and less disruption to daily life.

Who Should Get Screened?

The frequency of screenings depends on a few factors, including your age, medical history, and risk factors. The American Cancer Society recommends the following guidelines for women at average risk for breast cancer:

– Women aged 40-44: Optional annual mammograms.

– Women aged 45-54: Annual mammograms.

– Women 55 and older: Mammograms every two years, or the option to continue with yearly screenings.

For women with higher risk factors, such as a family history of breast cancer or certain genetic mutations, screenings may begin earlier or occur more frequently. It’s important to discuss your individual risk factors with your healthcare provider to determine the best screening schedule for you.

The Role of the Premier Surgical Breast Team

At Premier Surgical Associates, we understand that navigating breast cancer screenings can feel overwhelming. Our dedicated team of surgical specialists is here to provide you with compassionate, personalized care throughout the breast cancer diagnosis, treatment and reconstruction stages. We will ensure that you receive the highest quality care at every step of the way.

For more information about about our experienced Premier Surgical breast cancer specialists, please visit:  https://www.premiersurgical.com/specialties/breast-cancer-surgery/. 

The post Breast Cancer Awareness: The Importance of Regular Screenings first appeared on Premier Surgical.

Benefits of a Comprehensive Breast Cancer Team

Breast cancer requires a comprehensive approach to treatment that addresses the patient’s overall well-being, both physically and emotionally. The breast cancer team at Premier Surgical in Knoxville, TN specializes treating the whole person. In this article, we’ll dive deep into the many benefits of choosing breast cancer treatment from a comprehensive breast cancer team.

The Team Approach at Premier Surgical

At Premier Surgical, we believe in the power of team collaboration. We offer a collective approach to breast cancer treatment that includes an array of breast cancer professionals all focused on the patient’s success. Our breast cancer surgeons General Surgeon Dr. William Gibson, Plastic Surgeon Dr. David Lo, Surgical Oncologist Dr. Ana Wilson, and General Surgeon Dr. Jessica Vinsant, work alongside specialty teams of other cancer experts at each medical center in Knoxville. With experts from different fields coming together to discuss individual cases, we develop unique, personalized treatment plans for each patient. This ensures that no stone is left unturned, and the patient receives the most comprehensive care possible.

Who Makes Up Our Comprehensive Breast Cancer Team? 

Our breast cancer team includes:

Breast Cancer Treatment and Reconstruction Surgeons: From breast cancer diagnosis and surgical treatment, to breast reconstruction, our Premier Surgical physicians have helped thousands breast patients in East Tennessee. 

Radiologists: We work with radiology professionals who interpret medical images, vital for detecting and monitoring cancers. 

Medical Oncologists: These specialists understand cancer’s nature and behavior and recommend medications and other treatments to combat or control the disease.

Radiation Therapists: When necessary, radiation therapists are tasked with administering radiation treatments to target and kill cancer cells.

Pathologists: These specialists examine tissue samples to confirm cancer diagnosis, its stage, and other crucial factors that determine the course of treatment.

Reconstructive Surgeons: For many patients, breast reconstruction after mastectomy is an essential part of their healing journey. These surgeons ensure that patients have the option to reconstruct their breasts post-surgery.

Genetic Counselors: They assist in understanding the genetic implications, if any, related to the cancer, guiding patients about potential risks and available tests.

The Power of Collaboration with Local Healthcare Centers

Besides our internal team’s expertise, our multidisciplinary method of care at Premier Surgical provides us with the privilege of partnering with esteemed health care centers. This collaboration extends our reach and resources, ensuring that our patients get the best of both worlds.

Our health care center partners include:

• Thompson Cancer Survival Center

• Parkwest Comprehensive Breast Center
• Tennova Breast Cancer Center

The Benefits of Choosing a Comprehensive Breast Cancer Team 

When faced with breast cancer, it’s easy to feel overwhelmed. By choosing a comprehensive team, like the one at Premier Surgical, patients can rest assured that they are not alone in their fight. The collective expertise, experience, and resources of a multifaceted team mean that every aspect of the disease is considered and addressed. From the initial diagnosis to post-surgical care and reconstruction, every step is managed by experts in the field.

Moreover, this comprehensive approach ensures: 

Personalized Care: Every patient’s cancer journey is unique. A team approach allows for personalized treatment plans tailored to the individual’s needs. 

Continuity of Care: There’s a seamless flow of communication among team members, ensuring that patients receive consistent care without any gaps.

Emotional and Psychological Support: Beyond physical treatment, a comprehensive team also considers the emotional and psychological aspects of the patient’s journey, providing counseling and support as needed.

Breast cancer, though daunting, becomes a journey you don’t have to walk alone when you choose a Premier Surgical Breast Cancer surgeon. With our combined expertise, state-of-the-art technology, and compassionate approach, we stand with our patients every step of the way, ensuring they receive the best and most complete care possible.

For more information about the surgical treatment of breast cancer, visit our Breast Cancer Surgery page. To request a consultation with a Premier Breast Surgeon, click here.  

The post Benefits of a Comprehensive Breast Cancer Team first appeared on Premier Surgical.

Healthcare professional Kim Johnson has always kept an eye on her health. With a diagnosis of melanoma (skin cancer) in her past, she now takes preventive measures for herself and her family, including routine exams.

After genetic testing revealed multiple cancer-causing mutations, Johnson underwent a double mastectomy and reconstructive surgery to prevent the development and spread of cancer cells in her breast tissue.

Thanks to the expert team at Parkwest Medical Center in Knoxville, Johnson is a living  testament to the benefits of taking action in the right moment.

To protect her young family Kimberly had preventative breast cancer surgery after genetic testing showed her at high risk of the disease.

Living Faithfully

It was after turning 40 and having her first mammogram that Johnson began to think about her breast health and family history of breast cancer. After the mammogram was inconclusive, Johnson was referred to the Parkwest Comprehensive Breast Center, located at Parkwest Medical Center.

She underwent a 3D ultrasound and a biopsy of tissue was taken for testing. The biopsy was negative for cancerous tissues, which meant she wasn’t facing a cancer diagnosis – a welcome piece of news.

Knowing her grandmother and two aunts had previously battled breast cancer and wanting to be an example for her sisters, Johnson decided to pursue genetic testing at the Breast Center. The non-invasive tests indicated rare genetic mutations that put her at a high risk of developing breast cancer and other cancers later in life.

A Big Decision

“It was concerning, and I was surprised at the initial results,” Johnson shares. “I have a twin sister who ended up having the same genetic mutation as I did. I have a younger sister who could also have been at risk.

“My thoughts immediately went to my family. I want to stay around for my kids. None of us knows the number of days we have left. I wanted to increase the likelihood of being around for my family.”

At age 42 and already having had children, Johnson was a candidate for a preventive mastectomy. In this procedure, the breast is removed to prevent the development of cancer in high-risk women.

Her surgeon was William C. Gibson, MD, FACS, Premier Surgical general surgeon at Parkwest Medical Center. Dr. Gibson says that without intervention, the genetic mutations linked to cancer and Johnson’s strong family history would have put her at about 75 percent risk of developing breast cancer and possibly other cancers.

Dr. William Gibson specializes in Breast Cancer Surgery.

It was after much conversation, prayer and research that Johnson decided to have preventive surgery. In March 2023, she underwent a bilateral prophylactic nipple- sparing mastectomy. Both breasts were surgically removed and implants were later inserted.

“I’m grateful to have caught and identified the risk before it turned into cancer,” Johnson says. “I have no regrets.”

Worth the Risk

Post-operation, Johnson’s risk of developing cancer went from 75 to 1 percent, says Dr. Gibson. “Kimberly did extremely well. We did thorough imaging and testing to make sure no cancer was present. Because none was present, we could take preventive steps and address the risk on the front end. If cancer had been present and we were treating existing cancer cells, that would be a different story.”

He added, “Those who could benefit from genetic testing are typically people with a strong family history of cancer, or women who have already had a cancer diagnosis before age 50. Anyone who is curious about it should consult their primary care physician.”

Confidence at Parkwest and Beyond

Johnson says, “I knew Dr. Gibson would be meticulous with my case; he is amazing to work with. This was a big decision to make but I had no trouble going through with the surgery under his care because I had all confidence in him. He also helped me find peace of mind. My faith and belief in God gave me hope and helped guide some of these big decisions,” she says. “I know surgery is not for everyone. There are so many factors that come into play. I encourage people to be in tune with their bodies and use that knowledge to empower them to take healthy steps for themselves.”

Dr. William Gibson is a general surgeon with the Premier Surgical Associates office at Parkwest Medical Center in Knoxville, TN. He specializes in the surgical treatment of breast cancers. To request an appointment with Dr. Gibson, please call (865) 690-5263.

The post Genetic Testing and Preventative Surgery Brighten Outlook for Knox Mom first appeared on Premier Surgical.

A few months after giving birth, Haley Carrington discovered a lump in her right breast. She felt it near her armpit while she was nursing, and it was about the size of a marble.

The young mother initially thought it must have been a clogged milk duct, and her doctor didn’t seem overly concerned. But when that little lump wouldn’t go away, Carrington was referred to Thompson Comprehensive Breast Center for an ultrasound and then a biopsy.

At just 30 years old Haley was diagnosed with breast cancer. Her commitment to her family and future prompted her to opt for an aggressive treatment

The results were life-altering. At the age of 30, Carrington was diagnosed with breast cancer. “I was really shocked,” Carrington says. Her thoughts immediately turned to her family, especially the tiny baby boy who still needed his mother so much.

“The first thing that came to my mind was ‘I’m not going to see him grow up. I’m going to miss these important dates in my kids’ lives.’”

Strength Meets Hope

Facing her diagnosis, Carrington embarked on a challenging journey. Breast cancer was a frightening adversary, but Carrington found strength in her medical team from the start.

“The doctors made me feel hopeful, and that this was treatable,” she says. “I think that’s the number-one thing I needed when I was diagnosed. Hope.”

Carrington had triple-negative breast cancer, meaning it didn’t have the most common  receptors for various treatment options Triple-negative cancers are generally more aggressive and are more likely to spread early in the disease process. For this reason, chemotherapy is generally recommended before surgery, and that was the case with Carrington. After phase one of chemotherapy at Thompson Cancer Survival Center, Carrington noticed the tumor shrinking. By phase two, it had disappeared completely.

However, Carrington’s commitment to her future and her family’s well-being prompted her to make a personal choice going one step further. She chose to undergo a bilateral mastectomy with reconstruction.

A Personal Choice

“I want to be able to see my kids grow up and I understand the chances of cancer coming back,” Carrington says. “Just for my peace of mind, I wanted to eliminate that chance.”

Ana Wilson, DO, Surgical Oncologist

Her surgeon was Ana Wilson, DO, a surgical oncologist with Premier Surgical and affiliated with Fort Sanders Regional Medical Center. Dr. Wilson specializes in breast cancer, melanoma and other related cancers. She says bilateral mastectomy is not uncommon among young women, even in cases like Carrington’s where the tumor is small enough to be removed with a lumpectomy.

Dr. Wilson says, “She wanted to have a more aggressive surgery, not just to treat this breast cancer, but try to prevent future breast cancers because she has a long life left to live.”

Another reason young women choose mastectomies over lumpectomies may be that the  procedure can now be performed in a way that preserves more of the breast’s appearance. A plastic surgeon worked alongside Dr. Wilson to begin the first phase of breast reconstruction immediately after the removal procedure.

“She had a bilateral, nipple-sparing mastectomy. We removed both breasts and preserved the skin of the breast and the nipple,” Dr. Wilson explains. She adds that no cancer was found in the lymph nodes during the surgery, so radiation was not necessary.

Sharing Her Story to Save Lives

Carrington’s courage and resilience have led her to a place of triumph.“I’m cancer-free,” she says proudly. Her story is not just about survival, it’s a testament to the power of hope, determination and women taking charge of their health at every age.

She is spreading the word that early detection saves lives. Carrington is also encouraging friends and family to keep up with self-breast exams and schedule mammograms as appropriate.

Her message to others, especially young women, is direct: “Take your health seriously, because cancer does not care how old or young you are.”

Dr. Ana Wilson is a surgical oncologist with Premier Surgical Associates at Fort Sanders Regional Medical Center in Knoxville, TN. She specializes in treating breast, skin, and thyroid cancers. To request an appointment with Dr. Wilson or any Premier Surgical physician visit  https://www.premiersurgical.com/request-an-appointment/

The post Breast Cancer Doesn’t Care How Young You Are first appeared on Premier Surgical.

Technology is a game changer in healthcare, and Covenant Health’s Fort Sanders Regional Medical Center is experiencing new wins. Premier Surgical Oncologist David Roife, MD, has performed the hospital’s first robotic- assisted pancreatectomy.  The patient was Margie Bowman of Whitesburg, Tennessee. She underwent the surgical procedure to remove part of her  pancreas after it was damaged by a pre-cancerous cyst.

Margie is the first patient to undergo a robotic-assisted pancreas surgery at Fort Sanders Regional in Knoxville. It was preformed by Premier Surgical Oncologist Dr. David Roife.

Today, Bowman is celebrating that big win. But her story begins with another kind of game.

The Answer: “What is Jeopardy?”

Alex Trebek, longtime host of Jeopardy, the popular TV game show, publicly shared his battle with pancreatic cancer in 2021. A few months after his death, his widow and daughter took part in a high-profile California fundraiser for pancreatic cancer research, bringing Trebek’s story back into the news.

Some 2,000 miles away in Tennessee, Bowman picked up a magazine that covered the fundraiser. She read with interest the symptoms of pancreatic cancer, one of which is pain in the abdomen.

Having wrestled with her own unexplained pain, Bowman thought a visit with her doctor might be a good idea. She was stunned when she found out something was on her pancreas that wasn’t supposed to be there.

“This paralyzed me,” Bowman says, recalling the moment when the results of her CT scan were revealed. “It was actually a very small spot, and my physician said we were going to watch it for six months—so we did.”

That small spot grew; it was biopsied and found to be a pre-cancerous cyst. Bowman’s doctor in northeast Tennessee told her she needed to travel to Knoxville for surgery.

The Surgical Solution

At Fort Sanders Regional, surgical oncologist David Roife, MD, with Premier Surgical Associates used robotic technology to remove the pre-cancerous cyst and the damage it had done. The procedure included taking out two-thirds of Bowman’s pancreas and her spleen.

“Instead of a large abdominal incision, the procedure was performed through a set of four small incisions across the abdomen and one incision in the lower abdomen, like a c-section, in order to remove the specimen from the body,” Dr. Roife says.

The advantages of this type of minimally invasive surgery typically include less pain, decreased chance of infection, and a lower hernia risk than with a more traditional large abdominal incision. The recovery is often speedier, too.

A patient who undergoes traditional open pancreatic surgery can usually expect to be hospitalized for about a week. Not so with Margie Bowman.

“I was in the hospital for three days,” Bowman says. “My nurse stayed with me constantly and helped me so much, and everybody was just really nice.”

Since it was caught so early, her final pathology showed the pre-cancerous cyst with no evidence of invasive cancer. She will not need chemotherapy or further treatment other than surveillance.

Dr. David Roife,
Surgical Oncologist

Leading the Way in Robotic-Assisted Technology

Fort Sanders Regional was the first hospital in East Tennessee to use robotic-assisted procedures in 2004. Since then, the computer-based technology has continued to grow and provides new minimally invasive options to patients.

Sharing the Message

When it was time to be discharged, Bowman’s sister helped with recovery at home, and now Dr. Roife’s patient is doing great. She loves to go for walks, grow flowers and read magazines like the one in which she once unexpectedly found life-saving information.

But Bowman wants to do more than just enjoy each new day of the second chance she’s been given. She wants to help more people learn about pancreatic cancer.

Dr. Roife says it’s important to seek out specialists and a hospital that have a vast amount of experience in cancer surgery and can provide the highest and most up-to-date standard of care.

“Surgery has an extra advantage in complicated cases such as this one. The robot’s superior visualization, 3D display, and more precise instrumentation allow delicate and accurate dissection around high-risk areas such as the pancreas and its underlying blood vessels,” he says.

Dr. David Roife is a surgical oncologist with Premier Surgical at Fort Sanders Regional in Knoxville, TN. To request an appointment with Dr. Roife or any Premier Surgical surgeon, visit https://www.premiersurgical.com/request-an-appointment/

The post Patient Undergoes 1st Robotic Pancreas Surgery at Fort Sanders Regional first appeared on Premier Surgical.

Understanding Colon and Rectal Conditions

Colon and rectal conditions are a variety of health issues affecting the large intestine (colon) and the rectum. Among these, colon and rectal cancer (collectively referred to as colorectal cancer) are of serious concern due to their high prevalence.

Identifying the Signs and Symptoms 

The physicians of Premier Surgical want you to understand the common signs and symptoms of colon and rectal cancer since that is the first step toward early detection. Symptoms may include:

• Changes in bowel habits: This can mean diarrhea, constipation, or a change in the consistency of your stool, lasting more than a few days.
• Rectal bleeding or blood in your stool: Any instance of this should prompt a visit to your healthcare provider.
• Persistent abdominal discomfort or pain: Cramps, gas, or pain can be symptoms.
• Weakness or fatigue: Unexplained tiredness or sudden weight loss could be a sign.

Keep in mind that these symptoms can occur with many conditions that aren’t cancer. However, if you experience any of these symptoms for an extended period, it is crucial to consult with a healthcare professional.

The Importance of Early Detection and Screening

Colon and rectal cancers are highly treatable if detected early. Regular screening is one of the most powerful weapons in preventing colorectal cancer. Screenings, such as colonoscopies and sigmoidoscopies, can detect precancerous polyps (abnormal growths) in the colon and rectum, which can be removed before they turn into cancer.

Current guidelines recommend that people at average risk should start screening at age 45, but those with a family history or other risk factors may need to start sooner. Your doctor can guide you on when to begin screening based on your risk factors.

Treatment Options

At Premier Surgical Associates in Knoxville, Cleveland, and Johnson City, TN,, we pride ourselves on offering a comprehensive range of treatment options tailored to each patient’s needs. Treatment for colon and rectal cancer may involve surgery, radiation therapy, chemotherapy, targeted therapies, or a combination of these.

For early-stage cancer, surgery alone may be sufficient, often performed laparoscopically or robotically. For advanced stages, a combination of treatments might be necessary. Our dedicated team at Premier Surgical collaborates closely with each patient to design the best treatment plan for them.

Understanding colon and rectal conditions, notably colon and rectal cancer, is crucial for early detection and treatment. At Premier Surgical, we are committed to providing high-quality, personalized care for our patients. 

If you have concerns about these conditions or would like more information, please visit our Colon and Rectal Surgery webpage.

The post Understanding Colon and Rectal Conditions first appeared on Premier Surgical.

Understanding Hemorrhoids: Causes, Symptoms, and Treatment Options

Hemorrhoids – a term that can evoke a sense of discomfort just by its mere mention. They’re a common health issue that millions of people deal with at some point in their lives. However, due to the stigma and embarrassment associated with this condition, many individuals lack the necessary knowledge about hemorrhoids. This lack of awareness can sometimes lead to a delay in treatment, thereby complicating the condition. In this article, the team at Premier Surgical Hemorrhoid Treatment Center in Knoxville, TN, aims to help you understand hemorrhoids, their causes, symptoms, and various treatment options.

What are Hemorrhoids? 

Hemorrhoids, also known as piles, are swollen veins located around the anus or in the lower rectum, similar to varicose veins. They can either be internal, occurring inside the rectum, or external, developing under the skin around the anus.

Causes of Hemorrhoids

There are several factors that can increase your risk of developing hemorrhoids:

• Straining during bowel movements: This is one of the most common causes of hemorrhoids. Continuous straining puts pressure on the veins in the rectum and anus, leading to swelling.
• Chronic constipation or diarrhea: These conditions can result in increased straining during bowel movements, promoting the development of hemorrhoids.
• Age: Hemorrhoids are more common in individuals who are aged 45 and older due to the weakening of the tissues supporting the veins in the rectum and anus.
• Pregnancy: Pregnant women often develop hemorrhoids due to the pressure exerted by the growing uterus on the rectal veins.
• Obesity and a sedentary lifestyle: These factors increase the risk of hemorrhoids due to the additional pressure on the pelvic veins.

 Symptoms of Hemorrhoids

Hemorrhoids can manifest a range of symptoms. These can include: 

• Itching or irritation in your anal region
• Pain or discomfort
• Swelling around your anus
• Bleeding during bowel movements
• A lump near your anus, which may be sensitive or painful

Treatment Options for Hemorrhoids

Thankfully, hemorrhoids are generally not serious and are treatable. Treatment options vary depending on the severity of the condition. For milder cases, lifestyle changes, dietary adjustments, and over-the-counter remedies can effectively treat hemorrhoids. This can include high-fiber diets, increased water intake, regular exercise, and avoiding straining during bowel movements. 

However, for persistent or more severe cases medical treatment such as Infrared Coagulation may be recommended for long term relief. 

Infrared Coagulation (IRC): This non-invasive procedure uses infrared light to cause small, bleeding, internal hemorrhoids to harden and shrivel. The Premier Surgical Hemorrhoid Treatment Center specializes in IRC. It is effective in eliminating more than 90 percent of troublesome hemorrhoids. IRC is covered by most insurance plans.

We are the only dedicated hemorrhoid treatment center in the southeastern region.  Our skilled and compassionate professionals prioritize your comfort and privacy, offering top-notch treatment options, including the minimally invasive IRC method. 

If you’re experiencing symptoms of hemorrhoids, don’t let discomfort or embarrassment hold you back from seeking help. Contact our Confidential Hemorrhoid Hotline at (865) 588-9952 or submit our PREMIER HEMORRHOID CENTER APPOINTMENT REQUEST FORM to schedule a consultation and take the first step towards eliminating your hemorrhoids for good.

With our help, you can regain your comfort and peace of mind. Remember, there’s no shame in having hemorrhoids, but there’s a great deal of victory in overcoming them!

The post Understanding Hemorrhoids: Causes, Symptoms, and Treatment Options first appeared on Premier Surgical.

Patricia “Patsy” Hill, 81, says age is just a number and “you’re only as old as you feel.” Hill has lived a rich life and enjoys spending time with her children, grandchildren and great-grandchildren. After having surgery to remove a cancerous mass from her colon in early 2023, she is living cancer-free.

Earlier this year, the Knoxville resident felt weak and was unable to keep down food and water. She went to Fort Sanders Regional Medical Center, her hospital of choice, where she knew she would be treated well. A CT scan in the emergency room revealed a mass blocking her colon. After further testing, it turned out to be cancer.

Patricia is grateful that Premier Surgeon Dr, Joseph Thurman was able to successfully remove a cancerous mass from her colon.

“I was surprised to hear I had cancer, but I couldn’t fall apart for my family,” she says. “When you’re sick, you pray to God – you just have to turn it over to Him and then not worry about it.”

Hill was admitted to Fort Sanders Regional in March. She stayed almost a month, first undergoing surgery, followed by rehabilitation in the hospital’s Transitional Care Unit. She had lost a dangerous
amount of weight from not being able to eat or drink, and was very weak. After surgery, her hospital team helped her regain strength through exercises and practicing walking in the hallway.

At Fort Sanders Regional

Hill’s surgeon was Joseph B. Thurman, MD, FACS, of Premier Surgical at Fort Sanders Regional. As a general surgeon, Dr. Thurman treats a wide array of diseases and conditions, including gallbladder disease, hernias and gastrointestinal issues.

He says, “The biopsy showed adenocarcinoma, the most common type of colon cancer. This required a procedure called a left hemicolectomy with diverting ileostomy. That means in addition to removing the part of the colon that contained the cancerous mass, the patient needed an ostomy bag for six weeks to give the colon time to heal and avoid leaking. Then she had the ostomy reversed.”

Dr. Thurman explains the surgery was emergency intervention. “She was hit with several ‘gut-punches’ at the same time. She came to the ER for belly pain, only to find that not only was her colon obstructed, but that it was caused by cancer. We knew that because of the blockage, she would need not only a resection but also the ostomy, and therefore require two surgeries. It’s a lot to process in just a few days.”

After the ostomy reversal procedure in April, Hill has normal GI function, is healing at home and feels great. “I’m an early riser,” she says. “I like to get on with it. I have had to slow down, because even though my scars have healed, Dr. Thurman says my insides are still healing.”

Hill hopes to soon return to being “healthy as a horse” and to get her energy back, living cancer-free.

Compassionate Care

Because she stayed a month as an inpatient and in rehab, Hill got to know many of her caregivers. She says, “The bedside manners couldn’t have been better, especially with Dr. Thurman. I told him I would adopt him and claim him as my son. He is just wonderful.”

She described the nursing staff who brought her coffee and checked on her constantly. She cherishes the souls who cared for her in her weakest moments.

“As a senior citizen, I appreciated the friendliness and willingness to explain things to me,” Hill says.

Dr. Thurman says Hill is the “poster child” for how good health going into surgery can benefit the ultimate outcome. “It makes a difference in recovery at all ages, but especially at her age,” he says. “Ms. Hill is an active 81-year-old and was motivated and engaged with her recovery. She had a great attitude throughout everything. She did fantastic, recovered extremely well and has a good long-term prognosis.”

A Lesson for Others

Hill says, “I bet this [cancerous mass] would have shown on a colonoscopy, but I haven’t had one. If this story helps just one person do the screening, it will be worth it – because it could save a life.”

Dr. Thurman concurs. “This is an example of why you should get a screening colonoscopy,” Dr. Thurman says. “This patient was a non-smoker, followed a healthy diet, was doing all the right things, and still got colon cancer. It’s a lesson to keep up with your health and to get those screenings.”

He recommends adults start getting colonoscopies at age 45 as recommended by the latest guidelines if there is no family history of colon cancer, and sooner for higher-risk individuals. Always check with your primary care physician for advice on cancer screenings.

Dr. Joe Thurman is a general surgeon with the Premier Surgical Associates office at Fort Sanders Regional in Knoxville. To learn more about colon cancer treatment visit  https://www.premiersurgical.com/specialties/colon-and-rectal-surgery/

The post 81-Year-Old Has Curative Colon Surgery first appeared on Premier Surgical.

Know the Signs and Symptoms of Bowel Cancer

April is Bowel Cancer Awareness Month, an annual campaign that aims to raise awareness about the third most common cancer worldwide. According to the American Cancer Society, bowel cancer affects more than 100,000 people in the United States each year. However, early detection and treatment can improve the chances of successful outcomes. Therefore, it is essential to know the signs and symptoms of bowel cancer.

What is Bowel Cancer?

Bowel cancer is a type of cancer that develops in the large intestine. Depending on where it starts, bowel cancer may be called colon or colorectal cancer. The colon and rectum are parts of the large intestine, which is responsible for absorbing water and salt from undigested food, and eliminating waste from the body.

The cancer develops when the cells in the colon or rectum grow uncontrollably, forming a tumor. If left untreated, the cancer can spread to other parts of the body, such as the liver or lungs.

Signs and Symptoms of Bowel Cancer

Bowel cancer may not cause any symptoms in the early stages, which is why regular screening is essential for early detection. However, some signs and symptoms may indicate the presence of bowel cancer, including:

• Changes in bowel habits: If you experience persistent changes in bowel habits, such as diarrhea or constipation, or a change in the consistency of your stool, it could be a sign of bowel cancer.
• Blood in the stool: If you notice blood in your stool or on the toilet paper, it could be a sign of bowel cancer. However, not all cases of blood in the stool indicate cancer, but it is essential to consult a doctor if you notice blood.
• Abdominal pain: If you experience persistent abdominal pain, discomfort, or bloating, it could be a sign of bowel cancer. The pain may be intermittent or constant and may worsen over time.
• Unexplained weight loss: If you experience unexplained weight loss, fatigue, or weakness, it could be a sign of bowel cancer. Cancer cells consume a lot of energy, which can cause weight loss and fatigue.
• Anemia: If you have anemia, which is a condition where your blood lacks enough red blood cells, it could be a sign of bowel cancer. Anemia can cause fatigue, weakness, and shortness of breath.

If you experience any of these symptoms, it is essential to consult a doctor immediately. A doctor may recommend further tests, such as a colonoscopy, to diagnose bowel cancer.

Prevention and Treatment

Bowel cancer is treatable if detected early. Risk reduction measures include maintaining a healthy lifestyle, such as regular exercise, a balanced diet, and avoiding tobacco and alcohol.

Screening tests are essential for detecting bowel cancer early. The American Cancer Society recommends that individuals at average risk for bowel cancer should begin screening at age 45. Those with a family history of bowel cancer or other risk factors may need to start screening earlier.

If detected early, bowel cancer can be treated with surgery, radiation therapy, chemotherapy, or a combination of these treatments. Premier Surgical Associates offers advanced surgical and cancer care treatments for patients with bowel cancer.

Don’t wait until it’s too late

Bowel cancer is a serious condition that can affect anyone. Therefore, it is essential to know the signs and symptoms of bowel cancer and undergo regular screening to detect it early. The board-certified physicians of Premier Surgical Associates in Knoxville, Cleveland, and Johnson City, TN, provide comprehensive cancer care to patients in East Tennessee, including surgical oncology and colon and rectal cancer surgery and treatments.

If you are facing bowel cancer, contact Premier Surgical Associates to schedule an appointment with one of our board-certified surgeons. Don’t wait until it’s too late – early detection and treatment can save lives.

The post Bowel Cancer: Signs and Symptoms first appeared on Premier Surgical.

Determined. Motivated Resolved. When Harriman resident Rich Robertson was diagnosed with early-stage rectal cancer, he knew he would do whatever it took to tackle it.

Through two years of radiation, chemotherapy treatments and an intensive surgery that involved removing the cancerous tumor, he kept his sight on his goal: being cancer-free.

Rich and his colon and rectal surgeon, Dr. Sung Lee.

Robertson has always been a fighter. He is retired from his 22-year military career, during which he was wounded in active duty. While on tour in Iraq, he was injured during an IED explosion and, as a
result of his injuries, is paralyzed from the waist down. Robertson now works as a program and project manager at Oak Ridge National Laboratory.

His rectal cancer was detected early, in July 2021, when a take-home screening kit presented abnormal results. The veteran was prompted to get a colonoscopy, which revealed a cancerous mass. He was referred to Thompson Cancer Survival Center at Methodist Medical Center in Oak Ridge. He was prescribed chemotherapy and radiation to shrink the tumor.

A Winning Team

Robertson’s case was treated by a multidisciplinary tumor board. The tumor board includes specialists who are directly involved in a patient’s case, from radiology and pathology to oncology and surgery. Coming together, the specialists are able to gain every perspective on cancer cases in order to make a fully informed recommendation.

The tumor board for Robertson’s case included Elliot Navo, MD, radiation oncologist, and Michael Thompson, MD, medical oncologist, both at Thompson Cancer Survival Center at Methodist, and Sung Lee, MD, Premier Surgical colon and rectal surgeon at Fort Sanders Regional Medical Center in Knoxville.

After several rounds of chemo and radiation, Robertson underwent surgery at Fort Sanders Regional to remove the mass. Dr. Lee performed a procedure called a robotic-assisted abdominoperineal resection. During the procedure he removed the distal colon, rectum and anal sphincter and created a colostomy. This minimally invasive approach gives patients a lower risk of complication, shorter recovery time and less pain than traditional surgery.

Robertson recovered in the hospital for a few days. “Dr. Navo, Dr. Thompson and Dr. Lee all made me feel like I was in as much control as I could be,” Robertson says. “By nature I’m aggressive, so I wanted to get it over and done with.

“They listened and asked how I was doing. They were upfront about the side effects and what I could do to mitigate them, so I wasn’t surprised by much. My employer was very accommodating and I didn’t miss much work. Plus, it was caught early so the cancer didn’t spread.”

Today, he is six months post-op and feeling great. But it’s been a journey.

Receiving Support

After being injured in Iraq in 2005, Robertson is no stranger to medical care. He considers himself lucky and has learned to keep his circumstances in perspective.

“I know I could have a worse prognosis. The treatment team caring for me have exceeded my expectations. I couldn’t be luckier.”

His wife Sarah has been through the thick of it alongside him, Robertson says. “We have been together 30 years. It’s thanks to her I get to my appointments and take all my medications on time. The team has also been great to communicate everything with my diagnosis and treatment, too.”

Because Robertson is a paraplegic, his rectal cancer symptoms were masked. It was only through the at-home screening kit followed by a colonoscopy that his cancer was detected.

Robertson is thankful to his family and his healthcare team for supporting him through treatment and recovery.

Dr. Lee adds, “Mr. Robertson had no complications and did very well with surgery. He was an active guy and had a positive attitude, and he was motivated to get through his cancer treatment. He did very well and will undergo yearly CT scan for surveillance, but his treatment was curative.”

Dr. Lee emphasizes that colon and rectal cancer often don’t show any symptoms until advanced stages. He encourages people to follow the recommended screening guidelines and report any gastrointestinal symptoms to their primary care physician.

Dr. Sung Lee is a colon and rectal surgeon with Premier Surgical at Fort Sanders Regional in Knoxville. To learn more about Premier Surgical’s Colon and Rectal Cancer services, visit: https://www.premiersurgical.com/specialties/colon-and-rectal-surgery/

The post Harriman Veteran Receives Curative Cancer Care first appeared on Premier Surgical.