Gynecologic Oncology – Sky Ridge Fellowship-trained Surgeons

Gynecologic Oncology – Sky Ridge Fellowship-trained Surgeons

– [Voiceover] The following interview involves commercial content. The products and services featured appear as paid advertising. (upbeat light rock music) – Hollywood star, Angelina Jolie, helped to bring the topic
of genetics center stage. She made a decision to
undergo a preventative bilateral mastectomy after
learning she could possibly, at some point, be diagnosed
with breast cancer. Doctors have different
views on her decision. Here to talk about that
topic and other cancers affecting women are Doctors Glenn Bigsby and Jeffrey James, both fellowship-trained GYN oncologists at Sky Ridge Medical Center. Thank you for being here
for such an important topic. – Thanks for having us.
– I appreciate your time. So Dr. Bigsby, you’re
both fellowship-trained. What does that actually
mean for a patient? So a gynecological oncologist is specialized in five cancers, and that’s ovarian, uterine, cervical, vaginal, and vulvar cancers. That’s all we do, so we’re highly specialized. We do four years of obstetrics
and gynecology training, followed by three to
four years of fellowship and just gynecological oncology, the cancers, the cancer
treatments, chemotherapy, radiation treatments, kinda
the full realm of cancer care. – Again, they’re both from
Sky Ridge Medical Center. You can always go onto if you’d like to find out more. What are some of the cases that you typically see in your office? – So, our two most common
cancers that we see are ovarian and endometrial cancers, and so those are the most common, and then cervical’s the next common. Vaginal and vulvar are
less common cancers. – [Interviewer] How do you
treat those conditions? – So, we’ve had a lot of advances in our technology, specifically, surgery, and we can do, the majority of our cases, minimally invasively through
robotic surgery these days for the cancer, so that is an overnight stay vs. a three- to five-day stay at the hospital. – Goodness, what a big difference. – Huge difference. – So, recovery time, though? Even though it’s an overnight stay, do they go home and have some
time, downtime to recover? – Downtime is cut usually down to one to two weeks vs.
four to six weeks’ recovery. – [Interviewer] It sounds like gynecologic cancers in
women are pretty prevalent here in our community. – They’re pretty prevalent. Women have about a 1 in 70
chance of having ovarian cancer, about a 1 in 45 chance
of having uterine cancer, and those are our two most common cancers. – And those are the risk factors. Talk about those. – Yeah, so there’s many risk factors for both cancers. For endometrial, which is our most common cancer, it is really the time they have in their menstrual cycle, so if they start their periods early, that is a risk factor for uterine cancer. If they have their periods
late into menopause, that can be a risk factor. Obesity is a risk factor. Not having children is a risk factor. A lot has to do with estrogen. As far as ovarian cancer, there’s a lot of genetics associated with ovarian cancer. Obesity can be associated
with ovarian cancer as well.
– Yeah, the best thing to do is really make a consultation and make sure that you’re safe, right? – [Dr. Bigsby] Absolutely. – Okay, Dr. James, you
and Dr. Bigsby are both very passionate about genetic testing. Can you explain to me in layman terms something that I can
kind of understand more about genetic testing? – Sure.
So… Particularly, for ovarian cancer, but we’re, more and more
evidence is being found to relate our cancers to
genetic mutations that increase people’s, women’s
risks for these cancers. So for women who have ovarian
cancer, who’ve been diagnosed with ovarian cancer, all
women who have been diagnosed and treated for an ovarian cancer should actually see a genetic counselor and be screened, and we do screening, which is oftentimes done by blood tests. It can be done with some saliva but most often done by blood tests to identify a mutation that may not only have put that person at risk for the
cancer that they have, but it also can be
inherited by their children or even be in their siblings. – It’s very smart to do. Don’t you agree? – [Dr. James] I completely agree. – Okay, now you recently
took part in a panel that you were talking
about genetic testing. What was your objective? Why did you wanna take
part in that discussion? – Well, I think, you had
mentioned that Angelina Jolie, which it’s, she’s been great for advocating for women to get genetically tested and to
be aware of the genetics that are involved in these cancers, but a lot of it, people still don’t know how much the genetics play
a part of their cancer and particularly, the
ability to identify their offspring, their children, their siblings, and the potential to prevent the cancer from occurring in those people. – I’m looking at my notes
here, and it says you say the National Comprehensive
Cancer Network study is discussing a type of
lymph node technology. What does that mean? – Yeah, this is primarily
for endometrial cancer is what we’re talking about, and we are involved in some of
the early studies on this, and essentially what is happening is we’re injecting some dye into
the cervix prior to doing a lymph node dissection on an endometrial or uterine cancer patient, and the technology that
the robot allows us to do is to light up those sentinel nodes, and we take those out and
have the pathology doctors do some special studies on those, those lymph nodes to potentially find smaller-volume cancer, which
changes somebody’s prog- or stage from a very early stage to a more late stage. It also changes their treatment and can significantly
improve their prognosis ’cause they’re treated the correct way. – So there’s a lot of
positives with this technology for the patient, then? – Absolutely, yes.
– [Interviewer] All right. And talk more about patients,
what they need to know when they’re faced with a
cancer diagnosis because it’s not only physical that
they’re going through but, I mean, emotionally,
just to hear those words, and then everything they
have to go through mentally. – Absolutely, and we don’t operate in a silo. I mean, we really use a lot of the, the ancillary services in a
multidisciplinary approach where we collaborate with radiation
oncology specialists, with breast surgeons sometimes, sometimes with medical oncologists, with multiple different
areas, genetic counselors, and even support staff, whether it be psychological supporting or, or navigation for the patient because there are so many
different areas that they need to, to get through, so a place
that does a high-volume, that has those support services
is certainly advocated. – [Interviewer] Yeah, I’m
a big fan of HealthONE and especially Sky Ridge Medical Center, close to my house. My family has been taken
care of there so many times and quite well, so I’m glad
you’re here on the show to talk about these female issues. I hear a lot about the HPV vaccine? Tell me about, as a
parent, is that beneficial for my child to get tested at a young age or get the vaccine right away? – Well, we would certainly say so, so that although cervical cancer is not a very common cancer, particularly in the United States because we have screening for it, we do see a lot of
pre-cancer of the cervix, the vagina, or the vulva, and the, there’s three vaccines
that are available now, starting at the age of nine, going to 26, that can prevent those from occurring, so the potential to prevent
a pre-cancer or a cancer and sometimes the surgery
that has to be done for those, which do have other sequelae as well, to prevent that, it’s
certainly advocated for. – [Interviewer] And you
said at the age of nine. – As early as nine, yes. – The most common ages
are between 11 and 12. That’s the best immune response
we’ve seen in the children, and this can prevent over 30,000 cases of cancer a year that are HPV-associated, and it’s not just cervical cancer. – So if you’re a mom of a daughter, you would suggest to take
’em in and get that vaccine? – And boys.
– And boys? – Yes.
– Really? Interesting.
– Boys carry it as well, so we highly recommend
that boys be vaccinated. – Interesting!
All right, well, thank you very much
for coming on the show. – Thank you.
– Great topic. If you have any questions about this important
topic that we discussed, call 720-225-1000. Again, that number is 720-225-1000. You can also learn more about
the top medical care offered at Sky Ridge Medical Center by visiting their website. It’s
and Sky Ridge paid for today.

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