Your Winship care team draws on Emory’s vast resources in surgical oncology, radiation therapy and medical oncology, to provide the newest, most effective practices and treatments. Our multidisciplinary care teams include oncology surgeons, radiologists, pathologists, pharmacists and advanced practice nurses with expertise in appendiceal cancer.
As specialists, our teams develop groundbreaking surgeries and treatments that produce better outcomes and are adopted by other leading cancer centers.
The benefits of our multidisciplinary and highly experienced teams include:
- Access to doctors and surgeons who rank among the top experts in the world.
- Weekly review of patient cases by the full team of experts.
- Coordinated scheduling for appointments among various specialties.
- Access to a nurse navigator to assist you throughout the treatment process.
- Access to support groups and education classes for you and your caregivers.
- Availability of new treatment options within our clinical trials program.
A blood and urine test and imaging tests may be performed to determine if the disease has spread.
Your care team will discuss treatment options with you and it is important to take time and consider all possible choices. It is also important to know that your chances for having the best possible outcome are highest in the hands of a medical team that is experienced in treating appendix cancer.
For carcinoid tumors:
Surgery is the main treatment method for appendix cancer. An operation may be done to remove the appendix, right colon and surrounding lymph nodes. Chemotherapy may be used in combination with surgery to maximize the treatment.
For non-carcinoid tumors:
In these types of tumors, the cancer has spread or metastasized within the abdomen. Several different methods may be used during treatment.
Cytoreductive surgery: the tumor is surgically removed along with parts of the intestine, gallbladder, lining of the abdomen and for women, the ovaries and uterus are also removed.
Heated intraperitoneal chemoperfusion or HIPEC may be used to treat advanced cancers involving the lining of the abdominal cavity such as appendiceal cancer. HIPEC is a chemotherapy procedure designed to kill any remaining cancer cells once all visible signs of the disease are removed surgically. The HIPEC procedure follows surgical removal of the tumor and is used in the treatment of pseudomyxoma peritonel, ;a condition caused by mucinous adenocarcinoma, or cancerous cells that produce abundant mucin. Watch the video to learn about the HIPEC procedure.
For adenocarcinoid tumors:
Treatment may include surgery to remove the right part of the colon, cytoreductive surgery with HIPEC, and chemotherapy before surgery.
Winship’s most promising research in treating appendix cancer is in personalized medicine and targeted therapies. In personalized medicine, researchers identify unique characteristics of tumors that make them vulnerable to known drugs so therapy can be tailored to an individual’s cancer. In targeted therapies, investigators look for new drugs that more selectively target cancer cells with fewer side effects.
In addition to delivering the highest quality medical care, we recognize the importance of the psychological and emotional aspects of living with a cancer diagnosis and of dealing with treatment. Our supportive oncology team addresses these issues in a timely manner with additional support from counselors, nurse navigators, dietitians and social service professionals.
We understand that this is a very stressful time. We welcome your questions and requests for help. Learn what to expect on your first visit.
Your Treatment Team
- Physician Diagnosticians
- Nurse Navigators
- Adv Practice
- Support Services
- Clinical Trials
- Dr. El-Rayes is the chief clinical research scientist responsible for coordinating and providing high-level direction to the clinical cancer research programs and clinical cancer trials across the Emory campuses.
- Associate Director for Clinical Research, Winship Cancer Institute of Emory University
- (404) 778-1900
- Dr. Russell's treats melanoma and metastatic melanoma, tumors of the liver, biliary tract, pancreas, spleen and gallbladder, metastatic tumors to the liver, tumors of the gastrointestinal tract, and neuroendocrine tumors.
- Associate Professor, Division of Surgical Oncology, Department of Surgery, Emory University School of Medicine
- (404) 686-3203
- Dr. Staley leads the surgical oncology team and as Chief Quality Officer works collaboratively with leadership on tracking and improving patient services and satisfaction as well as focusing on cancer outcomes at Winship.
- Chief Quality Officer, Winship Cancer Institute of Emory University
- (404) 778-0210
- Dr. Winer's specialties include HIPEC, laparoscopic and robotic pancreas, liver, and gastric resections, and minimally invasive colon surgery.
- Assistant Professor, Division of Surgical Oncology, Department of Surgery, Emory University School of Medicine
- (404) 778-8059
- Ms. Woodstock is a nurse practitioner serving the inpatient population with gastrointestinal cancers and outpatient population in medical oncology at Winship.
- Family Nurse Practitioner, Department of Medical Oncology, Winship Cancer Institute of Emory University
- (404) 778-1900