Taking a Holistic Approach to a Holistic Problem

The human endocrine system consists of a host of glands – from the pituitary gland at the base of the brain to the thyroid and parathyroid glands, the pancreas, and the reproductive organs – all working individually and in concert to keep the body functioning properly.

Hoag Endocrine Tumor Program operates in much the same way. Individuals with precise expertise and complementary skill sets work – sometimes separately and often together – to treat a variety of endocrine issues.

Taking a multidisciplinary approach that includes surgery, endocrinology, genomics, pathology, oncology and nuclear medicine, the wide breadth of Hoag’s program is tailored to the complexity of endocrine care.

“Medicine in general has become much more subspecialized as our knowledge regarding every aspect of medicine advances rapidly,” said endocrine surgeon Michael Demeure, M.D., MBA, program director for Precision Medicine. “Our personalized level of care sets us apart. We have created a supportive infrastructure where all of our knowledge comes together to allow us to better help each patient.”

The subspecialties offered by Hoag Endocrine Tumor Program include:

Thyroid/Parathyroid: Hoag offers state-of-the-art surgical and imaging techniques, and medical treatments for patients with thyroid and parathyroid tumors. Hoag is the only community hospital member of the International Thyroid Oncology Group (ITOG), an organization committed to advancements in thyroid oncology research and treatments.

“As a member of ITOG, Hoag is able to bring groundbreaking clinical trials to patients here,” Dr. Demeure said. “Our program has also implemented new imaging protocols to detect parathyroid and neuroendocrine tumors, which will allow for more precise treatment.”

Neuroendocrine Pancreas & Carcinoid: Cells from throughout several organ systems, including the lungs, adrenal glands, pancreas and digestive systems compromise the neuroendocrine system. Tumors of neuroendocrine origin can be challenging to diagnose, detect and treat. The multidisciplinary team at Hoag is creating advanced imaging and treatment strategies, as well as providing patients with access to clinical trials to assure leading-edge medicine.

“Most community hospitals don’t have the capability to manage these patients to a successful outcome,” said Robert Selby, M.D., program director of the Hoag Pancreas and Hepatobiliary Cancer Program. “It’s a different set of skills, and you find that here.”

Pituitary: The dime-sized gland at the base of the brain controls most of the body’s hormone production and is notoriously difficult to operate on. Robert G. Louis, M.D., neurosurgeon and director of the Skull-Base and Pituitary Tumor Program at the Pickup Family Neurosciences Institute at Hoag, is a highly skilled neurosurgeon with the requisite experience and sub-specialized fellowship training in this highly complex field.

“Our pituitary tumor patients receive the most comprehensive and advanced technology and techniques available,” said Robert G. Louis, M.D., neurosurgeon and director of the Skull-Base and Pituitary Tumor Program at Pickup Family Neurosciences Institute at Hoag. “These are brain surgeries, but they are done in minimally invasive ways that result in faster recovery times with fewer complications and better outcomes.”

Adrenal: Adrenal glands sit above the kidneys, regulating metabolism, blood pressure, the immune system and response to stress. Currently, if a tumor develops on this gland, the only treatment option is surgical. The goal of Hoag’s program is to develop a full repertoire of imaging and treatment options that will transform care and outcomes for patients with adrenal – and all types of endocrine – tumors.

“Hoag has an innovative mindset,” Dr. Demeure said. “They bring the newest genomic technologies and raise the support of the community to make sure we’re on the forefront of medicine in order to best treat our patients.”

For more information, call 888-500-8919.