BASED ON 2018 STATISTICS - MCLEOD HEALTH
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BASED ON 2018 STATISTICS
letter from the chairman
O F T H E M CL E O D C A NC E R C O M M I T T E E
As Chairman of the Cancer patient-centered care. The three-year accreditation with
Committee for McLeod Regional commendation is only awarded to a facility that exceeds standard
Medical Center, I am pleased to share requirements at the time of its triennial survey. McLeod also
our 2019 Cancer Report based on 2018 remains the only Comprehensive Community Cancer Program
statistics. accredited in this region, a distinction we have held since 1977.
Every year, we publish a Cancer Additionally, the McLeod Breast Health Center achieved
Report designed to build community reaccreditation from the National Accreditation Program for
OUR MISSION awareness of our cancer services. During Breast Centers (NAPBC) in 2019. Our Breast Center achieved
Rajesh Bajaj, MD
The mission of McLeod Cancer Services is to provide holistic, high-quality and your exploration of the information accreditation in 2010 making McLeod first in this region of the
service-oriented care, education and research to oncology patients and their included in our Cancer Report on the various aspects of our state to receive this prestigious acknowledgement of the quality
families in a safe and efficient manner. cancer program, you’ll quickly discover that McLeod offers a level of care it offers to breast cancer patients. In this report, we also
of technology and medical expertise that rivals nearly any “big feature an article on the international recognition our Radiation
R
city” cancer center. But, what patients also experience here is a Oncology team received in 2019 following a rigorous and
deep-rooted and personal level of commitment and compassion voluntary audit conducted by an independent, third party panel
that we challenge any other hospital to match. This is what sets us of experts in the industry. One of only eight Novalis Certified
apart -- advanced cancer care provided by specialists who are as Centers in the United States, McLeod is the only such cancer
skilled at treating the person as they are at treating the disease. center in South Carolina. The hospital also represents one of only
Last year, 1,465 patients were newly diagnosed and treated at 46 certified centers worldwide.
Our philosophy McLeod Regional Medical Center. The top five cancer sites were Learning you have cancer can trigger an avalanche of
We believe that each person is a unique individual, entitled to clarity, dignity, breast cancer (422 patients), lung cancer (239 patients), colorectal emotions and questions. Our highly skilled team of professionals
cancer (157 patients), prostate cancer (128 patients), and urinary and ancillary staff are here to partner with our patients on their
honesty and respect. As part of our commitment to quality, we conduct clinical
tract cancers (77 patients). In this report, McLeod Oncologist journey. We offer research-based care as well as a team approach,
research and reach out to the community we serve. We recognize the intricacies Dr. Ravneet Bajwa also presents a detailed analysis on breast allowing our patients to receive state-of-the-art compassionate
of a cancer diagnosis, and understand that an individual with cancer is not only cancer cases diagnosed at McLeod in 2018 and explains the treatment close to their family and support systems.
being treated for the disease itself, but is a complex human being whose diagnosis importance of 3D Mammography in detecting breast cancer at I would also like to acknowledge the hard work and
impacts the whole person, physically, emotionally and spiritually, as well as the earlier stages. generosity of the staff and volunteers at McLeod. They are
One way our cancer team works to improve patient care is by dedicated to improving the lives of our patients and their
entire family and support system. Our goal is to provide care, education, and
pursuing accreditation to demonstrate that the McLeod Cancer families. Programmatic growth and new treatment options are
avenues of support to address these complex needs in a professional, yet Center provides the highest level of quality and safety both essential to maintain the vibrancy of this institution, however it is
comforting, environment. We are dedicated to compassionately serving all those nationally and locally. In 2019, the Commission on Cancer the people who ensure its vitality and future. And, it is our
who come to us and believe not only in the power of knowledge, but also in the (CoC), a quality program of the American College of Surgeons patients who provide the inspiration for everything we do.
power of perseverance and hope. (ACS) granted McLeod a three-year accreditation with
commendation. To earn this voluntary accreditation, a cancer
program must meet or exceed the CoC quality care standards, be
evaluated every three years through a survey process, and Rajesh Bajaj, MD
maintain levels of excellence in the delivery of comprehensive Chairman, McLeod Cancer Committee
During your exploration of the information included in our Cancer Report on the
various aspects of our cancer program, you’ll quickly discover that McLeod offers a level
of technology and medical expertise that rivals nearly any “big city” cancer center.
2 0 1 9 McL E O D C A NC E R RE P O RT 1
New breast Cancer Cases - 2018
Ravneet Bajwa, MD, McLeod Oncology and Hematology Associates The technology produces a three-dimensional view that Breast Cancer Stage by Diagnosis* (2018)
Breast cancer is again the most In 2018, there were 389 women and five men allows doctors to examine breast tissue layer by layer
50 190
commonly treated cancer at diagnosed and/or treated at McLeod (graph 1). Two unlike the flat images used in conventional
McLeod Regional Medical Center. hundred and fourteen (54%) were Caucasian while 178 mammograms.
40
Because of the tremendous (46%) were African American. There was also one Asian
volume of breast cancer patients American diagnosed with breast cancer (graph 2). Breast Cancer Diagnosis by Age (2018) 30
Percentage (%)
Ravneet Bajwa, MD cared for at McLeod, the hospital, Most of the women (78%) were between the ages of 50 35
126 48%
staff, and physicians have put and 79. Only 14% of women were younger than 50
30 20
considerable effort into ensuring state-of-the-art-care (graph 3). 66
60
for women with breast cancer. 25
89 90 10
McLeod is also the only Breast Health Center in the 17% 27 32
15%
Breast Cancer Diagnosis by Race (2018)
Percentage (%)
20 16 3
area accredited by the National Accreditation 7% 8%
1%
4%
Program for Breast Centers (NAPBC), a program 60 32% 0
15 Stage 0 Stage I Stage II Stage III Stage IV Unknown N/A
214
administered by the American College of Surgeons. 23% 23%
50 41 AJCC Stage Group
McLeod received this prestigious acknowledgement 178 10
27
of the quality care it offers to breast cancer patients 40 5 15 10%
Graph 4
in 2010 – the first breast program in the region to 7% 6
Percentage (%)
4% 2%
achieve this designation. 30 0
30-39 40-49 50-59 60-69 70-79 80-89 90-100
54% McLeod Health now offers 3D Mammography at
Age
20
46% McLeod Regional Medical Center, McLeod Health
Graph 3 Dillon, McLeod Health Cheraw, McLeod Health
10 Clarendon and on the McLeod Mobile Mammography
1 Unt.
0% It is also the only mammogram that is FDA-
Breast Cancer Diagnosis by Sex (2018) 0
Caucasian African American Asian approved as superior for women with dense breasts Advancements in early detection with the latest
Race compared to 2D alone. This is good news for patients, technology and a dedication to ensuring we are meeting
100
389 as nearly 50 percent of women between the ages of and/or exceeding the national standards in breast cancer
Graph 2 40 and 74 have dense breasts. treatment continues to demonstrate McLeod Health’s
80 Additionally, studies have shown that 3D commitment to improving survival and access to care.
The majority of women diagnosed with breast cancer Mammography allows for earlier detection, finding
at McLeod are considered early stage. In 2018, 65% of 20 percent to 65 percent more invasive cancers than
Percentage (%)
60
99% women were either stage 0 or I at diagnosis (graph 4). conventional mammography. In addition, 3D
40
This is significant because these women have extremely Mammography provides greater peace of mind,
high rates of survival and tend to require less extensive reducing call back exams by up to 40 percent.
treatment.
20
At McLeod, the detection of breast cancer at earlier
5
1% stages has been improved with the installation of 3D At McLeod, the detection of breast cancer at earlier stages has been improved with
0
Female Male Mammography. This technology revolutionizes how
Sex breast cancer is detected by providing a better option the installation of 3D Mammography. This technology revolutionizes how breast
Graph 1 for women of all breast densities compared to 2D alone. cancer is detected by providing a better option for women of all breast densities
compared to 2D alone.
2 2 0 1 9 McLEOD CA NC E R RE P O RT 2 0 1 9 McL E O D C A NC E R RE P O RT 3
BE NE F ITS O F MI CRO S U RG I C A L
BR E A ST RE C O N ST RUCT I O N
Dustin L. Eck, MD, McLeod Plastic and Reconstructive Surgery
When a woman is faced with breast The biggest benefit of this procedure involves rebuilding
McLeod Exceeds Quality Standard for Breast Cancer Diagnosis
cancer the first goal is to perform an the breast with the patient’s own tissue which allows the plastic Incidence • For women with a BRCA2 mutation, the One such evidence-based guideline
operation that removes the breast surgeon to create a more natural looking breast that is • Approximately one in eight U.S. women risk is 69 percent. Breast cancer that is published by the National Comprehensive
cancer. The second goal is to give the permanent and does not require maintenance or repeat surgery (about 12%) will develop invasive breast positive for the BRCA1 or BRCA2 Cancer Network is that “Image or Palpation-
patient a cosmetic outcome that results over time. We are essentially using the body’s tissue to heal itself. cancer over the course of her lifetime. mutations tends to develop more often in guided needle biopsy to the primary site is
• In 2019, an estimated 332,000 new cases of younger women. An increased ovarian performed to establish diagnosis of breast
in the breast looking as natural as it did There are several benefits of the DIEP flap breast
breast cancer are expected to be diagnosed cancer risk is also associated with these cancer.” The American College of Surgeon’s
before the surgery or even better in reconstructive technique over other types of reconstruction Commission on Cancer has set an acceptable
Dustin L. Eck, MD in women in the U.S. genetic mutations. In men, BRCA2
some cases. including reduced post-operative pain, less abdominal wall mutations are associated with a lifetime measure for this guideline of 80 percent.
Breast reconstruction surgery involves the expertise of a weakness post-surgery and a decreased chance of abdominal Breast Cancer Risk Assessment breast cancer risk of about 6.8 percent; For the most recent complete year of data
plastic surgeon. At McLeod Regional Medical Center, we offer wall hernia formation. and Survivability BRCA1 mutations are a less frequent cause collection, calendar year 2016, results from the
multiple options for breast reconstruction. These options include Since muscle is not used to rebuild the breast, this technique • As of January 2019, there are more than of breast cancer in men. National Cancer Data Base quality reporting
implant-based reconstruction using silicone or saline breast preserves the abdominal muscles and retains more strength in 3.1 million women with a history of breast • Approximately 85 percent of breast tool indicate the performance rate for McLeod
implants to recreate the breast or flap-based reconstruction in the patient’s abdomen. An additional benefit of the DIEP flap cancer in the U.S. This includes women cancers occur in women who have no Regional Medical Center is 99.6 percent.
currently being treated and women who family history of breast cancer. These
which the patient’s own tissue is used to reconstruct the breast. procedure is it gives patients a “tummy tuck” which flattens Conclusion
have finished treatment. While breast occur due to genetic mutations that
The most common flap procedure performed is a DIEP and firms the abdomen by removing excess skin and fat. Patients with breast cancer can rest
cancer continues to be one of the most happen as a result of the aging process and
(deep inferior epigastric perforator) breast reconstruction. If a woman decides to pursue the DIEP flap procedure diagnosed cancers among women in the assured that at McLeod Regional Medical
life in general, rather than inherited
Most women are candidates for this surgery. she can choose to have it performed either the same day as a U.S., earlier detection and improved Center, they will receive treatment that is of
mutations.
An advanced microsurgical technique that is used to rebuild mastectomy, which is known as immediate reconstruction or treatment options have increased • The most significant risk factors for breast
the highest quality, consistent with nationally
the breast lost to mastectomy, the DIEP flap procedure requires a the surgery may take place at a separate time known as delayed survivability of this disease. recognized, evidence-based standards of care.
cancer are gender (being a woman) and
plastic surgeon with special surgical training as well as expertise reconstruction. • A woman’s risk of breast cancer nearly age (growing older).
doubles if she has a first-degree relative
References
in microsurgery. This form of surgery involves the use of small Sometimes, a temporary implant reconstruction is used http://www.breastcancer.org/symptoms/
specialized instruments to operate on very delicate areas of tissue, before DIEP breast reconstruction to allow the patient with a (mother, sister, daughter) who has been McLeod Regional Medical Center understand_bc/statistics
such as nerves and blood vessels. The procedure is considered more advanced disease requiring radiation therapy to complete diagnosed with breast cancer. Less than 15 At McLeod Regional Medical Center, Last modified on February 13, 2019
percent of women who develop breast 422 patients received a new diagnosis and/or
micro because the blood vessels are usually under three their cancer treatment prior to undergoing final breast https://m.facs.org
cancer have a family member diagnosed treatment for breast cancer in 2018.
millimeters in size. reconstruction. with it. This treatment includes many different
(American College of Surgeons Commission on
The DIEP flap technique is a much more complex and For more information on microsurgical breast Cancer)
• About five to ten percent of breast cancers treatment modalities such as surgical
extensive procedure as opposed to breast reconstruction reconstruction, please call McLeod Plastic and Reconstructive can be linked to gene mutations inherited intervention, radiation therapy and systemic https://www.nccn.org
using an implant, however this technique avoids some of the Surgery at 843-777-7255. from one’s mother or father. Mutations in therapy. At McLeod, diagnosis and
complications associated with implants. the BRCA1 and BRCA2 genes are the most treatment plans are developed using
A cutting-edge procedure, the DIEP breast reconstruction Dr. Dustin L. Eck provides plastic and reconstructive surgical common. On average, women with a evidence-based guidelines. These guidelines
involves removal of a flap of complete tissue, blood vessels services at McLeod Regional Medical Center and as part of BRCA1 mutation have up to a 72 percent are scientifically tested and proven to ensure
(perforators) and excess living tissue (skin and fat) from the McLeod Plastic and Reconstructive Surgery. A native of lifetime risk of developing breast cancer. the best outcomes for patients.
lower abdomen below the navel or belly button. The plastic Scottsdale, Arizona, Dr. Eck comes to McLeod following the
surgeon, aided by a microscope, transfers the flap of tissue from completion of his Fellowship in Plastic and Reconstructive Surgery
Evidence-Based Guideline
the abdomen to the chest connecting the dissected blood vessels at Tulane University Medical Center in New Orleans, Louisiana. Image or Palpation-guided needle biopsy to the primary site is
from the abdominal tissue to the patient’s chest blood vessels. Board Certified in Surgery and Board Eligible in Plastic Surgery, performed to establish diagnosis of breast cancer.
Once the vessels are attached, the surgeon works on shaping the Dr. Eck provides the full scope of plastic and reconstructive
breast. procedures and cosmetic surgery.
GOAL
The DIEP flap technique is a much more complex and extensive procedure as opposed to
breast reconstruction using an implant, however this technique avoids some of the McLEOD
complications associated with implants.
4 2 0 1 9 McLEOD CA NC E R RE P O RT 2 0 1 9 McL E O D C A NC E R RE P O RT 5
McLeod Center for Cancer Treatment & Research An Evening of Hope and Inspiration
2019 MCLeod Health Cancer Report 20th Annual McLeod Evening of Hope Benefits the HOPE Fund
17 reasons why McLeod Health celebrated cancer
survivors and its oncology staff during
the McLeod Evening of Hope to benefit
this fund also provide transportation
and medication for patients with few
resources as well as educational manuals
The 2019 event also featured talented
performers and regional artists paying
tribute to loved ones impacted by cancer.
Cancer survivor Harry Moran says he has 17 reasons for living -- the blessing the McLeod Center for Cancer Treatment and supplies. Performers for the evening included
and Research. The McLeod Health The evening, held on September 26, Professional Dancers Rhodes and Elise
of 17 grandchildren -- that were made possible by the care he received from Foundation’s 20th Annual Cancer Benefit, 2019, highlighted Portraits of Hope Elliott; Vocalists Kerri Grimsley Roberts
McLeod Oncologist Dr. Michael Pavy during the last two decades. presented by Wells Fargo, Harbor Freight representing survivorship and courage. and Jeremy Reasoner; a vocal and dance
Tools Foundation, Dargan Construction These testimonials were shared in video performance by Cancer Survivor
Harry has faced the cancer journey After receiving a letter from Dr. Pavy Part of that life besides the wonderful and Zander Insurance, raised a record and through audio and pictures. The Burnadene Kelley-Newman with her
twice. His first experience with cancer began about the HOPE (Helping Oncology time with my wife of 63 years was 17 breaking $133,000 for the HOPE (Helping Portraits of Hope survivor stories included daughters Alexis Kelley McDonald,
with a diagnosis of colon cancer in 1997. Patients Everyday) Fund, Harry realized how grandchildren. I never would have known Oncology Patients Everyday) Fund. Duane Adams, Jerald Altman, Grace Rebecca Kelley Holbrooks, and Georgie
He underwent surgery to remove the cancer donations to the fund made a difference for them if it had not been for his care and Proceeds from the evening are DuBose, Fred Graham, Dr. Bill Hazelwood, Kelley accompanied by the KFA Fierce
and began treatment recommended by all of the patients he would see during his treatment of my cancer.” designated to the HOPE Fund to benefit Roddy Huntley, Kimberly Hyman, Danny Company; Vocalists Garrett Graham and
Dr. Pavy. treatments. “My wife and I made a donation Harry added that his 17 reasons why (his oncology patient support services and King, Harry Moran, Burnadene Kelley- Michael Lindley; and the Florence Little
“It turned out great because I’m still and the next day we received another letter grandchildren) are the result of the treatment
provide oncology staff with improved Newman, Zenobia Perkins, Lisa Sims, Don Theatre Cast of “Mamma Mia” featuring
access for immediate assistance needs for Simmons, Tommy Stokes and Melissa Tippi Harwell, Kevin Miller and Rebecca
here,” said Harry. “I suffered the second stage from Dr. Pavy explaining how that money and recovery he received at McLeod. “With
their patients. Programs supported through Tyner. Thompson.
of cancer 21 years later. Both of my lungs was used for a patient who needed assistance cancer you have to recognize there are good
were full of cancer. with obtaining medicine. I now know that and bad parts of it. This journey causes you
“In fact, the doctor said ‘I would suggest the HOPE Fund is a vehicle for life.” to start thinking about every day as a day of
you start thinking about getting your affairs After beginning his Keytruda treatments life -- a new day.” portraits of Hope:
in order.’ I met with Dr. Pavy within two for lung cancer, Harry showed Dr. Pavy a As Harry continues to receive The community is encouraged to listen to these individuals share their personal experiences
days and he recommended a course of picture of what had happened during the 21 immunotherapy treatment at McLeod, he about compassionate and exceptional cancer care at McLeod.
immunotherapy that included the drug years between his first and second diagnosis. likes to share with others how Dr. Pavy and
Keytruda.” “I wanted him to particularly know the life the McLeod Cancer Center have allowed him
Harry explained that he noticed he had given me as part of his treatment. to enjoy many years of joyful celebrations.
immediate improvement after the second
treatment in 2018. He continues to
undergo treatment every three weeks at the
McLeod Center for Cancer Treatment and
Research.
“The treatment is wonderful. Dr. Pavy Duane Adams Grace DuBose Dr. Bill Hazelwood Roddy Huntley
even calls me the poster boy for Keytruda.
It’s been a long time since I’ve been called
the poster boy for anything,” Harry said.
When it comes to cancer care, Harry
believes everybody should sit for a time in
the waiting room at the McLeod Cancer
Center. “All of the people coming in there
from young to old and all different
Kimberly Hyman Harry Moran Burnadene Kelley-Newman Zenobia Perkins
economic groups are treated equally.
You can see the dedication of each
McLeod Cancer Center staff member as
they work to ensure every patient receives To watch these
the help they need during treatment.” inspirational
testimonials, visit
Harry Moran shared this image of his www.McLeodHope.org.
grandchildren with Dr. Michael Pavy to show Danny King, Don Simmons, Melissa Tyner,
the blessings he received during the 21 years Lisa Sims Fred Graham, Tommy Stokes, Jerald Altman
between his first and second cancer diagnosis.
6 2 0 1 9 McLEOD CA NC E R RE P O RT 2 0 1 9 McL E O D C A NC E R RE P O RT 7
McLeod Center for Cancer Treatment & Research
2019 Case distribution by site, sex & Stage 2019 MCLeod Health Cancer Report
PRIMARY SITE TOTAL CLASS SEX AJCC STAGE GROUP
A N/A M F 0 I II III IV Unknown N/A
ALL SITES 1465 1464 1 655 810 104 443 228 222 265 97 106 RICHMOND
ORAL CAVITY 45 45 0 33 12 0 9 8 12 11 4 1 Five Leading ANSON
LIP
TONGUE
0
11
0
11
0
0
0
7
0
4
0
0
0
4
0
2
0
2
0
2
0
0
0
1
Cancer Sites SCOTLAND
OROPHARYNX 3 3 0 1 2 0 0 1 0 2 0 0 Diagnosed at McLeod in 2018
McLeod Health
HYPOPHARYNX 4 4 0 3 1 0 0 1 2 1 0 0 Cheraw
OTHER 27 27 0 22 5 0 5 4 8 6 4 0 Site Cases ROBESON
MARLBORO
DIGESTIVE SYSTEM 267 267 0 155 112 8 48 45 66 76 24 0 Breast 422 CHESTERFIELD
ESOPHAGUS 15 15 0 14 1 0 0 4 5 5 1 0 McLeod Health
STOMACH 20 20 0 12 8 0 8 4 2 6 0 0 Lung 239 DARLINGTON Dillon
NC
COLON 100 100 0 55 45 6 20 15 31 22 6 0 McLeod Health DILLON
RECTUM 48 48 0 30 18 2 9 11 11 6 9 0 Colorectal 157 Darlington
COLUMBUS
ANUS/ANAL CANAL 9 9 0 2 7 0 2 1 5 0 1 0
SC
LEE MARION
LIVER 8 8 0 5 3 0 1 2 0 5 0 0 Prostate 128 FLORENCE
PANCREAS 57 57 0 29 28 0 6 7 9 28 7 0
OTHER 10 10 0 8 2 0 2 1 3 4 0 0 Urinary System 77 McLeod Health
Loris
BRUNSWICK
RESPIRATORY SYSTEM 270 270 0 172 98 2 73 18 56 109 11 1 SUMTER
McLeod Regional HORRY
NASAL/SINUS 3 3 0 3 0 0 0 0 0 3 0 0 Total Cases: 1,023 (70%)
LARYNX 25 25 0 19 6 2 7 2 7 7 0 0 CLARENDON
McLeod Health
Seacoast
McLeod
OTHER 3 3 0 3 0 0 2 0 0 0 0 1 Carolina
LUNG/BRONC-SMALL CELL 43 43 0 17 26 0 7 0 10 25 1 0 WILLIAMSBURG Forest
LUNG/BRONC-NON SMALL CELL 159 159 0 105 54 0 39 14 38 61 7 0 McLeod Health
Clarendon
OTHER BRONCHUS & LUNG 37 37 0 25 12 0 18 2 1 13 3 0 GEORGETOWN
BLOOD & BONE MARROW 57 57 0 33 24 0 2 4 0 1 1 49 McLeod Health Service Area
LEUKEMIA 19 19 0 12 7 0 2 4 0 1 1 11
McLeod Medical Facilities
MULTIPLE MYELOMA 33 33 0 20 13 0 0 0 0 0 0 33
OTHER 5 5 0 1 4 0 0 0 0 0 0 5 Cancer Services
BONE 0 0 0 0 0 0 0 0 0 0 0 0
CONNECT/SOFT TISSUE 5 5 0 2 3 0 1 0 1 1 1 1
SKIN 14 14 0 4 10 2 3 2 6 1 0 0 10 Most Prevalent Cancer Sites Source: American Cancer Society “Cancer Facts and Figures 2018”
MELANOMA 13 13 0 3 10 2 3 2 5 1 0 0
OTHER 1 1 0 1 0 0 0 0 1 0 0 0
BREAST 422 421 1 6 416 75 204 65 27 15 33 3
Breast 28.8% 15% 15.2%
FEMALE GENITAL 50 50 0 0 50 0 19 3 14 10 4 0
CERVIX UTERI 6 6 0 0 6 0 0 2 3 1 0 0
CORPUS UTERI 30 30 0 0 30 0 18 1 8 2 1 0
OVARY 11 11 0 0 11 0 0 0 2 6 3 0 Lung 16.3% 14.5% 12.9%
VULVA 2 2 0 0 2 0 1 0 0 1 0 0
OTHER 1 1 0 0 1 0 0 0 1 0 0 0
MALE GENITAL 135 135 0 135 0 1 35 60 23 11 5 0 Prostate 8.7% 10.5% 9.9%
PROSTATE 128 128 0 128 0 0 31 59 22 11 5 0
TESTIS 3 3 0 3 0 0 2 0 1 0 0 0
OTHER 4 4 0 4 0 1 2 1 0 0 0 0 Colorectal 10.7% 7.9% 8.3%
URINARY SYSTEM 77 77 0 55 22 16 29 12 5 12 3 0
BLADDER 40 40 0 32 8 14 10 8 5 2 1 0
KIDNEY/RENAL 35 35 0 22 13 1 19 4 0 9 2 0 2.7%
OTHER 2 2 0 1 1 1 0 0 0 1 0 0
Bladder 4.3% 4.6%
BRAIN & CNS 26 26 0 10 16 0 0 0 0 0 3 23
BRAIN (BENIGN) 0 0 0 0 0 0 0 0 0 0 0 0
BRAIN (MALIGNANT) 13 13 0 8 5 0 0 0 0 0 2 11 NH Lymphoma 3.5% 3.7% 4.2%
OTHER 13 13 0 2 11 0 0 0 0 0 1 12
ENDOCRINE 8 8 0 4 4 0 4 2 0 1 0 1
THYROID 8 8 0 4 4 0 4 2 0 1 0 1 Corpus Uteri 2% 3.1% 3.5%
OTHER 0 0 0 0 0 0 0 0 0 0 0 0
LYMPHATIC SYSTEM 60 60 0 35 25 0 14 9 10 15 7 5 0.9%
HODGKIN’S DISEASE 8 8 0 3 5 0 2 4 1 1 0 0 Melanoma of Skin 6.1% 5.5%
NON-HODGKIN’S 52 52 0 32 20 0 12 5 9 14 7 5
UNKNOWN PRIMARY 22 22 0 8 14 0 0 0 0 0 1 21 1.3%
OTHER/ILL-DEFINED 7 7 0 3 4 0 2 0 2 2 0 1
Leukemia 3.5% 3.5%
Number of cases excluded: 1 0.4% MRMC SC USA
This report Includes CA in-situ cervix cases, squamous and basal cell skin cases, and intraepithelial neoplasia cases Cervix 0.7%
0.7%
8 2 0 1 9 McLEOD CA NC E R RE P O RT 2 0 1 9 McL E O D C A NC E R RE P O RT 9
ADVANC E S IM P R OV E CA RE FO R C A NC E R PAT I E NTS
Donny Hunyh, MD, McLeod Oncology and Hematology Associates Seacoast
Precise Cancer Treatment
The landscape
of cancer care
has changed
Medical oncologists, such as myself, are
usually involved with the work-up, the
diagnosis, and the staging of a patient with
Additionally, we have expanded further
into blood disorders, including blood
cancer. One of the most common types of
Extends Quality of Life
dramatically in cancer. We work with our colleagues to blood cancers that we see is chronic
the 21st century. formulate treatment plans. We are also leukemia, such as chronic myeloid leukemia Duane Adams of Sumter, South Carolina says he travels to McLeod Regional
Our knowledge responsible for surveillance, which is or chronic lymphocytic leukemia. Thanks to
Donny Hunyh, MD in cancer biology following the patient for five years after the advancement of modern medications,
Medical Center in Florence because “it is the only place I will go for care.”
has also grown diagnosis. This allows us to monitor the many of these conditions are now becoming He also tells family and friends “if you want to live, you better go to McLeod.”
tremendously. This has led to remarkable patient to see if their cancer or blood much more treatable and less feared.
progress in cancer prevention, early disorder reoccurs. Twenty years ago, a patient with chronic
detection and treatment. Scientists have now During the past few decades, there has myeloid leukemia was expected to live about
been able to understand more about cancer been remarkable progress within the five to seven years. Today, the average life Extremely familiar with the After reviewing Duane’s CT scan The analysis of the biopsy revealed
than ever before. And yet, there is still more medical oncology community, mainly expectancy of this patient is about 25 years excellent care delivered by the teams at which indicated a mass in his lung, lung cancer. Dr. Jona shared the
to learn. because we now have more tools to help and counting. And, that is by taking a few McLeod, Duane’s medical services have Dr. Jona performed a fiber-optic diagnosis with Duane and explained
Today, cancer care has taken on a combat cancer. We are talking about cancer pills a day. Therefore, the whole landscape included the specialties of spine surgery, bronchoscopy to biopsy cells from the that he was a candidate for surgery.
multidisciplinary approach involving three genetics -- where a certain molecular has changed dramatically in the treatment of pulmonology, thoracic surgery, oncology, mass. The bronchoscopy procedure Dr. Jona followed up with an
major areas: medical oncology, surgery and mutation can be identified, as well as chronic myeloid leukemia. neurosurgery and stereotactic allows Dr. Jona to visually exam the appointment for Duane with
radiation oncology. All of these specialists nanotechnology where it can actually Similarly, in acute leukemia, there are radiosurgery. breathing passages of the lungs and McLeod Cardiothoracic Surgeon
play a very important role in cancer care. improve the accuracy of imaging tests. We more specific tests that we can conduct to A smoker all his life, 63-year-old obtain samples of tissue. Dr. Cary Huber.
For example, a surgeon removes the tumor have also seen considerable advancement on help identify which patients can benefit Duane said he suffered for months with
and surrounding tissue. They may also many fronts such as targeted therapy and from early bone marrow transplant. We are colds, sinus infections and a nagging (Continued on next page)
perform a biopsy to help with the cancer immunotherapy. Targeted therapy aims at a also able to identify certain risk factors cough that would not go away. In early
diagnosis or use robotic surgery to offer a specific gene or protein. In doing so, this associated with this condition to see if the 2016, Duane’s primary care physician
more precise type of procedure. drug helps stop a cancer from growing or cancer is getting worse. referred him to McLeod Pulmonologist
A radiation oncologist utilizes radiation spreading. Targeted therapy can be used My personal philosophy is to take the Dr. Vinod Jona for the cough.
to treat the cancer, which is a more localized alone or in combination with other types of whole person approach when it comes to
therapy in order to help reduce some of the treatment, including chemotherapy. In cancer care. I listen to the patient and take
unwanted side effects. They also perform addition, we also have immunotherapy, into account all of the involved factors when
stereotactic radiosurgery and stereotactic which is more of a biologic approach to it comes to treatment planning. I don’t
body radiotherapy to deliver precisely- boost the body’s natural defense system, believe in treating someone just based on
targeted radiation with sub-millimeter helping the immune system work better at their CT scan results, blood tests or their Duane and Beatrice Adams
are grateful for the
accuracy in a fewer number of treatments killing cancer cells and boosting function of fears. My goal is to deliver compassionate
excellent cancer care
offering patients more convenience and a the immune system. care and to emphasize on the quality of Duane has received
better quality of life. healthcare delivery as a member of the at McLeod.
McLeod Cancer Team.
During the past few decades, there has been remarkable progress within the medical
oncology community, mainly because we now have more tools to help combat cancer.
We are talking about cancer genetics -- where a certain molecular mutation can be
identified, as well as nanotechnology where it can actually improve the accuracy of
imaging tests. We have also seen considerable advancement on many fronts such as
targeted therapy and immunotherapy.
10 2 0 1 9 McLEOD CA NC E R RE P O RT 2 0 1 9 McL E O D C A NC E R RE P O RT 11
Dr. Huber conducted a lobectomy,
removing a lobe of Duane’s lung.
Using intraoperative neuro-
navigation, Dr. Naso performed a
“We focus the radiation onto the
area of disease to completely cover it with
“Everyone responsible for my care -- from the physicians to the nurses -- was
Once he recovered from surgery,
Duane met with McLeod Oncologist
craniotomy to remove a portion of bone
then under a microscope resected a one-
the dose necessary to ablate the met,”
explains McLeod Chief Medical Physicist
outstanding. I wanted the best hospital and cancer team and that is what I
Dr. Rajesh Bajaj to discuss his cancer
treatment. The plan involved 19 rounds
inch tumor in Duane’s brain, sparing
normal brain structures. To ensure the
Tobin Hyman, MS, DABR.
“This non-invasive, painless
received at McLeod.”
of chemotherapy and 35 radiation destruction of the residual cancer cells, treatment utilizes a set of multiple beams – Duane Adams
treatments. Duane returned to McLeod Radiation that intersect at a single point on the
“Everyone responsible for my care -- Oncology for treatment of the surgical tumor. The beams remain focused on the
from the physicians to the nurses -- was area as well as two other small brain area as the linear accelerator rotates “At this point in their cancer journey,
outstanding. I wanted the best hospital lesions. around the patient’s head.” patients often want to reach certain BEFORE AFTER
and cancer team and that is what I “The thought of enduring radiation Advantages of SRS for patients milestones. They wish to spend quality
received at McLeod,” explained Duane. again was not something I wanted to do,” like Duane include the ability to time with their family and friends.
Two years after completing his cancer said Duane. “But, Radiation Oncologist receive treatment close to home. We make that possible by offering these
treatment, Duane developed severe Dr. Larry Grubb explained stereotactic “A cancer diagnosis is a life changing cutting-edge cancer treatment options.”
headaches. He communicated his issues radiosurgery (SRS) to me and it sounded event for all of our patients,” says With a fewer number of treatments,
with Dr. Bajaj who ordered a PET much easier and required fewer Dr. T. Rhett Spencer, McLeod Radiation SRS benefits patients by saving them
(Positron Emission Tomography) scan treatments.” Oncologist. “Some of these patients are time. Compared to conventional
to detect if the cancer had returned. During stereotactic radiosurgery, the also living with advanced disease. The radiation therapy which involves smaller
The scan revealed the lung cancer had team targets tumors with great precision decision by McLeod to invest in the daily doses of radiation in 25 to 35
metastasized to Duane’s brain. Dr. Bajaj and accuracy to deliver an ablative dose technology to plan and accurately deliver treatments over five to seven weeks,
referred Duane to Neurosurgeon of radiation, overwhelming all of the these types of cancer treatments means SRS delivers five to ten times the daily
Dr. William Naso with the Florence abilities of a cancer cell to defend itself. patients do not have to leave home dose of radiation in one to five days of
Neurosurgery and Spine Center. to receive the highest level of care. treatment. The increased dose improves Above is an example of a brain metastasis prior to treatment (the white mass in the
the effectiveness of this form of circle) and the same area three months after stereotactic radiosurgery demonstrating
treatment. that the tumor has been obliterated.
The most common use of stereotactic
radiosurgery involves the treatment of
metastatic disease inside the brain. Unlike SRS, which specifically treats A few months after his SABR
Metastatic disease occurs when the tumors in the brain and spine, SABR treatment, Duane required stereotactic
cancer cells break away from where they treats tumors in the body. radiosurgery to obliterate two additional
were first formed, travel through blood In addition to metastatic disease, the mets in his brain. “I slept during the
or the lymph system, and form new team treats primary cancers such as procedure,” said Duane. “In one short
tumors (mets) in other parts of the body small lesions in the lung, adrenal gland, treatment, they targeted those two areas
such as the brain. The met is the same prostate and liver using stereotactic and I was on my way back home.”
type of cancer (i.e., lung or breast) but in ablative radiotherapy. For example, they Although he is living with metastatic
an area away from the location of the can treat a non-small cell lung cancer cancer, Duane says, “I feel better than
primary disease. Mets develop in the measuring five to seven centimeters. ever. My cancer treatments over the last
brain, lung, spine and liver. SABR also provides a potential curative three years have been successful and
In early 2019, Duane learned the treatment option for patients with early allowed me to continue enjoying each
cancer had returned in his lung. stage lung cancer who may not be day. I look forward to spending more
This time, the radiation team used candidates for surgery because of other time with my wife Beatrice and our
stereotactic ablative radiotherapy medical conditions, such as heart family and friends thanks to God and
(SABR) to treat these mets. disease. my medical team at McLeod.”
Duane Adams, at center, is pictured with members of his cancer team.
From left to right, Dr. Rajesh Bajaj, Dr. Larry Grubb,
Dr. Vinod Jona and Dr. Cary Huber.
12 2 0 1 9 McLEOD CA NC E R RE P O RT 2 0 1 9 McL E O D C A NC E R RE P O RT 13
COMMITTED TO SAFETY AND QUALITY One of only eight Novalis Certified
Centers in the United States, McLeod is
the only such cancer center in South
McLeod Cancer Center First in the State of South Carolina Carolina. The hospital also represents
one of only 46 certified centers
to Achieve International Radiosurgery Certification worldwide.
On McLeod’s pursuit of this
international certification, Tobin Hyman,
MS, DABR, Chief Medical Physicist for
Members of the McLeod Stereotactic Radiosurgery Team include, from left to right,
the McLeod Cancer Center, said, “We Dr. T. Rhett Spencer, Radiation Oncologist; Dr. William Naso, Neurosurgeon; Dr. Larry Grubb,
believe that we have a great responsibility Radiation Oncologist; Tobin Hyman, Chief Medical Physicist; Dr. Virginia Clyburn-Ipock,
to patients and their families to commit Radiation Oncologist; and Lisa Esco, Medical Physicist.
our staff and equipment to a 360-degree
review of our radiosurgery program. only 710 of those or 26 percent are adjustments during treatment. This
In today’s healthcare environment, accredited by the American College of drastically decreases the treatment time
specialized treatment techniques such Radiology. which increases patient comfort without
as SRS and SABR should undergo a compromising the quality of the
comprehensive external review at regular The Delivery of treatment delivered.
intervals to ensure the safest care possible Stereotactic Radiosurgery When performing stereotactic
is being delivered when you are treating Stereotactic radiosurgery, a non- radiosurgery to the brain or spine, the
patients with brain, spine or lung cancer.” surgical radiation therapy, treats team ensures extreme precision and
Neurosurgeon Dr. William Naso cancerous tumors in the brain and spine. accuracy with the TrueBeam STx linear
added, “This certification reflects the This form of treatment allows the accelerator. This linear accelerator
The three TrueBeam linear tremendous commitment of our McLeod Radiation Oncology team to features stereoscopic X-rays and
accelerators at McLeod feature McLeod Health physicians, physicists, deliver precisely-targeted radiation with frameless technology, which means the
advanced imaging capabilities nurses and hospital leadership to quality
that allow the team to verify the sub-millimeter accuracy in a fewer McLeod team delivers highly accurate
tumor’s location or make outcomes and patient safety.” number of treatments offering patients single fraction treatment without the
adjustments during treatment. To date, the McLeod Radiation more convenience and a better quality conventional, invasive frame applied to
Oncology team has treated nearly 200 of life. the patient’s head.
patients with stereotactic radiosurgery During the past five years, McLeod Additionally, this particular linear
and more than 160 with stereotactic has installed three TrueBeam linear accelerator allows the Radiation team to
ablative radiotherapy. accelerators. The accuracy of these linear improve treatment times for patients.
In addition to this certification, accelerators minimize harm to healthy The team can treat up to 15 tumors in a
The McLeod Center for Cancer Treatment and Research has received international McLeod Radiation Oncology has been tissue and bones, such as the spinal cord patient’s brain in one 30 to 45-minute
recognition for the highest level of safety and effectiveness in care. Following a accredited by the American College or lungs. treatment session rather than 30 to 45
of Radiology -- Radiation Oncology Featuring advanced imaging minutes per tumor. The next upgrade to
rigorous and voluntary audit conducted by an independent, third-party panel of Practice Accreditation program (ACR capabilities such as cone-beam CT, these the system in the Fall of 2019 will enable
ROPA) since 2013. Of the roughly 2,500 linear accelerators also allow the team to the McLeod team to treat unlimited
experts in radiation oncology, McLeod is now distinguished as a Cancer Center that radiation centers in the United States verify the tumor’s location or make tumors.
exceeds standard measurements for delivery of quality care.
In addition to assurance that the network also enables McLeod to receive stereotactic radiosurgery (SRS) and
Cancer Treatment Options Offered at McLeod
McLeod Cancer Center offers superlative new ideas on treating cancer, improving stereotactic ablative radiotherapy (SABR) In addition to Stereotactic Radiosurgery and Stereotactic Ablative Radiotherapy, the McLeod Cancer Team treats more than 100 types
patient safety and treatment, the the safety of treatment and making at a high level of efficacy and safety of cancer utilizing the following treatment options:
accrediting body provides the Radiation existing techniques better. commensurate with an excellent
• Surgery/Robotic-Assisted Surgery • Image Guided Radiotherapy • Low Dose Rate Brachytherapy
Oncology team with the ability to share “These experts in the industry standard of clinical practice,” explained
information with other leading cancer measured the quality and safety Dr. Virginia Clyburn-Ipock, a • Chemotherapy • Intensity Modulated Radiation Therapy • Image Guided Tumor Ablation
centers. Being a part of this worldwide standards of our radiosurgery program McLeod Radiation Oncologist. • Immunotherapy • External Beam Radiation Therapy (Radiofrequency Ablation, Microwave
Ablation and Cryoablation)
communication and collaborative and concluded that we are delivering • Targeted Therapy • High Dose Rate Brachytherapy
14 2 0 1 9 McLEOD CA NC E R RE P O RT 2 0 1 9 McL E O D C A NC E R RE P O RT 15
Dr. Smith determined that Smylie
would require surgery before he could
TEAM APPROACH
begin cancer treatment. He scheduled an
appointment with General Surgeon
Dr. Nicholas White at Pee Dee Surgical
Group, part of McLeod Physician
Associates.
“Dr. White explained the surgery to
me, and made it clear in words I could
understand,” said Smylie.
At McLeod Health, physicians representing numerous specialties work collaboratively to Dr. White performed robotic-assisted
care for patients. Smylie Grantham, a 67-year-old resident of Bishopville, South surgery and removed a large portion of
Smylie’s colon through small incisions.
Carolina, experienced this team approach after a routine colonoscopy, a screening test Robotic-assisted surgery offers many
benefits for the patient, including: less pain,
used to detect changes or abnormalities in the colon, revealed cancer. minimal scarring, shorter hospital stay, and
faster recovery.
“I returned to work in four weeks,” said
Smylie’s primary care physician Pathology results on polyps removed “I knew I was in great hands at Smylie.
referred him to McLeod Gastroenterologist during Smylie’s colonoscopy confirmed McLeod, because every procedure and “With an open procedure, Smylie
Dr. Deepak Chowdhary for this colon cancer. Knowing Smylie would surgery I experienced has taken place at would have stayed in the hospital for at
procedure. “Each year, physicians diagnose require cancer treatment, Dr. Chowdhary McLeod,” said Smylie. Previously, he least a week, but the advanced technology
nearly 137,000 new cases of colorectal recommended he see McLeod Oncologist underwent surgical care for a knee of robotic-assisted surgery allowed Smylie
cancer, often referred to as colon cancer, in Dr. James Smith for treatment. replacement, back surgery, and a heart to go home within a few days,” said
the United States. In large part, however, procedure at McLeod Regional Medical Dr. White. “As a surgeon, I cannot
regular screenings have made this disease Center. underscore the advantages of robotic-
preventable or at least highly treatable with assisted surgery compared to a traditional
early detection,” explained Dr. Chowdhary. open procedure.” Dr. Nicholas White, a McLeod General Surgeon, performs robotic–assisted surgery at
McLeod Regional Medical Center.
Both McLeod Regional Medical Center cancer. The robotic-assisted surgical team
in Florence and McLeod Health Seacoast in consists of a physician assistant, operating
Little River, South Carolina offer robotic- room nurses, and surgical technologists in
assisted surgery. McLeod Health Surgeons addition to the surgeon.
have performed more than 1,700 robotic After surgery, Smylie returned to
cases since November 2013. Conditions Dr. Smith to begin cancer treatment.
treated include: hernias, gallbladder, colon He currently receives oral chemotherapy
cancer, reflux disease, lung cancer, monthly to ensure all the cancer cells have
esophageal cancer, tumors, congenital or been killed as well as to lower the chance of
acquired ureter disease, vaginal prolapse, a reoccurrence.
endometriosis, hysterectomy, kidney Because of the advancements in
disease, bladder cancer, and prostate technology at McLeod Health, Smylie
received all of his medical care in one place.
“I will not have anything done unless it
is at McLeod,” said Smylie, who is now
back to working full time and taking care
of his wife’s “honey do” list.
Smylie Grantham is pictured with his care team.
From left to right Dr. Deepak Chowdhary,
Dr. James Smith, and Dr. Nicholas White.
16 2 0 1 9 McLEOD CA NC E R RE P O RT 2 0 1 9 McL E O D C A NC E R RE P O RT 17!"#$%&'()%*+","'-.*/$%0'1*2'3+40$'5%66$4'7$*8%*9:'*%;%
I M M UNOTHE R A PY - E MPOW E RI NG YOU R
IM M UNE SYST E M TO FI G H T C A NC E R
Karim Tazi, MD, McLeod Oncology and Hematology Associates
McLeod News
The human Types of Immunotherapy • Oncolytic Virus Therapy involves McLeod Volunteers Donate the Final $50,000 for the HOPE Fund
immune system is • One of the most widely used treatments genetically modified viruses that infect Endowment
an amazing are Checkpoint Inhibitors. These and trigger a breakdown of cancer cells.
network of treatments act to block the cancer cells The McLeod Volunteer Auxiliary
• Cancer Vaccines can be used to treat
fighting cells. It from shutting down the immune system, recently presented a check for $50,000 to
cancer or prevent cancer.
works hard all opening the way for the immune system Robin Aiken, Chair of the HOPE Fund
Karim Tazi, MD to attack the tumor. • Other types of immunotherapy are used Advisory Committee. The donation, in
day, every day to
protect the body from infections, foreign to boost a person’s immune system memory of Marilyn Godbold, is designated
• Monoclonal Antibodies are produced
organisms and defective cells in the body. in a laboratory and can be used to enable therefore allowing a stronger natural to the HOPE Fund Endowment. Godbold
Cancer can survive when malignant cells the immune system to destroy the response to a developing cancer. served as the Director of Volunteer Services
fool the immune system by hiding, escaping cancer. One way is to mark the cancer so at McLeod for 28 years. She was also one of
The ability to successfully treat cancer
and producing signals that halt the immune that the immune system can find it and the first members of the HOPE Fund
improves the earlier the tumor or signs of
system’s assault. destroy it. They may also be employed as Advisory Committee.
cancer are discovered, diagnosed and treated.
Today, we’re learning to use a so-called “Targeted Therapy” to block a In April of 2017, the volunteers donated
According to the American Society of Clinical
patient’s immune system against cancer. single abnormal protein in malignant $50,000 to jump start the endowment.
Oncology, the role of immunotherapy has
Immunotherapy is now another essential cells hence leading to its death. The goal of the HOPE Fund Advisory Members of the McLeod Volunteer Auxiliary present a check for $50,000 to Robin Aiken,
grown significantly over the past few years.
Committee was to establish a $1-million- Chair of the HOPE Fund Advisory Committee, and Asa Godbold and his daughter
tool, alongside surgery, chemotherapy • Adoptive Cell Transfer takes white Research is uncovering better ways to predict Emily Reinicker.
and radiation in the cancer fighting how likely the treatment may work and when dollar endowment so that annual proceeds
blood cells from your body, engineers
armamentarium. Immunotherapy can work it should be used. would ensure vital direct support is
them to fight the cancer, grows them in
several ways to overcome what seemed to be Additionally, intense research efforts are available to cancer patients at McLeod in Aiken announced to the Oncology Patients Everyday) Fund was
large quantities and gives them back
the cancer’s edge in the fight. We can help being devoted to discovering and perpetuity. McLeod Health Board of Trustees, established at the McLeod Center for
intravenously. They then seek out and
the immune system stop the cancer from implementing powerful cancer treatment When the volunteers learned that the the McLeod Tumor Board, and the Cancer Treatment and Research for
destroy cancer cells. Growing the cells
spreading to other parts of the body, slow or combinations incorporating McLeod Foundation was getting close to McLeod Health Foundation Board of cancer patient support services such as
can take many weeks during which the
stop the cancer cell’s growth or even patient may receive other forms of immunotherapy, targeted therapy, traditional reaching the $1-million-dollar goal, they Trustees this Summer that the goal for medication, transportation and nutrition
obliterate malignant cells. cancer therapy. chemotherapy and radiation therapy. challenged the team to reach $950,000 and the HOPE Fund Endowment had been assistance as well as to provide the
they would donate the final $50,000 to achieved thanks to this donation. oncology staff with improved access for
ensure the endowment was fully funded. In the Fall of 2014, the HOPE (Helping the immediate needs of their patients.
Dr. Pavy Honored with McLeod Health Portrait
Celebrating years of dedication and service the act of commissioning a portrait in Dr. Pavy’s commitment
to others, McLeod Health held a portrait their honor by the McLeod Health Board of to the culture and
unveiling on October 29, 2019, to honor Trustees. The artist’s rendering of these values of McLeod
Immunotherapy is now another essential tool, alongside surgery, chemotherapy and McLeod Oncologist Dr. Michael D. Pavy. individuals are placed on permanent Health are evident.
Dr. Pavy is credited with the development display in areas representative of both After he began caring
radiation in the cancer fighting armamentarium. Immunotherapy can work several ways of a leading tertiary cancer care center
for the region, and recognized for his
the location of their service as well as
commemorating their expertise in the field.
for patients at McLeod
in the early 1980s,
outstanding community contributions, both the nursing unit
to overcome what seemed to be the cancer’s edge in the fight. We can help the immune in physician leadership, cancer research
During the ceremony, Dr. Rajesh Bajaj,
dedicated to cancer
Co-Medical Director of the McLeod Center
trials and the provision as a mentor to new patients was
system stop the cancer from spreading to other parts of the body, slow or stop the cancer physicians and residents.
for Cancer Treatment and Research,
established, and a support system
reflected on Dr. Pavy’s career at McLeod
for patients and their families was
cell’s growth or even obliterate malignant cells. McLeod has a long-standing tradition
of acknowledging the life-time
as an oncologist and his role in the
development of the McLeod Cancer Center.
strengthened with the addition of Hospice
and hospital social workers assigned to
achievements of McLeod Physicians, Dr. Bajaj shared many of Dr. Pavy’s
cancer patients. For nearly four decades,
Nursing Professionals and Organizational accomplishments in regard to the Cancer
Dr. Pavy has built on existing services in
Leaders. One of the most significant Center over the past 38 years and how he
cancer care and established many new
opportunities for recognizing meritorious mentors his fellow physicians as well as
programs to form the outstanding
service and paying tribute to the fine continues to stay up-to-date on the latest
McLeod Cancer Center that exists today.
character of these individuals is through advances in oncology.
20 2 0 1 9 McLEOD CA NC E R RE P O RT 2 0 1 9 McL E O D C A NC E R RE P O RT 212018-2019 cancer committee members
Rajesh Bajaj, MD Judy Bibbo, RN, BSN, MHA Courtney Moore, MS, RD, LD
Hematology/Oncology, Vice President Outpatient Oncology Dietitian
Chair
Sandra Burley, RT(R)(T) Tracey O’Neal, RN, CBCN
Shawn Conwell, MD Radiation Oncology Oncology Navigation
Radiology
Jamie Craig, PharmD, BCOP Roxanna Prezioso
Sharon Mitchell, MD McLeod Oncology & McLeod Foundation
Pathology Hematology Associates
Brandy Reed, RN, OCN
Amy Murrell, MD Beth Epps, RN, BSN Outpatient Oncology Services
Surgery Oncology Navigation
Raquel Serrano, LMSW,
Vipul Shah, MD Damia Harcrow, RN, BSN ACSW, OSW-C
Hospice/Palliative Care Oncology Navigation Social Work
Rhett Spencer, MD Eddie Hobbs, RN Tracy Stanton
Radiation Oncology Inpatient Oncology Services Public Information
Stacey Holley, RN, MSN Dorie Sturgill, RN, MS, CCRP,
Quality & Safety OCN, CHPN
Research
Harriet Jeffords, RPT, MHSA
Rehabilitation Services Terri Thomas, RT (R)
Oncology Navigation
Lisa McDonald, RN, BSN,
OCN, CBCN Marie White, CTR
Cancer Coordination Cancer Registry
LaTonya McFadden, CTR Shamica Williams, CTR
Cancer Registry Cancer Registry
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