Endocrine Surgery

At Westchester Health, our Division of Endocrine Surgery contains board trained and certified physicians who specialize in surgery of the endocrine glands, including the thyroid, parathyroid and adrenal glands, as well as in neuroendocrine tumors of the pancreas and GI tract.

With years of experience and a thorough command of the most advanced techniques and technologies, our endocrine surgeons provide the highest level of surgical expertise in diseases of the endocrine system. Along with our team of professional support staff and physicians in nuclear medicine and pathology, they provide personalized care for each patient from the first visit through surgery to post-surgical follow-up care.

Using minimally invasive laparoscopic techniques, our Endocrine Surgery team aims to reduce the appearance of neck scars and reduce recovery time, enabling patients to more quickly return to normal daily activity.

Prevention as well as procedures

At Westchester Health, the goal of our Division of Endocrine Surgery is to discover and promote the best treatments for endocrine disease to help improve and prolong our patients' lives. In addition to providing the highest quality of endocrine system care, we work closely with your primary care provider and other specialists to implement a total treatment plan customized for your specific condition to achieve the best possible outcome. We also focus on educating you and your family about lifestyle changes you can make to control, improve or even eradicate your endocrine disorder.

What makes Westchester Health’s Division of Endocrine Surgery different?

At Westchester Health, we firmly believe that good treatment starts with good listening. We also believe that the best patient is an informed patient, and that patient education is critical to your long-term health.

From the first time you arrive at our offices, we spend as much time with you and your family as is necessary to make sure you understand your condition, the surgery we are recommending and all of your treatment options. Throughout your journey with us, we will continue to explain our recommended course of treatment and answer any questions you may have so that you understand what to expect.

Whether you have been with Westchester Health for years or are new to our practice, you quickly recognize that our Endocrine Surgery group truly cares about each and every one of our patients. When you need us, we are here for you.

Always at the forefront of medicine

The world of medicine continues to change and evolve, especially regarding surgery of the endocrine glands. As part of Northwell Health, our endocrine surgeons participate in its Division of Endocrine Surgery training programs, making sure they are continually up-to-date on the newest technological advances in the field of endocrine surgical procedures and have ready access to the latest state-of-the-art surgery techniques.

Endocrine surgeons are experts at a treating a variety of diseases of the endocrine system, including:

Adrenal gland disease

Adrenal tumors are characterized by whether they are functioning or non-functioning or whether they are benign or malignant. Most adrenal tumors prove to be benign, and therefore most hormone–producing tumors are benign. Most large adrenal tumors are also benign. Innovative procedures such as CT-sans, MRIs, PET scans and cancer markers enable physicians to identify which type of tumor a person may have. The majority of adrenal tumors and surgically removed, using minimally invasive techniques such as laparoscopic surgery, robotically assisted surgery or ablation. Some of the major types of adrenal tumors and syndromes include pheochromocytoma, Cushing's syndrome, adrenocortical carcinoma, non-functional adrenal tumors and hyperaldosteronism.

Carcinoid disease

Gastrointestinal neuroendocrine tumors—GI-NETs or carcinoids—are rare tumors of the gastrointestinal tract that can occur anywhere from the stomach to the rectum. The small intestine, appendix and stomach are the most common sites. Because carcinoid tumors generally grow slowly over many years, patients typically don't experience symptoms (diarrhea, flushed skin and difficulty breathing) until they are quite advanced. Caused by certain genetic disorders, such as multiple endocrine neoplasia type 1 (MEN I) or neurofibromatosis type 1 (NF1 or von Recklinghausen disease), carcinoid tumors account for nearly half of all small intestine cancers. Over a long period of time, these they can damage heart valves, causing shortness of breath, weakness and heart murmur. They may also cause weight gain, weakness, high blood sugar or diabetes, and increased body and facial hair.

Endocrine oncology

Endocrine oncology refers to a medical specialty which is a combination of endocrinology and oncology that treats hormone producing tumors. At Westchester Health, our approach to cancer of the endocrine system is to bring experts in related fields together who have specialized training and an interest in endocrine malignancies to provide coordinated, exceptional patient care to those diagnosed with endocrine tumors. In this way, patients benefit from the experience and expertise of many physicians, not just one.

Pancreatic Neuroendocrine Tumor

Pancreatic neuroendocrine tumors (NETs) may be benign or malignant. When pancreatic NETs are malignant, they are called pancreatic endocrine cancer or islet cell carcinoma. A neuroendocrine tumor may grow slowly or aggressively and spread to other parts of the body. Many people do not develop symptoms and therefore the tumor can develop for quite a while without being detected. When symptoms do occur, they can vary based on the location of the tumor. In rare cases, flushed skin or fluctuating blood sugar levels may occur. Treatment depends on the type of tumor and may include surgery, radiation, and chemotherapy.

Parathyroid Disease (Hyperparathyroidism)

Hyperparathyroidism is caused by the over-production of parathyroid hormone (PTH) by one or more parathyroid tumors. The most common cause of this excess hormone production is the development of a benign tumor in one of the parathyroid glands, called a parathyroid adenoma. This over-producing gland is virtually never cancerous but can cause significant damage to the body because it creates an abnormally high level of calcium in the blood which destroys a number of tissues. The most common symptoms of hyperparathyroidism are chronic fatigue, body aches, difficulty sleeping, bone pain, memory loss, poor concentration, depression and headaches. It also frequently leads to osteoporosis, kidney stones, hypertension, cardiac arrhythmias and kidney failure.

Scarless Thyroid Surgery

Traditional surgery to remove the thyroid gland (thyroidectomies) leaves a visible scar in the middle of the neck. However, innovative advancements in robotic endocrine surgery now enable surgeons to provide two scarless alternatives for accessing the thyroid gland: through the patient’s mouth (transoral approach) or through a small incision in the patient’s armpit (using an elevated retractor).

Thyroid Disease

Thyroid disease is caused by over- or under-function of the thyroid gland, an essential organ for producing thyroid hormones which maintain the body’s metabolism. Diseases of the thyroid include hypothyroidism, hyperthyroidism, goiter, thyroid nodules and thyroid cancer. All thyroid diseases can be treated, resulting in normal thyroid function. However, this frequently requires being on medication (often for the rest of a patient’s life) to maintain the normal thyroid state.