{"id":9179,"date":"2026-04-24T10:00:00","date_gmt":"2026-04-24T10:00:00","guid":{"rendered":"https:\/\/holalatinosnews.com\/?p=9179"},"modified":"2026-09-26T23:19:44","modified_gmt":"2026-09-26T23:19:44","slug":"dr-robert-b-donoway-md-facs","status":"publish","type":"post","link":"https:\/\/holalatinosnews.com\/es\/dr-robert-b-donoway-md-facs\/","title":{"rendered":"Dr. Robert B. Donoway, MD, FACS"},"content":{"rendered":"


\n<\/p>\n

CIRUJANO L\u00cdDER EN ONCOLOG\u00cdA NOS HABLA SOBRE EL C\u00c1NCER DE MAMA
\nBy Nancy Esteves<\/a><\/h4>\n

Dr. Robert B. Donoway, MD, FACS es un l\u00edder en el campo del c\u00e1ncer, y fue el primer cirujano onc\u00f3logo en la Florida en realizar crioablaci\u00f3n y ablaci\u00f3n por radiofrecuencia, y contin\u00faa liderando el camino como el primer cirujano en Florida en realizar tratamientos pancre\u00e1ticos y hep\u00e1ticos como la terapia de ablaci\u00f3n con electroporaci\u00f3n irreversible (IRE) NanoKnife\u00ae.
\nEn su pr\u00e1ctica, Atlas Oncology en Hollywood, Florida, el Dr. Donoway ofrece los m\u00e1s avanzados tratamientos de c\u00e1ncer. El recibi\u00f3 el premio South Florida Health Award por el uso de microendoscopia para la detecci\u00f3n de c\u00e1ncer de mama en etapa temprana. El Dr. Donoway es miembro activo de la Sociedad de Oncolog\u00eda Quir\u00fargica y de la Sociedad Estadounidense de Cirujanos de Senos y ha formado parte de numerosas directivas m\u00e9dicas renombradas.<\/p>\n

Dr. Donoway, \u00bfse ven m\u00e1s incidentes de casos de c\u00e1ncer hoy?<\/strong>
\nDr. D: Aunque est\u00e1 aumentando, la detecci\u00f3n m\u00e1s temprana a trav\u00e9s de ex\u00e1menes ha dado como resultado una mejor supervivencia debido al diagn\u00f3stico m\u00e1s temprano de lo que era posible hace dos o tres d\u00e9cadas. Mediante el uso de programaci\u00f3n asistida por computadora, las im\u00e1genes se pueden evaluar usando una plataforma de tipo Inteligencia Artificial que permite una focalizaci\u00f3n m\u00e1s sensible y espec\u00edfica de las anomal\u00edas mamogr\u00e1ficas, lo que resulta en menos resultados falsos positivos que los que ve\u00edamos a\u00f1os atr\u00e1s.<\/p>\n

\"Historic\u00bfCu\u00e1l es su recomendaci\u00f3n sobre la detecci\u00f3n temprana?<\/strong>
\nDr. D: Hoy intentamos estratificar mejor a los pacientes seg\u00fan su riesgo. Claramente, las mujeres con varios miembros de la familia con c\u00e1ncer de mama deben ser m\u00e1s proactivas y comenzar la detecci\u00f3nantes; ocasionalmente en sus 20’s. Todas las mujeres deben estar familiarizadas con su examen \u00abnormal\u00bb de referencia. Esto solo se puede establecer mediante una rutina mensual de \u00abautoexamen de los senos\u00bb. Desafortunadamente, en las mujeres que solo hacen eso y no una mamograf\u00eda, ultrasonido o resonancia magn\u00e9tica de mama, los c\u00e1nceres de mama suelen estar m\u00e1s avanzados en su etapa y a menudo requieren terapia adicional. Los pacientes en la categor\u00eda de mayor riesgo, los que portan las mutaciones BRCA 1 y 2, el examen anual a menudo se reduce a cada 6 meses, lo que pone en juego la resonancia magn\u00e9tica que puede ser muy sensible, pero no tan espec\u00edfica; lo que significa que se puede esperar que haya m\u00e1s biopsias que c\u00e1nceres.<\/p>\n

Cu\u00e9ntenos sobre sus procedimientos m\u00e1s avanzados:<\/strong>
\nDr.D: Un procedimiento que todav\u00eda utilizo en ocasiones es la microendoscopia de mama. Los procedimientos endosc\u00f3picos permitenla visualizaci\u00f3n directa de un tumor y es \u00fatil para evaluar la secreci\u00f3n sospechosa del pez\u00f3n en personas de alto riesgo. Seg\u00fan el tama\u00f1o medio de la lesi\u00f3n (es decir, c\u00e1ncer o prec\u00e1ncer) detectada, puede identificar la enfermedad hasta cinco a\u00f1os antes de la mamograf\u00eda est\u00e1ndar. El objetivo de todas las especialidades de c\u00e1ncer de mama, de cirug\u00eda, radiaci\u00f3n y oncolog\u00eda m\u00e9dica, ha sido adaptar la enfermedad del individuo espec\u00edfico al tratamiento exacto que necesita. Ni m\u00e1s ni menos. En cirug\u00eda solemos extirpar solo 1,2 o 3 ganglios linf\u00e1ticos y, por lo tanto, rara vez vemos linfedema. Tambi\u00e9n colocamos peque\u00f1os implantes de orientaci\u00f3n que son absorbibles (BioZorb) y, a menudo,permiten limitar la radiaci\u00f3n a esa \u00e1rea, lo que reduce el tiempo de tratamiento de 7 a 1 o 2 semanas.<\/p>\n

Pruebas:<\/strong> Nuestros colegas m\u00e9dicos se han beneficiado de las pruebas gen\u00f3micas del tumor real. Esto nos ha permitido determinar qu\u00e9 pacientes requieren quimioterapia (solo alrededor del 10% del total) y qui\u00e9nes pueden evitarla. La prueba que prefiero es MammaPrint porque estratifica a los pacientes en una respuesta de s\u00ed o no.<\/p>\n

Crioterapia:<\/strong> Recientemente, se ha renovado el inter\u00e9s por la ablaci\u00f3n de tumores con crioterapia. Los estudios han demostrado que es eficaz con una est\u00e9tica excelente. Debido a que el tumor se deja en la mama, a menudo se realiza m\u00e1s vigilancia para garantizar que el tumor no haya vuelto a aparecer.<\/p>\n

IRE (electroporaci\u00f3n irreversible):<\/strong> Un \u00e1rea en la que he comenzado a ser pionero del seno es el uso de corriente el\u00e9ctrica de alto voltaje (3000 voltios) que puede pasar a trav\u00e9s y alrededor del tumor. Lo he estado usando en el c\u00e1ncer de p\u00e1ncreas durante casi 10 a\u00f1os y, nos hemos diversificado para tratar otros c\u00e1nceres m\u00e1s all\u00e1 del p\u00e1ncreas, el h\u00edgado y tumores de tejidos blandos.<\/p>\n

\u00bfQu\u00e9 cambios de estilo de vida les sugiere a sus pacientes?<\/strong>
\nDr. D:Mantener su peso corporal ideal mediante una combinaci\u00f3n de dieta balanceada y ejercicio regular de \u00abbajo impacto\u00bb reducir\u00e1 su riesgo hasta en un 20%. Evite el alcohol los m\u00e1s posible. Incluso peque\u00f1as cantidades tienen un efecto negativo. Es probable que no sea tan simple y que posiblemente la gen\u00e9tica juegue un papel en su metabolismo.<\/p>\n

\u00bfCu\u00e1l es su mejor consejo para nuestros lectores?<\/strong>
\nDr. D: Lo m\u00e1s importante es comenzar el autoexamen de mamas a una edad temprana y continuar haci\u00e9ndolo mensualmente durante toda la vida. Las im\u00e1genes anuales,ya sean mamograf\u00edas digitales y ecograf\u00edas anuales y\/o resonancias magn\u00e9ticas basadas en el riesgo, deben continuar siempre.<\/p>\n

Para una consulta, por favor llame a la oficina: 954-986-6366
\nPara obtener m\u00e1s informaci\u00f3n, visite: www.atlasoncology.com<\/a><\/body><\/html><\/p>\n","protected":false},"excerpt":{"rendered":"

CIRUJANO L\u00cdDER EN ONCOLOG\u00cdA NOS HABLA SOBRE EL C\u00c1NCER DE MAMA By Nancy Esteves Dr. Robert B. Donoway, MD, FACS […]<\/p>\n","protected":false},"author":1,"featured_media":9182,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"hl_redated":"1","footnotes":""},"categories":[1554,559],"tags":[],"class_list":["post-9179","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bienestar","category-wellness"],"acf":[],"yoast_head":"\nDr. Robert B. 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