Our Medical Center serves patients in Howard County, Maryland including Columbia, Elkridge, Ellicott City, Jessup, North Laurel, and surrounding regions.
Since it was founded in 1980, Maryland Surgeons has grown to eleven board certified surgeons, four of whom specialize in breast surgery and the treatment of benign and malignant breast disease. We introduced the Breast Program to Howard County General Hospital in 1999, and began performing stereotactic and ultrasound guided core breast biopsies in the hospital.
Philosophy of Breast Disease Treatment
Maryland Surgeons believes that the relationship between the patient and surgeon is crucially important to receiving optimal breast care. The relationship begins with the initial consultation. At the initial consultation, the patient history is reviewed, the patient’s statistical risk for breast cancer is determined, imaging studies are reviewed with the patient and a physical examination is performed. The surgeon’s review of the imaging studies gives the patient a second opinion interpretation of the studies. After all of the information is considered, it is then determined if a diagnostic procedure is indicated and if so, what procedure is optimal for each individual situation. If a diagnostic procedure is required, the patient’s surgeon will explain it and then personally perform it. The patient’s surgeon will contact the patient to discuss the results of the procedure.
If the result is that the patient is found to have breast cancer, the relationship between the patient and the surgeon will have already been established. This is crucial in helping the patient make the difficult decisions required for successful treatment of breast cancer. The surgeon will advise the patient on what further evaluation, i.e. breast MR scan, is indicated and present the patient’s case to the breast cancer tumor board.
If Breast Cancer Surgery is Advised
If breast cancer surgery is deemed necessary, the options for surgical treatment are thoroughly discussed. Advice will be given concerning referrals to the medical oncologist, radiation oncologist and plastic surgeon. Whatever treatment is required, an established patient-surgeon relationship makes a difficult situation the best it can be.
Our breast treatment and breast procedures include:
- Stereotactic (mammographically guided) core breast biopsy
- Ultrasound guided core biopsy
- Excisional breast biopsy
Breast Conserving Surgery
- Sentinel lymph node biopsy
- Axillary dissection
- Simple mastectomy
- Modified radical mastectomy
- Skin sparing mastectomy
- Nipple sparing mastectomy
- All types of reconstruction are performed by our plastic surgery colleagues
Currently, Maryland Surgeons provides more than eighty percent of all Breast, Endocrine, General and Colorectal Surgical Services at Howard County General Hospital.
For more information on Breast Surgery please visit our website at
www.marylandsurgeons.com or contact us at (443) 574-8500
Brief backgrounds of the physicians specializing in breast care and breast surgery:
Michael Meyer, M.D., M.S., F.A.C.S.
Dr. Meyer is a 1983 graduate of the Oral Roberts University School of Medicine. After completing a residency in General Surgery, Dr. Meyer did a Fellowship in Surgical Oncology at Tulane University Medical Center. He joined Maryland Surgeons and began practicing at Howard County General Hospital in 1990 where he established his practice in breast surgical oncology. Dr. Meyer is certified by the American Board of Surgery and is a Fellow of the American College of Surgeons. The Maryland Board of Physicians has identified him as a specialist in Surgical Oncology.
Dr. Meyer’s special interests include treatment of benign and malignant breast disease. He personally performs all of his diagnostic core biopsies after meeting his patients for initial consultation. He performs the full range of breast surgical procedures.
Kiran J. Parikh, M.D., F.A.C.S.
Dr. Parikh received his Medical Degree from Goa Medical College in 1973. He established his surgical practice at Howard County General Hospital in 1985 upon completion of his surgical residency at St. Agnes Hospital. Dr. Parikh is certified by the American Board of Surgery and is a Fellow of the American College of Surgeons. He joined Maryland Surgeons in 1995. He has served as President of the Professional Staff at Howard County General Hospital. He is a member of the American Society of Breast Surgeons. He is an active participant in the weekly Breast Cancer Tumor Board.
Dr. Parikh has a special interest in the treatment of benign and malignant breast diseases. He personally performs all of his diagnostic core biopsies after meeting his patients for initial consultations. He performs the full spectrum of breast surgical procedures.
Michael G. Macon, M.D., F.A.C.S.
Dr. Macon received his medical degree from the George Washington University School of Medicine in 1982 and completed his internship and residency at St. Agnes Hospital in 1989. He served in the U.S. Army from 1989-1993 and was Chief of General Surgery at the Gorgas Army Community Hospital in Panama as well as Kimbrough Army Community Hospital at Fort Meade. Dr. Macon entered private practice at Howard County General Hospital in 1993 and joined Maryland Surgeons in 2000.
Dr. Macon served as Chair of the Department of Surgery at Howard County General Hospital. He also served as the President of the Professional Staff in 2006. Dr. Macon is Board Certified by the American Board of Surgery and is a Fellow of the American College of Surgeons. He is a member of the American Society of Breast Surgeons. He was the initial Medical Director of the Center for Breast Care at Howard County General Hospital and a founding member of the weekly Breast Cancer Tumor Board.
Dr. Macon has a special interest in the treatment of benign and malignant breast disease. He personally performs all of his diagnostic core biopsies after meeting his patients for initial consultation. He performs the full spectrum of breast surgical procedures.
Maryam Jaberi, M.D., F.A.C.S.
Dr. Jaberi graduated from Johns Hopkins University with honors and received her medical degree from University of Maryland in 1998. She completed her residency in general surgery at George Washington University with a year research fellowship in breast surgery. Dr. Jaberi entered private practice in Harford County in 2005. She joined Maryland Surgeons in 2011. Dr. Jaberi is board certified in general surgery by the American Board of Surgery, and is a Fellow of the American College of Surgeons. She is a member of the American Society of Breast Surgeons. She is certified by the society in both Ultrasound guided and Stereotactic breast biopsy.
Dr. Jaberi has a special interest in the treatment of benign and malignant breast disease. She personally performs all of her diagnostic core biopsies after meeting her patients for initial consultation. She performs the full spectrum of breast surgical procedures.
Contact us at (443) 574-8500 or visit our website www.marylandsurgeons.com.
Frequently Asked Questions
1. What is a stereotactic (mammographically guided) core breast biopsy?
A. A core biopsy is a method of removing a specimen of breast tissue about the size of a pencil lead through a very small incision. A stereotactic core biopsy uses a special biopsy table and mammography to precisely locate the coring needle into the area of the breast to be sampled. It is a particularly useful technique for sampling areas of abnormal microcalcifications. The procedure is performed under local anesthesia and takes less than an hour. The patient can drive herself to and from the procedure.
2. What is sentinel lymph node biopsy?
A. Sentinel lymph node mapping is a method of identifying the lymph node closest to the breast. This lymph node has been named the sentinel lymph node. The sentinel lymph node is the first lymph node that filters the fluid draining away from the primary tumor. If cancer cells are breaking off and entering the lymph system, the first filtering node will be most likely to contain breakaway cancer cells. If the sentinel node is cancer free, the probability is high that the cancer has not spread to any other node. This information is important in staging the cancer and individualizing the cancer treatment for maximum benefit. Identifying the sentinel node and removing it for pathologic examination is a sentinel lymph node biopsy.
3. What is a mastectomy?
A. Mastectomy is the surgical removal of the breast for the treatment or prevention of breast cancer. There are three main kinds of mastectomy: modified radical, simple and skin/nipple sparing. In each case, all of the breast tissue is removed. In a simple mastectomy, the nipple is removed with all the breast tissue. In a modified radical mastectomy, the nipple is removed as well as the lymph nodes under the arm. In a skin sparing mastectomy, as much of the skin of the breast is left in place as possible to keep the original shape of the breast intact. A nipple sparing mastectomy is a skin sparing mastectomy where the nipple is left intact. The type of mastectomy chosen depends on the specific cancer being treated, the preoperative shape of the breast and the wishes of the patient.