Miriam N Lango, MD

I joined the department of surgical oncology at Fox Chase Cancer Center in 2004 as a head and neck surgeon as well as an ear, nose and throat specialist. In my practice, I have a special interest in tumors located in the upper aerodigestive tract, thyroid, skull base and sinonasal tract. My particular area of treatment expertise is minimally-invasive surgery.

It is an exciting time to work in my field. Traditionally, cancers of the head and neck (mouth, tongue, larynx and pharynx) required radical surgery followed by radiation. Surgery frequently robbed patients of the ability to speak intelligibly, swallow or eat solid food. Today, many more options are available. I believe the goal of treatment is to cure cancer while preserving as much quality of life as possible. Technological advances in surgery have made this possible for many patients.

Today, surgeons can safely remove deeply seated tumors with little collateral damage to normal tissues by using minimally invasive surgical techniques. Since not every tumor is appropriately treated using minimally invasive approaches, it is important for each patient to undergo a comprehensive evaluation before starting treatment. For some patients, surgery may not be a good option. Radiation with or without chemotherapy may be more effective or provide a better quality of life in the long run.

Because all patients and tumors are different, decision-making can be complex. Typically, a patient who is evaluated at Fox Chase will see physicians from several specialties including surgical oncology, radiation oncology and medical oncology. I believe that this type of multispecialty evaluation is important in determining the best treatment for each patient. Armed with state-of-the-art information, our patients can make informed decisions about their care.

In addition to treatment, research is another area where we are making strides for head and neck cancer patients. I believe that patient quality of life has been relatively neglected as an area of study. Novel treatment approaches in head and neck cancer have the potential to significantly affect quality of life. I am currently the principal investigator of a clinical trial to measure swallowing function, as well as quality of life, in patients with head and neck cancer. We hope to learn what causes swallowing impairment in these patients, as well as the effect that swallowing impairment has on their quality of life.

Video

Introductory Video of Dr. Lango

Surgical Oncology
Attending Surgeon, Head and Neck Oncology

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Fox Chase Cancer Center
333 Cottman Avenue
Philadelphia, PA 19111-2497

Clinical Expertise:

Squamous-Cell Cancers of the Head and Neck; Transoral Laser Surgery; Parotid Tumors; Thyroid Cancer; Minimally Invasive Surgery of the Larynx; Sinonasal Malignancies and Skull-Base Tumors; Advanced Skin Cancers, including Melanoma; Voice and Swallowing Disorders

Medical Education:

New York University School of Medicine, New York, N.Y., 1996

Residency:

Otolaryngology/Head and Neck Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.

Fellowship:

Head and Neck Oncologic and Microvascular Reconstructive Surgery, Hospital of the University of Pennsylvania, Phila., Pa.

Certification:

American Board of Otolaryngology/Head and Neck Surgery

Professional Societies:

American Society of Clinical Oncology;
American College of Surgeons

Scientific Report:

Head and Neck Cancer Program;
Surgical Oncology
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Research Interests:

Quality-of-Life Issues for Head and Neck Cancer Patients