Management of Soft Tissue Sarcoma

Treatment for soft tissue sarcomas may be either local or systemic. Local treatments remove, destroy, or control the cancer cells in one certain area. Systemic treatments are used to destroy or control cancer cells throughout the whole body. You may have just one treatment or a combination of treatments.

Children With Bone Cancer Are
In Good Hands

Dr. Kenan is an orthopedic surgeon who specializes in pediatric bone cancers and is part of a new initiative at Cohen Children's Hospital of New York to expand services for young people with bone cancer. He is well known for his limb-sparing surgeries and for his bedside manner.

Surgical Management of
Skeletal Metastatic Disease

Bone metastases are the most destructive lesions in adult patients. The development of bone metastasis indicates that a cure is unlikely and the management of symptoms becomes the focus of treatment.

About the Practice

The practice is designed to provide easily accessible treatment, close to where patients live; this has been accomplished by multiple satellites across the metropolitan area. The service focuses on ways to provide effective, efficient and accessible treatment. The practice employs a multidisciplinary team approach and patient care is optimizing by coordinated efforts across diverse services and departments. The introduction of new chemotherapy protocols and at the same time new innovative surgical approaches has led to dramatic improvement in cure rates. Patients who have had limited life expectancy are now being successfully managed having active productive lives. Limb sparing surgery has dramatically reduced the need for amputation and has become the treatment of choice, thus leading to improved quality of life.

Pediatric Musculoskeletal Oncology

Treatment and outcome of children with cancer over the last few decades has made remarkable progress. Thanks to improved chemotherapy protocols and advances in surgical oncology including limb sparing surgery survival has improved dramatically from non-curable conditions to a cure rate of up to 80%. Most of these children underwent successful limb sparing surgery using the most advanced procedures. To minimize limb length discrepancy we have been successfully using the expandable prosthesis. In other patients epiphyseal and growth plate sparing surgeries have been used with structural allografts and vascularized fibular graft. For most of these children, cure has been achieved at a significant sacrifice, with potential psychological and social complications.

Surgical Management of Skeletal Metastatic Disease

Cancer associated bone morbidity remains a major public health problem. There are over 1.3 million cancer cases per year in US. The leading cancers are Breast, Prostate, Lung, Kidney, thyroid carcinoma. Up to 50% will developed bone metastases. Bone metastases are the most destructive lesions in adult patients. The development of bone metastasis indicates that a cure is unlikely and the management of symptoms becomes the focus of treatment. These patients represent a significant challenge to the treatment team – Medicine, oncology, and orthopaedic oncologist. How extensive of a surgery should be done? Quite often we have to fit the surgery to the disease and longevity of life.

Dr. Kenan’s Achievements

Dr. Kenan graduated medical school in 1978 from the Hebrew university Hadassah Medical Center in Jerusalem. Dr. Kenan successfully completed six years of residency program at Hadassah Medical Center and became board certified in orthopaedic surgery in Israel.

Dr. Kenan completed two years of fellowship program (1985-1987) at the Hospital for Joint Diseases, specializing in orthopaedic oncology. In his return to Israel, Dr. Kenan was appointed chief of the orthopaedic oncology at Hadassha Medical Center. In 1988, Dr. Kenan was invited to Mount Sinai hospital to join as an associated attending to the orthopaedic oncology service. In 1993, Dr. Kenan was appointed the chief of the orthopaedic oncology at Mount Sinai Hospital, and held academic rank of associated professor of orthopaedic surgery. In 1996, Dr. Kenan relocated his practice to Hospital for Joint Diseases/NYU where he was appointed the chief of the orthopaedic oncology service, and was appointed professor of orthopaedic surgery. Dr. Kenan holds academic appointment from other universities including adjunct professor from Mount Sinai Medical Center, Stony Brook University, and Westchester County Medical School.

Dr. Kenan has been involved in teaching of orthopaedic residents from different medical centers including Mount Sinai, Lenox Hill, NorthShore/LIJ, and the Hospital for Joint Disease. Dr. Kenan has been responsible for the education of musculoskeletal oncology series instructional lectures and education of rotating residents from other programs. The medical students and residents have benefited from Dr. Kenan’s skill and knowledge. Dr. Kenan is a superb teacher and he fulfills admirably the teacher, surgeon scholar model.

Dr. Kenan has been an active participant in several prestigious societies devoted to his interest. Dr. Kenan has given numerous lectures at national and international meetings such as the International Skeletal Society, American Musculoskeletal Society, a prestigious group of scholar clinicians devoted to the study of musculoskeletal disorders.

Dr. Kenan became a nationally and internationally respected orthopaedic tumor surgeon; he is a gifted and highly talented physician and surgeon. Dr. Kenan’s approaches to surgical problems are innovative. Dr. Kenan is a sincere, caring physician who has earned the highest ratings from his colleagues, and his patients. Dr. Kenan is regarded as one of the country‘s premier bone tumor surgeons. Dr. Kenan has introduced new surgical approaches in limb sparing surgeries in children with malignant bone tumors. Dr. Kenan has been effectively using expandable prosthesis in growing children and structural allograft vascularized fibular graft in the treatment of limb sparing surgery. His clinical research in exploring new surgical approaches are reflected in his publications with respect to limb sparing surgery.

About the Practice