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Article Category: Highlights

Expert Treatment for Head and Neck Cancers at Wellstar

Published on April 16, 2024

Last updated 12:26 PM April 30, 2025

Gloved physician checks a patient's head, neck and jaw

Head and neck cancers include several different types of malignant tumors affecting parts of the head and neck, including the nose and sinus cavities, mouth, throat, voice box and salivary glands. Head and neck cancers typically involve the mucosa, or the tissues lining these areas, and represent about 4% of all cancers diagnosed in the United States each year.

Treating head and neck cancers

If you are diagnosed with cancer, Wellstar provides expert care. Oropharyngeal cancers are typically treated with surgery (with or without radiation therapy) or radiation therapy (with or without chemotherapy) at equivalent cure rates. Goals of treatment are to remove the cancer, prevent its return and limit side effects.

“Wellstar providers work with patients to tailor care to their needs—based on effectiveness of the treatment, tumor location and stage, accessibility of the tumor to a surgical approach, risk of side effects and patient choice,” said Dr. Kia Jones, a Wellstar ear nose & throat physician.

In the Head and Neck STAT Clinics at Wellstar Cobb, Douglas and North Fulton Medical Centers, the patient meets with their entire treatment team in a single day during treatment planning and may start treatment sooner, which may improve outcomes for patients and provides more peace of mind.

New surgical method improves treatment

Transoral robotic surgery, offered at Wellstar North Fulton, has changed the way oropharyngeal cancers are treated surgically.

“In this procedure, the surgeon accesses the cancer by passing tools through the mouth rather than making an incision,” said Dr. Jones, who performs the procedure.

For those patients with early-stage tumors and limited disease in the neck, the surgery offers the patient a cure at a single intervention without the need for tracheostomy or abdominal feeding tube, faster return to taking food orally, improved outcomes and faster recovery. This is preferred over traditional surgical methods, which require splitting the jaw and/or the tongue or gaining access to the throat via neck incision.

Reducing your risk

You can take action against common risk factors by decreasing tobacco and alcohol use and getting the human papillomavirus (HPV) vaccine.

Some well-known risk factors for the development of head and neck cancers include heavy alcohol and tobacco use, especially if someone uses alcohol and tobacco together. Men are three times more likely to be diagnosed with oral and throat cancer compared to women, according to the American Cancer Society.

An additional risk factor is HPV infection, which is related to the development of oropharyngeal cancer specifically. The oropharynx is the midsection of the throat and includes the tonsils and the root of the tongue or tongue base where the vast majority of these tumors originate. HPV-related oropharyngeal cancer is more prevalent now than HPV-related cervical cancer in women. HPV-related oropharyngeal cancer has been increasing in the United States over the last three to four decades, while the incidence of tobacco and alcohol-related tumors has been declining. More than 22,500 people are diagnosed with HPV-related oropharyngeal cancer each year.

Learn more about how Wellstar cares for head and neck cancers.

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Kia Renee Jones Cancer Care
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Dr. Nasarachi Onyeuku, a radiation oncologist at Wellstar, standing with one of the two TrueBeam linear accelerators in use for cancer care at Wellstar Cobb Cancer Center

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Wellstar Cobb Cancer Center Expands Treatment Services

New radiation technology and refreshed waiting and treatment areas are expanding world-class cancer treatment at Wellstar Cobb Cancer Center.

Cancer care in forward motion

Wellstar Cobb Cancer Center recently installed its second TrueBeam linear accelerator, which treats various cancers, including brain, head and neck, prostate, breast, lung, skin and gastrointestinal tumors. With the linear accelerator, clinicians can adjust the size and shape of beams to a tumor’s shape and spare healthy tissue.

With the second linear accelerator, Wellstar Cobb can offer patients more flexible and convenient scheduling. “An additional linear accelerator can lead to timely treatment starts and shorter wait times,” said Dr. Nasarachi Onyeuku, a radiation oncologist at Wellstar. “It expands our ability to treat more patients with cutting-edge care, continuing our commitment to bringing world-class cancer treatment closer to home.”

In addition to state-of-the-art external beam radiotherapy, TrueBeam delivers precise, high-dose stereotactic body radiotherapy (SBRT) targeting tumors in the body. It also provides stereotactic radiosurgery (SRS) for brain or spine cancer treatment. Patients will typically receive one to five treatments.

Patient-centered care at Wellstar Cobb

Wellstar Cobb Cancer Center recently renovated its treatment areas, front desk and waiting room, making it more welcoming and comforting for patients and their families. Within the treatment areas, the suite where patients receive high-dose radiation brachytherapy, a targeted treatment that involves placing radioactive material directly into tumors or near them, also underwent renovations.

“The beautifully designed space enhances patient comfort, offering a calm, supportive environment,” Dr. Onyeuku said. “We’re currently treating breast, cervical, uterine and skin cancers, with plans to expand to other cancer types. It’s advanced, efficient care—delivered close to home and with compassion.”

Early detection and support services

Cancer care begins with prevention and early detection. Wellstar Cobb is home to a lung cancer STAT Clinic, where specialists collaborate to diagnose and begin treatment within as little as 14 days. According to research by the Cleveland Clinic, patients can spend up to eight weeks on average visiting different specialists before starting a treatment plan. Earlier treatment can lead to the best possible outcomes.

Patients at Wellstar Cobb receive support at every stage of their treatment. These services include:

  • Emotional support from a social worker
  • Lymphedema therapy for patients with excess fluid and swelling
  • Meal planning with a dietitian
  • Monthly support group
  • Pain management
  • Physical therapy
  • Transportation assistance

“We have a superb team and state-of-the-art treatment here at Wellstar Cobb Cancer Center. And we’re backed by the resources of a nationally recognized health system,” Dr. Onyeuku said. “We are thrilled that our technology enhancements allow us to serve more people with exceptional cancer treatment.”

Learn more about cancer care in Cobb.

Keep reading
A healthcare provider checks the lungs of her patient using a stethoscope. Reads "PhyllisCare".

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PhyllisCare

For Phyllis Burgess, staying on top of her health made all the difference. When lung cancer showed up on a routine screening, she was ready—and so was her Wellstar care team.

Friendly photo of Phyllis Burgess


Proactive primary care

When Phyllis retired after nearly 50 years as a bookkeeper, she looked forward to a slower pace and more time for herself. A breast cancer survivor and former smoker, she also wanted to be proactive about her health.

Encouraged by her Wellstar primary care physician, Dr. David Gose, Phyllis committed to regular lung cancer screening at Wellstar Paulding Medical Center —staying one step ahead of a disease that usually goes unnoticed until it's too late. Wellstar’s lung cancer screening program is a national leader in early detection, offering low-dose CT scans that help detect early-stage lung cancer before clinical signs or symptoms become evident.

Her first three CT scans came back clear. But on her fourth screening, doctors spotted something suspicious.

Quick answers with the STAT Clinic

Phyllis was quickly referred to the Wellstar Specialty Teams and Treatments (STAT) Clinic for Lung Cancer at Wellstar Paulding. The program quickly moves patients through screening to diagnosis and treatment with a multidisciplinary team of experts. Patients with lung and other chest cancers meet with multiple specialists in one place, often on the same day, to reduce delays and improve outcomes.

"Most of the time you don’t get two or three or four or five people on your case from the get-go,” said Phyllis. "But knowing that I had this group of qualified professionals looking at my tests, discussing what we need to do, how best to do it, when to do it—it’s very comforting."

At the Wellstar STAT Clinic, Phyllis’ care team included a thoracic surgeon, medical and radiation oncologists, pulmonologist and nurse navigators, who bring a highly personalized level of guidance and support to each patient and their family members.

"The support staff was just fabulous,” Phyllis said. "They’re like best friends. They’re there for you."

Behind the scenes, her care team was already working in sync to coordinate fast care.

“We plan patients’ appointments ahead of time, ordering multiple tests that will be necessary for the treatment decision-making. These can include PET scans, CT scans, MRIs and/or a pulmonary function test,” said Dr. Daniel Fortes, Wellstar chief of thoracic surgery. "We’re always gaining time in the patient’s overall treatment because we are anticipating and creating a plan as a team."

Dr. Fortes emphasized that timing matters when treating lung cancer. "We have data to show that if we delay treatment, even in early-stage cancers, we do decrease the chance of a cure,” he said. “The goal of the STAT Clinic is to get them the quickest we can into their final treatment plan."

Expert diagnosis and advanced surgery

To diagnose her cancer, Phyllis underwent a robotic bronchoscopy at Wellstar Kennestone Regional Medical Center. The advanced procedure allowed the pulmonary team to examine her lungs and collect tissue samples.

The biopsy confirmed lung cancer. Having already caught one cancer early, Phyllis was grateful she had remained vigilant—keeping up with annual screenings and following through on care every step of the way.

"I am sort of a walking advertisement for early detection," she said. "My mammogram showed up with stage zero breast cancer. And I think they described the lung cancer as 1.1—very early, no metastasis. I’ve been very fortunate. These processes that are there for people to take advantage of saved my life.”

Phyllis returned to the STAT Clinic, where the same team who had evaluated her case before came together again to review her results and finalize her treatment plan.

"Every single patient who comes through our clinic is discussed collaboratively by a group of lung cancer specialists so we can make a fast, informed decision as a team," Dr. Fortes explained. "Because Phyllis had good overall health and an early-stage diagnosis, she was an excellent candidate for surgery.”

Soon after, Phyllis had a lobectomy at Wellstar Kennestone. Dr. Fortes performed the robotic-assisted surgery using the  da Vinci Surgical System to remove the affected part of her lung.

"They told me what they would do, what kind of incisions they’d be making and what I could expect in the way of healing," Phyllis said. “So, I went in feeling like this is not some strange, scary process.”

Dr. Fortes noted that complex cancer surgeries are best performed at major centers like Wellstar Kennestone. "Complex cancer care demands a comprehensive structure of care around the patient that includes more than just physicians and technology," he explained. "At the same time, we are continuing to expand our STAT Clinics to bring them closer to people's homes and with the aim of improving access for patients.”

Ongoing care, close to home

Phyllis’ lung cancer surgery took place the day before a snowstorm was forecasted to hit the metro Atlanta area. However, thanks to Dr. Fortes’ minimally invasive techniques—which resulted in less pain, less scarring and less blood loss—she was able to be discharged from the hospital that evening and avoid being stuck at the hospital for several days due to poor road conditions.

Phyllis described her recovery as “easy” and now feels great. She continues her follow-up care for both lung and breast cancer at the Wellstar Women’s Imaging Services at Wellstar Paulding, close to home.

“Wellstar Paulding feels like home, even when I’m dealing with someone who I haven’t met before,” she shared. “Whether it’s the receptionist or the admissions nurse—they’re always very, very friendly and helpful. There’s a family feel to it."

Hope, health and staying vigilant

As she settles into retirement, Phyllis is sharing her story to encourage others to set aside any fear or guilt and talk to their healthcare provider about lung cancer screening.

"Cancers are so insidious. You’re not going to just go, 'Gee, I don’t feel good; it must be cancer,'" she said. "There’s no big warning signs until it’s serious. Early detection is absolutely our best weapon. It’s our best defense.”

Dr. Fortes echoed the importance of early detection. "We can only cure lung cancers if we pick them up in an early stage. That’s why lung cancer is the No. 1 cancer killer in the world,” he said. “The only way we can change that is by diagnosing early. And then they are truly curable.”

Phyllis is thankful for Wellstar’s STAT Clinics that are designed to move quickly when it matters most.

Her advice to others considering treatment at a STAT Clinic? "Please do it. It’s the difference between life and death,” she urged. “At the same time, it’s in an environment where you don’t feel like you’re a sample in a petri dish. These are people, and they’re warm, and they care."

Learn more about who is eligible for lung cancer screening, find a location near you or schedule your lung cancer screening at Wellstar.

Learn more about STAT Clinics at Wellstar.

Keep reading
Female Wellstar head and neck cancer physician performs physical exam of female patient's neck area.

Highlights

Transforming Head & Neck Cancer Care with Transoral Robotic Surgery

Wellstar is at the forefront of providing comprehensive head and neck cancer care, offering advanced treatments like transoral robotic surgery (TORS). Head and neck cancer specialist Dr. Kia Jones said the minimally invasive surgical approach is primarily used for tumors in the oropharynx—the area of the throat which includes the tonsil and the root of the tongue, also known as the tongue base.

“In this procedure, the surgeon accesses the cancer by passing tools through the mouth to the area of concern without external incisions,” said Dr. Jones, an expert in head and neck cancer surgery and microvascular reconstructive surgery.

She explained TORS is performed with the aid of the da Vinci robotic surgical system.

“The surgeon sits at a console, controlling the robot and instruments under high-definition camera visualization to remove tumors completely in areas that are inaccessible to the surgeon's hands,” she said.

The benefits of TORS

People who undergo TORS often experience shorter hospital stays, less postoperative pain and quicker return to normal activities compared to traditional surgical methods. After surgery, these patients can generally eat within a day and are discharged within one to three days, with no need for neck breathing or stomach feeding tubes.

Who may consider TORS

TORS is particularly beneficial for patients with early-stage oropharyngeal tumors, especially HPV-driven squamous cell cancers, which tend to occur in younger individuals. TORS offers an additional treatment option that may be a better fit for some patients than primary radiation, which has been the standard of care standard of care for oropharyngeal cancers as traditional surgical approaches with large open incisions fell out of favor.

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