PNA Spotlight: Dr. Sanjay Ghosh

GhoshThis month the PNA spotlight focuses on neurosurgeon Sanjay Ghosh, MD. Dr. Ghosh is originally from Detroit, Michigan, and did his undergraduate studies and attended medical school at the University of Michigan. He did his residency in neurosurgery at the University of Southern California. He completed a fellowship in skull base surgery at the House Ear Clinic. He then joined the Senta Clinic in San Diego. He is a professional member of the PNA. Dr. Ghosh was kind enough to answer a few questions from the PNA.

What is your primary specialty?

1. My primary work is the delivery of state-of-the-art care to patients with disorders of the skull base, including pituitary adenomas. Our approach at the Senta Clinic in San Diego incorporates a multidisciplinary team approach that enables us to utilize all of the surgical approaches and treatment modalities that are available to patients with pituitary adenomas. The surgical approaches include endoscopic transsphenoidal approaches, sublabial transsphenoidal approach, and orbitozygomatic transcranial approach. The best radiosurgical treatment modalities include gamma knife and cyberknife. Our group has expertise in all of these approaches and we are able to tailor the treatment to best serve the individual needs of the patient with pituitary adenomas. Our goal at the Senta Clinic is to use these tools to minimize complications and maximize treatment efficacy through the integration of surgical skill and technology.

2. What do you see as the future of your field?

The future of skull base surgery and the treatment of pituitary adenomas is a trend toward zero morbidity and zero mortality. This means utilizing surgical resection when possible, but leaving behind tumor that cannot be safely removed, and then treating the remaining tumor with radiosurgery utilizing the cyberknife or gamma knife systems. The combined approach allows the surgeon to remove tumor mass and decompress critical structures such as the optic chiasm, and then effectively treat any remaining tumor with radiosurgery. It is my opinion that patients are best served by skull base teams that adopt this approach. The Senta Clinic is a great resource for patients in San Diego and the southwestern United States who have pituitary adenomas.

3. Why did you choose to specialize in pituitary medicine?

I became involved in the treatment of pituitary adenomas as a result of my interest in challenge of treating tumors of the skull base. Tumors of the skull base such as pituitary adenomas require tremendous intellectual and technical competence to treat them safely and effectively. I was drawn to this field of neurosurgery based on my experiences with some of my mentors including Martin Weiss, Steven Giannotta, John Diaz Day, and William Hitselberger.