Dr. Meni Brakha
Expert in complex oncological surgery Melanoma, sarcoma and rare tumors
Surgical oncologyRecommended Reviews for Dr. Meni Brakha
קרן
, תל אביב
5.0
''Meeting Dr. Mani Bracha was an exceptional experience of impressive professionalism, combined with high availability, deep commitment to patients, and humane and sensitive treatment. It is difficult to overstate the importance of all these qualities during the complex period of discovering a malignant disease, and I am very grateful that Dr. Bracha was there to accompany me before the surgery, during it, and also in the stage of making therapeutic decisions afterward.
Dr. Bracha was willing to provide complex explanations that I requested about treatment alternatives, disagreements among specialists, and the relevant professional literature. Everything was done at eye level, with precise and comprehensive explanations, and when this comes from a physician who has comprehensive training and stands at the forefront of surgical-oncological practice, I felt that I was truly in good hands. He also spared no effort to obtain reviews or additional tests that he believed were necessary for decision-making.
The entire conduct instills calm, confidence, a sense that there is someone to rely on, and it is rare and heartwarming. Thank you very much!
03/23/2026
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David
, Modiin
5.0
''I give Dr. Bracha the highest recommendation. Everyone wants the best technical surgeon when being operated on, that is obvious! After 5 surgeries in 5 years with different surgeons, I say with confidence and experience that Dr. Bracha is at a world-class level. When it comes to good bedside manner, someone who also listens and takes time to answer all questions, that is a bonus, and here too Dr. Bracha is at a world-class level.
11/11/2025
Treatment type: Melanoma Excision
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אורי
, הרצליה
5.0
''Dr. Meni Bracha was the most suitable physician summoned to us during difficult days. What fortune.
A sarcoma was discovered in me. This was against the background of a history of various types of cancer.
When you are helpless, frightened and lost, only a physician with such a warm and caring personality can penetrate through the veil and stabilize you. And so it was with Dr. Bracha.
Regarding the medical aspect, he acted swiftly and creatively, while consulting with a multidisciplinary team, without donning the familiar physician mask of "I know everything." He strived. He operated and did his very best.
He informed and included us in every stage, supported us greatly and was available around the clock.
His professionalism, warmth and personality helped me and my family to peacefully navigate the entire process until the expected and positive conclusion.
Respect and pride for such a physician.
11/10/2025
Treatment type: Soft Tissue Sarcoma
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About Dr. Meni Brakha
Position
Senior physician in the Department of Oncological Surgery at Hadassah Ein Kerem Hospital, Jerusalem
License ID
141375
Speciality
Oncological Surgery - Melanoma, Sarcoma and Rare Tumors
Other Specialties
Soft tissue tumors, complex surgeries for metastasis removal in limbs and soft tissues, complex tissue reconstructions using skin flaps, metastatic melanoma, metastatic sarcoma, NET tumors.
Description
Dr. Meni Brakha, an oncological surgeon specializing in melanoma and sarcoma operations, leads the melanoma and sarcoma surgery department at Hadassah Ein Kerem as part of a broad multidisciplinary team. A graduate of official fellowship training at Peter MacCallum Cancer Centre (Australia) and training at Moffitt Cancer Center in Tampa, USA. An expert in wide excisions of melanoma and advanced reconstructions (oncoplastics), sentinel lymph node biopsy, extensive lymph node dissection, excision of soft tissue tumors and sarcomas throughout the body (including retroperitoneum, limb-sparing surgeries, and advanced local treatments such as isolated limb perfusion chemotherapy in cases of metastatic melanoma or attempts to preserve limbs in sarcoma diagnosis. Performs all surgical components personally with emphasis on human and empathetic treatment, aspiration for optimal oncological healing and reduction of complication risk as much as possible.
Professional Experience
Senior physician in the oncological surgery department at Hadassah Ein Kerem Hospital, Jerusalem
Extended specialization in oncological surgery, with emphasis on melanoma, sarcoma and rare tumors at one of the leading cancer centers in the world - Peter MacCallum Cancer Center in Melbourne, Australia.
Training in oncological surgery at Moffitt Cancer Center in Tampa, Florida, USA.
Specialization in general surgery at Ichilov Hospital
Engagement in laboratory research in the field of oncological surgery, and partner in several international clinical research initiatives in the field of melanoma and sarcoma.
Permanent panel member in a global forum for discussion of complex sarcoma cases
Manager of sarcoma forum for questions on complex cases - https://www.doctors.co.il/forum-6382
Education
Medical studies at the Hebrew University of Jerusalem
Membership
Australian College of Surgeons
American Society of Surgical Oncology - SSO
American Society of Clinical Oncology - ASCO
Sentinel Lymph Node Working Group
European Society for Medical Oncology - ESMO
TARPSWG - World Association of Sarcoma Surgery Specialists
Surgeons Association
Israeli Association for Melanoma and Skin Cancer
Languages
Hebrew
English
Treatments
Cutaneous melanoma – diagnosis and surgery: wide excision, skin reconstruction (oncoplastics), sentinel lymph node biopsy, margin management.
Melanoma with lymph node involvement - radical lymph node dissection.
Sarcomas (limb/body/Retroperitoneal): surgical planning for limb/organ preservation.
Retroperitoneal Sarcoma.
Rare skin tumors (Merkel/DFSP/NMSC high-risk) and rare soft tissue tumors.
Dermatofibrosarcoma - DFSP.
Desmoid fibromatosis - Desmoid Tumor.
Kaposi sarcoma - lesion excision, intratumoral chemotherapy injection as an alternative to intravenous chemotherapy.
Breast phyllodes tumor - clinical and imaging assessment, precise surgical planning, personalized surgeries with aesthetic considerations.
Metastatic melanoma - treatment of in-transit metastases and soft tissue metastases.
Isolated Limb Infusion - infusion of chemotherapy to the limb only for limb preservation in cases of metastatic melanoma in the limb or limb sarcoma.
Second opinion before surgery or after partial/incomplete surgery in the field of melanoma and sarcoma.
Surgeries
Melanoma Surgery - Malignant Melanoma
Wide excision of melanoma with complex reconstructions when required for excellent cosmetic results (oncoplastics).
Sentinel lymph node biopsy, with precise localization and identification of the lymph node, in an attempt to improve disease control and refine treatment.
Radical lymphadenectomy
In-transit melanoma resection.
Robotic pelvic lymphadenectomy.
Skin flaps for reconstruction (alternative to skin graft with significantly better cosmetic results and fewer complications compared to grafts).
Primary biopsy of suspicious lesions in skin and soft tissues.
Surgery for resection of melanoma metastases in internal organs.
Consultation and second opinion for complex cases with primary or metastatic disease.
Complex surgeries for other skin tumors.
Axillary dissection/lymphadenectomy, specialized surgery for melanoma with involvement of deep lymph nodes (element not performed in lymph node surgery for breast cancer).
Inguinal lymphadenectomy/groin dissection - complex surgery with removal of all lymph nodes in the groin in one block, attempting to minimize the chances of local/regional disease recurrence.
Pelvic lymphadenectomy - performing the surgery both through open approach and robotically, decision made for each individual case with attempt for maximal control of regional disease.
Resection of melanoma metastases for production of personalized autologous vaccine in cases of inability to receive immunotherapy, and after discussion and evaluation by our comprehensive melanoma team.
Neck dissection of lymph nodes in cases of metastatic melanoma in cervical lymph nodes, when indicated.
Surgery for resection of hepatic metastases of uveal melanoma.
Sarcoma surgeries - Soft Tissue Sarcoma
Resection of retroperitoneal sarcoma - tailoring specific surgery to the precise sarcoma subtype, with attempt to preserve organs without oncological compromise.
Resection of dermatofibrosarcoma protuberans (DFSP) throughout the body, with optimal oncological outcomes and emphasis on cosmetic aspects.
Desmoid tumor surgeries - meticulous assessment of disease status, often healing without any surgery, desmoid surgeries when indicated with attention to cosmetic elements.
Cutaneous sarcomas of the scalp, head and neck - surgeries for Pleomorphic Dermal Sarcoma and other cutaneous sarcomas such as Leiomyosarcoma.
Metastatic sarcoma in the abdominal cavity - especially after unsuccessful primary surgery performed previously, with attention to disease biology and meticulous assessment in attempt to achieve cure when possible.
Isolated Limb Infusion of chemotherapy in minimally invasive approach, for limb preservation in cases of limb sarcoma requiring amputation.
Angiosarcoma surgeries, including cases of radiation-induced angiosarcoma.
Breast phyllodes tumor - complete assessment before surgery, tailoring the required surgical type to tumor grade, breast-conserving surgeries and oncoplasty.
Liposarcoma/Atypical Lipomatous Tumor - surgeries for liposarcoma tumors throughout the body, including extremities, chest, abdominal wall. Limb-sparing surgeries, with local cosmetic reconstructions (oncoplasty).
GIST surgeries - surgeries for both primary tumor and metastatic disease when control cannot be achieved at disease site with drug therapy.
Retroperitoneal Leiomyosarcoma - extensive experience in complex surgeries for leiomyosarcoma resection, sometimes requiring resection of major blood vessels to achieve cure and vascular reconstruction with grafts. Surgeries are performed as part of the comprehensive sarcoma team with full interdisciplinary cooperation to achieve optimal results.
Kaposi Sarcoma - surgeries for sarcoma and lesion resection when indicated, alternatively local injection of chemotherapy into the tumor (without systemic effects) with excellent results.
Initial assessment and thorough investigation of new soft tissue mass appearance - targeted imaging, decision on biopsy method, expediting investigation when necessary and building personalized treatment and surgical plan.
Surgeries for benign lipomas and advanced lipomas, including complex cases.
Merkel Cell Carcinoma - Merkel Cell Carcinoma
Evaluation of Merkel cell tumor - sometimes the decision that surgery is not necessary with identical chances of healing, sometimes the need for tumor removal.
Sentinel lymph node sampling in Merkel cell carcinoma - a critical element in treatment with the need for accurate identification of the lymph node, for the purpose of deciding on radiation delivery to the lymph node area in order to control the disease and prevent its progression.
Surgeries for metastases of Merkel cell carcinoma, mainly along the limbs but also in soft tissues.
Surgery for Peripheral Nerve Tumors - Peripheral Nerve Tumors
Assessment and analysis directed at Malignant Peripheral Nerve Sheath Tumor (MPNST).
Wide excision of neural tumors with neurovascular preparation.
Surgery for schwannoma tumors.
Surgery for neurofibroma and neurofibromatosis tumors.
Surgery for perineurioma tumors.
Surgery for granular cell tumors.
Surgery for rare non-melanoma skin tumors - Non-Melanoma Rare Skin Cancers
Surgery for Porocarcinoma tumor.
Surgery for Adnexal Skin Tumors and hair follicle tumors.
Surgery for Sebaceous Carcinoma.
Surgery for advanced Squamous Cell Carcinoma.
Surgery for rare cutaneous sarcomas including Pleomorphic Dermal Sarcoma and Undifferentiated Pleomorphic Sarcoma.
Surgery for Retroperitoneal Sarcoma - Retroperitoneal Sarcoma
Planned multivisceral resections.
Margin planning and organ-sparing procedures depending on the specific biology of the disease and individualized treatment plan.
Combined surgeries with major vascular resections and vascular reconstructions.
Surgeries for retroperitoneal liposarcoma.
Surgeries for retroperitoneal leiomyosarcoma.
Surgeries for retroperitoneal solitary fibrous tumor.
Surgeries for small round blue cell tumors of the retroperitoneum.
Surgeries for malignant peripheral nerve sheath tumor.
Surgeries for all malignant and benign tumors of the retroperitoneum.
Surgery for metastatic retroperitoneal sarcoma.
Locations
* You can also schedule an appointment at the clinic by calling 02-6778899
Hadassah Medical - Sports Hero Center, Menachem Begin Street 7, Ramat Gan, 5268102
* You can also schedule an appointment at the clinic by calling 02-6778899
Tel Aviv
Media
Insurance Accepted by Dr. Meni Brakha
In full arrangement with all insurance companies and all health funds (Shaban)
Press - Dr. Meni Brakha
Dr. Meni Brakha- How to identify the rare cancer sarcoma before it is too late?
How to identify the rare cancer sarcoma before it is too late?
Surgical approaches in melanoma. By Dr. Meni Brakha- specialist in oncological surgery.
From a patient conference of the Israeli Skin Cancer Association and the Sharett Institute of Oncology at Hadassah Ein Kerem Medical Center.
Skin melanoma: what is important to know
As a surgeon specializing in melanoma treatment, I see great importance in raising awareness about this disease. Melanoma is a dangerous type of skin cancer that develops in melanocyte cells - the cells responsible for producing pigment in the skin
What is retroperitoneal sarcoma?
Retroperitoneal sarcoma is a rare type of cancer that develops in the retroperitoneum, an area in the abdomen located behind the peritoneum, the tissue that lines the abdominal cavity. The retroperitoneum contains several vital organs, including the kidneys, pancreas, and major blood vessels. Due to its location, tumors in this area can grow to very large dimensions before they cause noticeable symptoms.
Reviews of Dr. Meni Brakha (116)
Your trust is the most important thing so doctors can not pay to change or delete the review.
Overall rating of Dr. Meni Brakha
5.0Based on 116 reviews
Show by medical issue or treatment type
יאיר לורברבוים
, ירושלים
5.0
''I was referred to Dr. Mani Bracha by a plastic surgeon at a health maintenance organization after melanoma was discovered in me. The doctor explained to me that he is one of the only physicians in the country who specializes in all aspects of this disease. I contacted Dr. Bracha through the private medical service and he immediately scheduled surgery for me without delay. At the preliminary meeting, he explained in detail the nature of the disease, the behavior of the tumor, and the procedure I was about to undergo. His explanation, and his approach in general, put me and my family at ease. He explained to me that I needed to undergo a 'melanoma excision' surgery as well as a 'sentinel lymph node biopsy' to determine whether the lesion had spread to the lymphatic system.
I should note that Dr. Bracha was available at every stage of the treatment for any question (both by phone and WhatsApp messages).
His management and treatment were excellent, and so were their results!
07/13/2026
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שלמה
, ירושלים
5.0
''The treatment I received from Dr. Meni Bracha included an initial consultation, surgery, and post-operative follow-up. Throughout all these stages, I felt his professional approach, personal care, thoroughness, and dedication. Highly recommended!
07/12/2026
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יפית
, שרעבי
5.0
''After receiving a pathology report confirming a new melanoma on my arm, I felt lost and confused, not knowing what the next step would be. I was looking for a surgeon who specializes specifically in melanoma, not just a general or plastic surgeon who performs excisions. After considerable research and inquiries, I eventually found Dr. Meni Bracha's clinic in Ramat Gan. He is an oncological surgeon at Hadassah Ein Kerem, a world-class melanoma specialist with an outstanding reputation.
Already in our first meeting, Dr. Bracha thoroughly reviewed the pathology report with me and explained the significance of the melanoma's thickness, its ulceration, and the mitoses. He explained the required wide excision and the oncological nuances involved. He also discussed with me the need, in my case, for a sentinel lymph node biopsy (he personally calculated the risk of lymph node involvement for me), the stages of the surgery which he performs entirely himself, and the expected follow-up. He explained at length the implications of each possible outcome, addressing the margins, the cosmetic appearance, functionality, and further oncological treatment. During the conversation, I got the impression that he is not only a warm and empathetic individual but, above all, a true professional who is deeply knowledgeable about the biology of this disease and attentive to every possible detail. This made me feel confident that I was in remarkable hands.
Subsequently, I underwent surgery performed by Dr. Bracha at Hadassah Ein Kerem Hospital, where he carried out a wide excision of the melanoma and a sentinel lymph node biopsy. It was clear to me that the entire surgery was performed by him, not by a resident, and without the assistance of physicians from other disciplines. Personally, that fact made all the difference to me. The surgery went smoothly, the compassionate care throughout the day from the entire team, led by Dr. Bracha, was remarkable, and I was discharged home that same day.
Fortunately, the excision margins were clear, the melanoma had not reached the sentinel lymph node, and I am a healthy person today. My recovery from the surgery was excellent, with no complications and no setbacks, and the cosmetic result was simply outstanding, with a delicate and very beautiful scar that is barely visible. Dr. Bracha was available on his personal phone throughout the entire process, looked after my well-being, and is a true example of patient care and empathy. Beyond his professionalism and remarkable knowledge, Dr. Bracha gave me the sense that there was someone looking at the complete oncological and surgical picture with deep understanding, truly accompanying me, and not merely a 'technician' focused on the technical aspects of things.
I wholeheartedly recommend him to anyone who has received a new melanoma diagnosis and is looking for a professional, knowledgeable, thorough, compassionate, available, and caring oncological surgeon and melanoma specialist.
07/12/2026
Treatment type: Melanoma Excision | Sentinel Lymph Node Disection | Slnb | Resection Of Malignant Melanoma Of The Head And Neck | Axillary Lymph Node Dissection
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Suri Ordman
, Jerusalem
5.0
''He is the best! He explained the procedure thoroughly and in a kind and clear manner. He was always available on whattsapp and contacted me to check up. The appointments were on time and the surgery has healed well. He speaks excellent English and proves that there are some Israeli doctors who understand the importance of a good bedside manner.
07/12/2026
Treatment type: Wide Resection Of Soft Tissue Sarcoma
ד"ר יפעת לב ארי
, מכבים
5.0
''There are excellent doctors, and there are doctors whose profession is a calling. Such is Dr. Mani Bracha, a rare combination of both.
From the very first moment, I felt I was in the best hands — uncompromising professionalism, vast knowledge, thoroughness, calm and confidence, alongside exceptional human sensitivity. In a period when every word and every glance carries meaning, Dr. Bracha knew how to listen, to explain with endless patience, to answer every question, and to be truly available.
Beyond being a professional, he is first and foremost a person. A person who looks at the patient at eye level, who provides a sense of security, hope, and genuine care. It is rare to meet a doctor who manages to combine professional excellence with such a great heart.
A tremendous thank you, Dr. Mani Bracha, for the guidance, dedication, sensitivity, and wonderful care. I have no doubt that anyone fortunate enough to be your patient will immediately understand that they are dealing with an extraordinary doctor and a rare individual.
I recommend you wholeheartedly, with immense appreciation and gratitude — you are certainly not to be taken for granted.
07/12/2026
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ד"ר אורי ארני
, באר יעקב
5.0
''About a month ago, I was diagnosed with 'Merkel ca' in my nose. I was sent to have a biopsy at one of the hospitals, as a preliminary step before surgery in which a large part of my nose would be removed. They had an appointment for the biopsy two weeks ahead. I felt like my world was falling apart. I started searching the literature, and fortunately I found the name of Dr. Bracha, who was defined as an expert in malignant skin tumors. To my surprise, his personal phone number was also there. I called, and when I explained the findings, he scheduled an appointment for me the very next day. I arrived at his clinic at Hadassah private care. He glanced at the growth and immediately concluded: 'This is not what it seems.' He immediately scheduled a biopsy appointment, which was performed within two days. Within eight days, I received the result that it was a secondary infection of some cyst that had been hiding under the skin. In short, a doctor with great knowledge and experience, and most importantly, I felt that he cares about me, that he is concerned, I am not just another patient. Well done, Dr. Bracha, continue on this path!!!
06/30/2026
Treatment type: Neck Mass Biopsy
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קרול
, אשדוד
5.0
''We were referred to Dr. Meni Beracha by a surgeon who removed a mole without mentioning the name of another doctor.
On the same day we spoke with him and after brief explanations and a description of the case from our side, Dr. Beracha scheduled an appointment for us for the following week.
When we arrived at the clinic and after an examination and review of the medical file, he scheduled surgery for the week after.
He detailed the entire process and answered every question we had.
Also, that week he was attentive and most importantly very reassuring.
He was available for any question and always answered.
On the day of surgery he gave an explanation before and after the surgery and always in a pleasant and reassuring manner, which is important at eye level.
In the days after the surgery he was always available for our questions and with answers about phenomena that occurred.
He knew how to reassure us in everything until receiving the final results and even after we received them.
And this is without mentioning the surgery itself which was performed in the most professional manner, as after two months you can barely see a scar.
To sum up, we have no words to say thank you for all the listening and patience.
05/29/2026
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אזולאי
, ירושלים
5.0
''Professional doctor
Personal approach
Highly recommend!
05/28/2026
Treatment type: Soft Tissue Tumor Excision
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Debra Markus
, Jerusalem
5.0
''Kind and caring with follow up and support most unlikely these days.
05/28/2026
גדי אילון
, באר טוביה
5.0
''Dr. Meni Bracha received me with patience and kindness. I received a good feeling and confidence that I was in good hands, which indeed proved to be true and more. The questioning was thorough after he introduced himself to me, and from that point on I felt as if I were his only patient and all attention was given to me. Dr. Bracha referred me for an oncological skin scan, which was indeed important. The result of the surgery was perfect, including a scar more delicate than the scar from the surgery following which I came to Hadassah Ein Kerem Hospital. The referral was to an oncologist, and I came to Dr. Avner Mordechai who referred me to Dr. Meni Bracha. My satisfaction with the treatment throughout the entire process is very high, and I am very pleased and appreciate Dr. Meni Bracha and his professional approach and the calmness that pervades his actions.
05/26/2026
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Frequently Asked Questions
What is sentinel lymph node biopsy in melanoma and when is it needed? (SLNB)
Sentinel lymph node biopsy checks whether melanoma cells have spread to the first lymph node draining the tumour area. It is usually performed when melanoma thickness exceeds ~0.8 mm, or in thinner melanomas with ulceration or high-risk features. The procedure is used for staging and guiding further treatment. Surgery is performed together with wide local excision, usually under general anaesthesia, using lymphoscintigraphy and a dye/tracer.
Retroperitoneal sarcoma — how is surgery different and why is a specialised centre important?
Retroperitoneal sarcomas are situated close to vital organs (kidney, pancreas, bowel, major vessels). Multivisceral resection planning is often required, sometimes including adjacent organ removal to achieve clear margins. Decisions are made by an experienced retroperitoneal sarcoma MDT, with advanced imaging and surgery performed by a sarcoma surgeon well versed in oncological pathways. Choosing a high-volume centre reduces complications and improves local control and survival.
"A lump was removed elsewhere and melanoma/sarcoma was found — what now?" (Re-resection/Unplanned excision)
When a diagnosis emerges after unplanned excision, re-mapping is required: complete pathology, appropriate imaging (MRI/CT/PET as needed) and MDT discussion. In melanoma — margin widening and SLNB may be needed to complete staging. In sarcoma — planned re-resection along the correct oncological pathway to achieve negative margins is usually required, sometimes with adjuvant treatment. The goal: correct the oncological pathway and minimise local/systemic recurrence risk.
How do you choose a sarcoma/melanoma surgeon and what is important to ask before surgery?
Look for dedicated experience (high annual surgical volume), an academic multidisciplinary centre and the ability to perform the full treatment sequence: correct diagnosis (biopsy/mapping), precise surgery (wide margins/SLNB/multivisceral) and oncoplastic reconstruction when needed. Ask who actually performs all stages of surgery, how many similar cases are done per year and what the complication and re-resection rates are.
What does follow-up after melanoma/sarcoma surgery look like and what are the warning signs?
The follow-up programme is determined according to disease stage/histology and includes periodic clinical examination, lymph node ultrasound in selected melanomas, and imaging (CT/MRI/PET) in sarcomas according to recurrence/metastasis risk. Warning signs: new/growing lump, change in scar, lymph node swelling, deep/persistent pain, unexplained weight loss, new/persistent cough. Rapid reporting to the team enables early diagnosis and optimal treatment.
What is ILI/ILP — Isolated Limb Infusion/Perfusion in limb melanoma and when is it considered?
ILI or ILP are regional treatment procedures for in-transit melanoma or multiple limb lesions not amenable to simple excision or insufficiently responsive to systemic treatment. Blood flow to the limb is isolated briefly and a high-concentration chemotherapy drug is infused through catheters, achieving high local response while minimising systemic exposure. Goals: limb preservation, disease burden reduction and quality-of-life improvement.
How is surgery combined with immunotherapy/targeted therapy in melanoma? (Peri-operative systemic therapy)
Effective systemic treatments (immunotherapy, targeted therapy) are now given before/after surgery according to disease stage. In selected situations neo-adjuvant therapy is considered to reduce disease/improve outcomes, and in other stages adjuvant therapy is used to reduce recurrence risk. The decision requires a multidisciplinary team that understands the timing relative to surgery (wound risks, side effects, immune toxicity).
I have a desmoid tumour (Desmoid / Desmoid-type fibromatosis) — is surgery necessary?
Not always. A desmoid tumour (Aggressive fibromatosis) is a connective tissue tumour with locally aggressive behaviour, but unlike classic sarcoma it does not metastasise. In many cases the first recommendation is close monitoring (active surveillance) because some tumours stabilise or even shrink without surgery. When there is severe pain, functional impairment, risk of nerve/vascular damage or threatening growth, active treatment is discussed: planned surgery preserving function, or dedicated targeted/biological therapy. Most importantly: do not rush to 'over-wide' surgery with a non-specialist surgeon, as aggressive excision can cause major functional damage without oncological benefit.
What is DFSP (Dermatofibrosarcoma Protuberans) and why is it important that a sarcoma surgeon manages the case?
DFSP is a soft-tissue skin/subcutaneous tumour considered locally aggressive but with a relatively low tendency to metastasise. The main problem with DFSP is microscopic roots that can extend far beyond what is visible. Wide excision with correct margins is therefore critical. A common mistake is small cosmetic excision in the community, which returns DFSP pathology — requiring planned re-resection at a sarcoma centre, sometimes with oncoplastic reconstruction. The goal: remove all DFSP with clean margins (R0) and prevent local recurrence.
Is there an advantage to one surgeon performing all stages of melanoma surgery — wide excision, SLNB and oncoplastic reconstruction?
Some Israeli services use a multidisciplinary model where different stages are performed by different teams, and this is certainly a valid option. However, there is also an approach where a single oncological surgeon expert in melanoma performs the entire surgical sequence. This is standard practice at many leading cancer centres worldwide. Potential advantages include unified oncological planning, a single point of clinical responsibility, fewer handoffs between teams, tailored oncoplastic reconstruction and simplified follow-up communication.
Is melanoma excision surgery necessarily performed under general anaesthesia? Is prolonged hospitalisation required?
Wide local excision alone can be performed under local anaesthesia only (sometimes combined with sedation). When sentinel node biopsy is also required, surgery is usually performed under general anaesthesia, though in some cases sedation is sufficient. Regarding hospitalisation, Dr Meni Bercha routinely discharges patients home on the day of surgery provided they feel well and wish to be discharged. He remains personally available at all times and maintains ongoing contact with his patients.
What are the excision margins in melanoma and why do they vary? (Wide Local Excision margins)
The margin removed around a melanoma is determined by the Breslow thickness. For in-situ melanoma 5 mm margins are required; for thin melanoma 1 cm; for thick melanomas usually 2 cm. The goal is optimal local control without unnecessary functional or aesthetic compromise. In sensitive locations (face, hand/foot, ear) oncoplastic planning is required.
A positive sentinel node was found — is complete lymph node dissection mandatory? (CLND)
Today, complete lymph node dissection is not the default in every positive case. In many cases the preference is careful surveillance with periodic ultrasound of the lymphatic region and consideration of adjuvant immunotherapy according to stage and tumour characteristics. This reduces lymphoedema complications without compromising oncological outcomes.
I was diagnosed with metastatic melanoma — is surgery still an option?
Metastatic melanoma does not always mean there is no surgical option. There are two main arms: advanced systemic treatments (immunotherapy and targeted therapy) that can achieve disease control or even disappearance of certain metastases; and focused oncological surgery — in selected cases with isolated lesion(s) or limited disease burden, complete surgical removal can be considered as part of the overall treatment.
Soft-tissue sarcoma — how to start the workup correctly?
For any deep mass over 5 cm or rapidly growing mass, sarcoma should be suspected and MRI performed for precise assessment of extent and involvement of muscles, nerves and vessels. Core-needle biopsy must be performed by a coordinated sarcoma team, along a tract that can be excised in future surgery — to avoid unplanned excision which increases recurrence risk. After diagnosis, a Tumour Board determines the strategy: surgery to negative margins with/without radiation/chemotherapy according to histology, grade and location.
What phone number can I use to contact Dr. Meni Brakha?
You can contact Dr. Meni Brakha by phone: 055-4561351.
What are the specialties of Dr. Meni Brakha?
The clinic of Dr. Meni Brakha specializes in Surgical oncology, Oncology, Dermatology Malignant Lesions, Orthopedic Oncology.
In which languages can I receive service from Dr. Meni Brakha?
Dr. Meni Brakha provides service in the following languages: Hebrew, English.
Can I contact Dr. Meni Brakha by email?
You can contact Dr. Meni Brakha by email.
How can I book an appointment with Dr. Meni Brakha?
You can book an appointment with Dr. Meni Brakha via 055-4561351 or by email.
Is it possible to book a virtual appointment with Dr. Meni Brakha?
You need to contact the clinic of Dr. Meni Brakha to find out.
Book an Appointment
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