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Dr. Meni Brakha

Dr. Meni Brakha

Expert in complex oncological surgery Melanoma, sarcoma and rare tumors

Surgical oncology
5.0

Recommended 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

Hadassah Medical Center - Ein Kerem, Jerusalem, 9112001

* 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

Private visit
Clalit
Meuhedet
Leumit
Maccabi
AIG
Migdal
Menora
Clal Insurance
Harel
Phoenix
Eliahu
Ayalon
Dikla
Bituach Yashir
Hachshara
Ministry of Defence (Zahal)

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?

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.

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

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?

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 (117)

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Overall rating of Dr. Meni Brakha

5.0

Based on 117 reviews

Show by medical issue or treatment type

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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א.

, ירושלים

4.9
''Dr. Brakha was available from the first phone call. He immediately arranged a visit to his office and within two days an examination with Prof. Michal Lotem. During the visit, he provided us with detailed information about the lesion, treatment options, and chances of recovery. All of this with great patience and pleasantness.

05/24/2026

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אמנון

, ירושלים

5.0
''Dr. Meni Bracha is a professional doctor, experienced, humane and full of blessing! From the initial meeting and first conversation to understand the need and surgical implications, through the involvement and participation in the entire process, coordination with the complementary team work, performing the surgery itself, the involvement and follow-up after the surgery - simply, there is nothing like it and I am full of appreciation. In summary: 1. A professional with extensive experience (from Israel and abroad - Australia and not only) 2. Speaks at eye level and clarifies matters. 3. Takes care of every detail and aspect in the complex process. 4. Involved on a personal level with very high availability and accompanies you throughout the entire process. Simply a wonderful person. I am deeply grateful that I was freed from the burden of the tumor and had the privilege of being treated by Dr. Bracha!

05/23/2026

Treatment type: Melanoma Excision

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ד"ר ורוניקה גנדלמן

, אשדוד

5.0
''We would like to wholeheartedly thank Dr. Bracha for professional, dedicated, and humane treatment throughout the entire journey. From the first meeting, we received personal attention, patience, sensitivity, and a complete sense of security. The surgery was performed with great professionalism, with attentive accompaniment, clear explanations, and availability for every question or concern. We warmly recommend to anyone dealing with melanoma and looking for a professional, thorough doctor with an exceptionally humane approach. Thank you very much for the accompaniment, care, and dedicated treatment.

05/23/2026

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קוטוב נדג'דה

, ירושלים

5.0
''I would like to express my deep appreciation to Dr. Beracha for the dedicated, professional, and humane treatment I received. From the first moment, I felt that I was in safe hands — with warm attitude, patience, genuine listening, and exceptional care. Dr. Beracha demonstrated the highest level of professionalism, thoroughness, sensitivity, and availability for any question or concern, and provided a sense of security and calm throughout the entire journey. I am grateful from the bottom of my heart for the excellent treatment and the rare human approach. I highly recommend to anyone looking for a professional, reliable, and humane doctor at the highest level.

05/22/2026

Treatment type: Metastatic melanoma

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Nina Bogokovsky

, כפר סבא

5.0
''Dr. Brakha provided my mother with dedicated and professional medical care. We came to Dr. Brakha during a difficult period, full of concerns and uncertainty. An abdominal tumor diagnosed as sarcoma. From the very first phone call, Dr. Brakha projected a sense of confidence and professionalism that alleviated a considerable part of our fears. Beyond the high medical expertise, Dr. Brakha showed exceptional humanity. The attentive listening, patience, considerate treatment, and detailed explanation of every step in the examinations and throughout the entire process – before the surgery, during it, and after – were not taken for granted by us. I felt that my mother was in the best possible hands, and that we had someone to rely on. We thank him for the time he devoted, for the empathy, and for not sparing us warm and personal attention. May there be more physicians like this who are dedicated with such total completeness to their profession and to their patients. The way Dr. Brakha treats and relates to patients is not taken for granted.

05/21/2026

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איתי

5.0
''There are no words to describe the professionalism and humanity I received from Dr. Meni Beracha. In fact, thanks to him I was saved from an unnecessary surgery, thanks to Meni's referral to professional and advanced tests that unfortunately do not exist in the periphery. Additionally, Meni explained the medical situation in the meeting with patience and made the knowledge accessible in the best way possible. In short, highly recommended.

05/21/2026

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יעל מעוז

, מבשרת ציון

5.0
''Professional. Courteous. Attentive to the patient. Available for contact. And follows up after the surgery. I was very satisfied with the treatment.

05/20/2026

Treatment type: Melanoma Excision

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שגיא

, דימונה

5.0
''I had the privilege to meet and be treated by a rare doctor, one in a generation. A doctor who is first and foremost kind, humane, patient, and a top professional. I was operated on by the doctor to remove a large tumor from the sarcoma family from my left thigh. Dr. Meni is a professional and expert of the highest order. He is an expert with knowledge and professionalism in everything, everything I asked was answered with an amazing level of knowledge and expertise and with unusual speed. You will not find a better expert than him for any issue that requires treatment, but it is clear that regarding all soft tissue tumors and sarcomas he is number 1. I am grateful to God who directed me to him when the sarcoma was discovered and after the surgery and treatment I received and continue to receive from him, I have no rest from thanking him. Thank you Dr. Meni, who will undoubtedly soon be Professor Meni!!!

05/20/2026

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אלה

, ירושלים

5.0
''Hello everyone. I would like to express infinite appreciation to Dr. Bracha - for professionalism, humanity, dedication. For his concern towards patients, creating a supportive framework and organization among all the complex examinations, openness and availability. Truly in complex situations with health - it is fortunate to have a professional and humane doctor - Dr. Mani Bracha

05/20/2026

Treatment type: Melanoma Excision

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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.

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