Associate Professor Michael Hughes

MBBS (First Class Honours, USyd), FRACS
Associate Professor Acting Head of Clinical School, Sydney Adventist Hospital Clinical School

Telephone 02 9480 3660
Fax 02 9473 8949

Website Sydney Adventist Hospital
Royal Australasian College of Surgeons
Curriculum vitae Curriculum vitae

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Biographical details

Associate Professor Hughes graduated from the University of Sydney in 1989 with First Class Honours. He completed his residency and advanced surgical training at Westmead Hospital, obtaining Fellowship of the Royal Australasian College of Surgeons in 1996. He was then Clinical Superintendent in Surgery at Westmead Hospital and locum VMO at Auburn District Hospital. During this time he developed his interest in Surgical Oncology collaborating with the Sydney Melanoma Unit at RPAH. He also published a major study on injuries to the gastrointestinal tract due to blunt trauma.

In 1998-99 A/Prof Hughes was a fellow in Surgical Oncology at the Royal Marsden Hospital, London. Here he was involved in the clinical management of patients with melanoma, sarcoma and breast cancer as well as completing a major research project assessing the role of pelvic lymphadenectomy in the management of melanoma metastatic to the groin.

In 1999 A/Prof Hughes was appointed lecturer in Surgical Oncology at the University of Sydney and the Sydney Melanoma Unit. In late 2000 he moved back to Westmead to set up a Surgical Oncology service for Western Sydney. At the same time he worked at the NSW Breast Cancer Institute and established a private practice at the Sydney Adventist Hospital.

In 2011 A/Prof Hughes was appointed as a foundation Associate Professor in Surgery, Sydney Medical School, University of Sydney at the Sydney Adventist Hospital Clinical School (SAHCS). He is now Acting Head of Clinical School, SAHCS. Since 2015 A/Prof Hughes has been Head of the Department of General Surgery and Associated Specialties at the Sydney Adventist Hospital (SAH). In this role he has aimed to optimise patient care and outcomes through a strong clinical governance structure, high level quality assurance, the formation of collaborative sub-specialty teams and service development and greater clinical research in surgery. A/Prof is the chairman of the SAH Surgical Services Committee.

At SAH A/Prof Hughes has established and leads the Multidisciplinary Breast Cancer (since 2005) and the Skin and Soft Tissue Tumour(2016) Teams. A/Prof Hughes continues to have strong links with the Melanoma Institute Australia. A/Prof Hughes devotes his clinical practice entirely to surgical oncology specifically in the areas of melanoma, sarcoma, breast cancer and advanced non-melanoma skin cancer.

Research interests

Melanoma

Sarcoma

Breast cancer

Improving Outcomes for the Elderly Undergoing Surgery

Clinical Governance

Teaching and supervision

Communication

Physical examination

Longcase presentation

Surgery

Oncology

Current projects

1. Outcomes of Emergency Abdominal Surgery in the Elderly (Mentor for U. Syd MD students)

a. The causes of post-operative in hospital mortality and relationship to time after surgery

b. What easily identified factors at presentation can be used to help predict in hospital mortality.

c. Is the ASA an appropriate guide to predicting outcomes?

2. Sentinel Node Sampling for Breast Cancer (Co-Investigator with Dr Nicholas Ngui)

a. Changing attitudes to completion axillary dissection for positive sentinel nodes

b. Non-sentinel node involvement at completion dissection

3. Breast MRI scanning

a. Utility of breast MRI at the time of breast cancer diagnosis

4. Breast Cancer Database Sydney Adventist Hospital (2005 – present)

a. Long term follow-up of patients for whom Oncotype DX was used to aid decision making for patients with oestrogen receptor positive early breast cancer.

b. Long term outcomes in Sentinel node positive patients

c. Outcomes of management of breast cancer in the elderly

5. Sarcoma - Database development Sydney Adventist Hospital

- Outcomes of neoadjuvant radiotherapy for extremity, truncal and retroperitoneal soft tissue sarcomas

6. Melanoma - Database development Sydney Adventist Hospital

7. Skin Wound Closure – Systematic review of factors influencing the ability to achieve simple primary closure of wounds following wide excision of skin malignancies.

Associations

BreastSurgANZ

Surgical Oncology Section RACS

Australian Sarcoma Group

Australian and New Zealand Breast Cancer Trials Group

Australian and New Zealand Melanoma Trials Group

Affiliate Melanoma Institute Australia

General Surgeons Australia

Awards and honours

Gowrie Scholarship 1983

BJ Amos Scholarship 1998

Clinical Specialty

Surgery

International links

United States

(Vanderbilt University) Collaboration on PREVENT Study. Recruitment of study participants.PREVENT: A Randomised Trial Evaluating Bioimpedance Spectroscopy versus Tape Measurement in the Prevention of Lymphoedema following Locoregional Treatment for Breast Cancer (2015). International Multi-institutional Randomised Controlled Trial. Senior researcher is Sheila Ridner, Vanderbilt University, Nashville, Tennessee, USA

Selected publications

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Journals

  • Tan, A., Li, B., Nahar, K., Danieletto, S., Fong, E., Currer, T., Parasyn, A., Middleton, P., Wong, H., Smart, D., Hughes, T., Marx, G., et al (2018). Correlating Ki67 and other prognostic markers with Oncotype DX recurrence score in early estrogen receptor-positive breast cancer. Asia-Pacific Journal of Clinical Oncology, 14(2), e161-e166. [More Information]
  • Wennmacker, S., Hughes, T. (2018). Gallbladder polyps: To treat or not to treat? Medicine Today, 19(4), 30-34.
  • Saw, R., Allan, C., Barbour, A., Chng, S., Coventry, B., Gyorki, D., Henderson, M., Howle, J., Hughes, T., Lee, K., Stretch, J., et al (2015). Sentinel node biopsy in patients with intermediate and thick melanomas - A balanced view. Australian Family Physician, 44(12), 876-876.
  • Howle, J., Hughes, T., Gebski, V., Veness, M. (2012). Merkel cell carcinoma: An Australian perspective and the importance of addressing the regional lymph nodes in clinically node-negative patients. Journal Of The American Academy Of Dermatology, 67(1), 33-40. [More Information]
  • Long, G., Menzies, A., Nagrial, A., Haydu, L., Hamilton, A., Mann, G., Hughes, T., Thompson, J., Scolyer, R., Kefford, R. (2011). Prognostic and Clinicopathologic Associations of Oncogenic BRAF in Metastatic Melanoma. Journal of Clinical Oncology, 29(10), 1239-1246. [More Information]
  • Russo, R., Hughes, M., Manolios, N. (2010). Biopsy Diagnosis of Early Myositis Ossificans Without Radiologic Evidence of Calcification: Success of Early Surgical Resection. Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 16(8), 385-7. [More Information]
  • Goh, A., Howle, J., Hughes, T., Veness, M. (2010). Managing patients with cutaneous squamous cell carcinoma metastatic to the axilla or groin lymph nodes. Australasian Journal of Dermatology, 51(2), 113-117. [More Information]
  • Murali, R., Hughes, T., FitzGerald, P., Thompson, J., Scolyer, R. (2009). Interobserver Variation in the Histopathologic Reporting of Key Prognostic Parameters, Particularly Clark Level, Affects Pathologic Staging of Primary Cutaneous Melanoma. Annals of Surgery, 249(4), 641-647. [More Information]
  • Veness, M., Perera, L., McCourt, J., Shannon, J., Hughes, T., Morgan, G., Gebski, V. (2005). Merkel cell carcinoma: improved outcome with adjuvant radiotherapy. ANZ Journal of Surgery, 75(5), 275-281. [More Information]
  • Dona, E., Fletcher, J., Hughes, T., Saker, K., Batiste, P., Ramanathan, I. (2000). Duplicated popliteal and superficial femoral veins:incidence and potential significance. ANZ Journal of Surgery, 70, 438-440.

2018

  • Tan, A., Li, B., Nahar, K., Danieletto, S., Fong, E., Currer, T., Parasyn, A., Middleton, P., Wong, H., Smart, D., Hughes, T., Marx, G., et al (2018). Correlating Ki67 and other prognostic markers with Oncotype DX recurrence score in early estrogen receptor-positive breast cancer. Asia-Pacific Journal of Clinical Oncology, 14(2), e161-e166. [More Information]
  • Wennmacker, S., Hughes, T. (2018). Gallbladder polyps: To treat or not to treat? Medicine Today, 19(4), 30-34.

2015

  • Saw, R., Allan, C., Barbour, A., Chng, S., Coventry, B., Gyorki, D., Henderson, M., Howle, J., Hughes, T., Lee, K., Stretch, J., et al (2015). Sentinel node biopsy in patients with intermediate and thick melanomas - A balanced view. Australian Family Physician, 44(12), 876-876.

2012

  • Howle, J., Hughes, T., Gebski, V., Veness, M. (2012). Merkel cell carcinoma: An Australian perspective and the importance of addressing the regional lymph nodes in clinically node-negative patients. Journal Of The American Academy Of Dermatology, 67(1), 33-40. [More Information]

2011

  • Long, G., Menzies, A., Nagrial, A., Haydu, L., Hamilton, A., Mann, G., Hughes, T., Thompson, J., Scolyer, R., Kefford, R. (2011). Prognostic and Clinicopathologic Associations of Oncogenic BRAF in Metastatic Melanoma. Journal of Clinical Oncology, 29(10), 1239-1246. [More Information]

2010

  • Russo, R., Hughes, M., Manolios, N. (2010). Biopsy Diagnosis of Early Myositis Ossificans Without Radiologic Evidence of Calcification: Success of Early Surgical Resection. Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 16(8), 385-7. [More Information]
  • Goh, A., Howle, J., Hughes, T., Veness, M. (2010). Managing patients with cutaneous squamous cell carcinoma metastatic to the axilla or groin lymph nodes. Australasian Journal of Dermatology, 51(2), 113-117. [More Information]

2009

  • Murali, R., Hughes, T., FitzGerald, P., Thompson, J., Scolyer, R. (2009). Interobserver Variation in the Histopathologic Reporting of Key Prognostic Parameters, Particularly Clark Level, Affects Pathologic Staging of Primary Cutaneous Melanoma. Annals of Surgery, 249(4), 641-647. [More Information]

2005

  • Veness, M., Perera, L., McCourt, J., Shannon, J., Hughes, T., Morgan, G., Gebski, V. (2005). Merkel cell carcinoma: improved outcome with adjuvant radiotherapy. ANZ Journal of Surgery, 75(5), 275-281. [More Information]

2000

  • Dona, E., Fletcher, J., Hughes, T., Saker, K., Batiste, P., Ramanathan, I. (2000). Duplicated popliteal and superficial femoral veins:incidence and potential significance. ANZ Journal of Surgery, 70, 438-440.

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