Second Opinions

Getting a Second Opinion

For rare and complex cancers, a second expert review is not just acceptable — it is often the most important step you can take.

Why It Matters

Second Opinions in HPB Oncology

Hepatobiliary cancers — including pancreatic cancer, liver tumors, bile duct cancer, and gallbladder cancer — are rare. They are best managed by surgeons who perform high volumes of these operations at referral centers. The available evidence strongly supports that outcomes are better at high-volume institutions.

Resectability — the question of whether surgery is technically feasible and oncologically appropriate — is not a straightforward determination. Studies show that a significant proportion of patients told their tumor is unresectable at a community hospital are found to be resectable when reviewed by an HPB specialist. The converse is equally important: an operation that appears straightforward on imaging may be far more complex on expert review.

A second opinion is not a sign of distrust toward your current team. It is standard, expected, and often life-changing.

Schedule a Consultation

Dr. Correa provides focused second opinion consultations for patients with pancreatic, liver, biliary, and gastric cancers — including cases referred from other institutions where resectability is in question.

Request a Consultation (212) 523-8887

Appointments available for in-person and video consultations. Out-of-state and international patients welcome.

Common Reasons

When to Seek a Second Opinion

Told Surgery Is Not Possible

If you have been told your tumor is unresectable, an HPB specialist may reach a different conclusion. Resectability assessments can vary significantly between institutions based on surgical expertise and technique. A second review of your imaging is always warranted.

Newly Diagnosed with a Rare Cancer

Pancreatic cancer, cholangiocarcinoma, gallbladder cancer, and hepatocellular carcinoma are rare cancers. Centralizing care to a high-volume center early in the treatment process improves outcomes and prevents decisions that limit future options.

Incidental Gallbladder Cancer

If your cholecystectomy pathology report shows cancer, specialist evaluation is urgent. The timing and extent of re-resection significantly affect outcome. A consult with an HPB surgical oncologist should happen within days to weeks.

Complex Liver Metastases

The boundary between resectable and unresectable colorectal liver metastases is not fixed. Modern techniques including two-stage hepatectomy, portal vein embolization, and HAI pump therapy expand what is surgically possible. An HPB review may reveal options not previously considered.

Prior Surgery Elsewhere

Patients who have had prior hepatobiliary surgery and are facing recurrence, complications, or uncertain pathology benefit from specialist review of their full records and imaging before deciding on next steps.

Disagreement Among Providers

If members of your care team have expressed differing opinions about your diagnosis or treatment plan, a focused specialist consultation can help clarify the situation and provide a clear, reasoned recommendation.

Preparing for Your Visit

What to Bring

The quality of a second opinion depends on the completeness of the records reviewed. Please arrange for the following to be available before or at your appointment.

Imaging Studies

  • CT scan with contrast (chest, abdomen, pelvis) — ideally on disc
  • MRI and/or MRCP if performed
  • PET scan if performed
  • All radiology reports

Pathology

  • Biopsy or surgical pathology reports
  • Pathology slides or tissue block (if available — can be requested from your institution)
  • Molecular profiling report if obtained

Clinical Records

  • Consultations notes from all treating physicians
  • Prior operative reports (if prior surgery was performed)
  • Endoscopy and ERCP reports
  • Tumor board or multidisciplinary conference notes

Personal Information

  • List of current medications
  • Summary of medical and surgical history
  • Insurance card and ID
  • List of questions for Dr. Correa

FAQ

Frequently Asked Questions

Why should I seek a second opinion for an HPB cancer diagnosis?
Hepatobiliary cancers are rare and complex. Resectability assessments differ significantly between institutions. Studies show that 30–40% of patients told their tumor is unresectable at a general hospital are found to be resectable at an HPB cancer center. A second opinion ensures the most accurate plan and avoids both unnecessary surgery and missed surgical opportunities.
What should I bring to the consultation?
All imaging studies (CT, MRI, PET) on disc or via digital transfer; radiology reports; pathology reports and slides or tissue block; operative reports from prior procedures; consultation notes from your current team; a list of medications; and your questions. The more complete the record, the more informative the consultation.
Will Dr. Correa take over my care?
A second opinion is a standalone consultation. Dr. Correa provides a thorough written assessment of diagnosis, resectability, and treatment options. If patients wish to pursue surgery at Mount Sinai, they are welcome to do so. If they prefer to return to their local team with an informed plan, that is equally supported. The goal is clarity, not necessarily transfer of care.
Does insurance cover second opinion consultations?
Most major insurance plans, including Medicare and Medicaid, cover consultation visits. Please contact our office with your insurance information and we will verify coverage before your appointment. Mount Sinai's financial counseling team can assist with questions about cost and coverage.

Request a Second Opinion

Out-of-state and international patients are welcome. Video consultations are available. Bring your imaging and records — we will give you a thorough, honest assessment.

Schedule a Consultation (212) 523-8887