Marko, Rosanne, MD

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Physicians & Surgeons, Mental Health Services, Physicians & Surgeons, Dermatology

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(775) 334-3450Visit WebsiteMap & Directions475 Kirman AveReno, NV 89502 Write a Review

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Specialties

Additional Specialties: Pathology

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Extra Phones: Fax: (775) 334-3417
Neighborhoods: Curti, Wells Avenue Neighborhood, Burke's
Other Link: http://sierrapathology.com
Categories: Physicians & Surgeons, Mental Health Services, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Emergency Medicine, Physicians & Surgeons, Endocrinology, Diabetes & Metabolism, Physicians & Surgeons, Oncology, Physicians & Surgeons, Psychiatry, Physicians & Surgeons, Radiology, Skin Care

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Phone: (775) 334-3450

Address: 475 Kirman Ave, Reno, NV 89502

Website: http://sierrapathology.com

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Marko, Rosanne, MD

General Practitioners

Emergency Care
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

Mental Health
In addition to federal law, Nevada law places more stringent limitation on the disclosure and use of mental health information, genetic information, communicable disease information and blood and urine tests. Other federal regulations place more stringent requirements of drug and alcohol abuse information. We shall comply with those more stringent restrictions.

Endocrinologist

Thyroid

Ultrasound
If the specimen falls into one of the special categories listed at the top of this page, the following instructions will help preserve the specimen. If a muscle, nerve, or lymph node biopsy is removed in one of the operating rooms at Renown Regional Medical Center, the histology laboratory should be called at extension 7753 and a pathologist will pick up the specimen. Ultrasound-guided kidney biopsies can be evaluated at the bedside to confirm the presence of renal tissue and then can be apportioned to the various fixatives.
Radiology
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivevist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balanced billed.
Chemotherapy
Surgical pathology encompasses virtually all outpatient and inpatient biopsy and resection procedures that are performed. Most often, the scenario involves a lump or mass prompting a question of whether something is benign or malignant. Pathologists determine whether malignancy is present or absent by examining microscopic sections of the removed tissue and issue a report to the doctor who removed the tissue and other doctors who are involved in the patient’s care. If, in the middle of surgery, a surgeon comes across something that looks abnormal, he or she may request an intraoperative consultation with the pathologist. The pathologist’s intraoperative examination may involve only examining the tissue with the naked eye, but it often includes a frozen section, a procedure that allows a microscopic section of tissue to be prepared and examined for the presence of malignancy within 20 minutes. The surgeon may then modify the procedure to take into account the new information. Radical surgeries for cancer require evaluation of various prognostic parameters such as the type and extent of the tumor, the completeness of resection, and the involvement of lymph nodes. These data are used by oncologists to make decisions about various other therapies such as chemotherapy and radiation therapy.
Radiation Therapy

Skin Cancer
A surgical pathology report almost always has a Diagnosis section which has the most important information. This section is often set apart by lines or large bold print. The Diagnosis section will usually contain a heading for what kind of tissue was removed and just under it is the pathologist’s interpretation. Phrases that are used to express a favorable diagnosis include ‘benign’, ‘No evidence of malignancy’, and ‘No tumor present’. ‘Lipomas’ and ‘adenomas’ are benign tumors. On the other hand, words that essentially mean cancer include ‘carcinoma’, ‘adenocarcinoma’, ‘sarcoma’, ‘lymphoma’, ‘leukemia’, ‘melanoma’, and ‘malignant neoplasm’. Two exceptions to this are ‘carcinoma in situ’ which means a precancerous condition and ‘cystosarcoma phyllodes’ which is a breast tumor of uncertain malignant potential. ‘Carcinoid tumors’ are also uncertain in their behavior. The statement of cancer’s presence is usually followed by a rating system for how aggressive the cancer looks from ‘well differentiated’ and ‘Grade 1’ tumors which look only mildly aggressive to ‘poorly differentiated’ and ‘Grade 4’ tumors which look very aggressive. Unless the biopsy is very small (smaller than a corn kernel), the pathologist will usually attempt to determine how far the cancer has spread. This is governed by a staging system that includes features such as the size and depth of the tumor as well as what layers of tissue the tumor has gone through and whether it has spread to other sites called ‘lymph nodes’. There is also usually a statement about ‘margins’ which refer to whether the surgeon’s removed all of the tumor from the body or whether there might be some left behind. Pathologists often use a counterintuitive word system that is used in other fields of medicine where a ‘negative biopsy’ or ‘negative lymph node’ is actually good news meaning cancer is not present. Conversely, a ‘positive biopsy’ or ‘positive lymph node’ is usually bad news that cancer is present.

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