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Dr. Mary Maluccio

Surgical Oncology
Indianapolis, IN
28 years experience female

Locations

Indiana University Health Liver Oncology

Indianapolis, IN

Address

Indianapolis, IN
Directions

My office hours

Wednesday: 7:00am - 4:30pm
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Office

About

Bio

My clinical passion resides in the surgical and nonsurgical management of primary and metastatic tumors to the liver. This includes liver transplantation and surgical resection as well as liver directed therapies such as arterial based therapies, targeted radiation, and ablative techniques. The two primary liver cancers are hepatocellular carinoma and cholangiocarcinoma. The metastatic tumors that often involve the liver are colorectal cancers and neuroendocrine carcinomas. Both surgical and nonsurgical methods are being used increasingly more often to treat liver tumors safely.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Surgical Oncology

Doctor Q&A

162 Answers
134 Agrees
The number of answers this doctor has agreed with.
A 41-year-old member asked:
Dr. Mary Maluccio
28 years experience
No: Bloodwork can be normal even in the setting of cancer. When patients have a personal history of cancer, we will often follow cancer markers in the blo... Read More
A 36-year-old member asked:
Dr. Mary Maluccio
28 years experience
Sensitivity: The stomach is particularly sensitive to diet, medications, and stress. Changes in diet or eating certain types of acid producing foods, taking certai... Read More
A 21-year-old female asked:
Dr. Mary Maluccio
28 years experience
Toxicity : Azathioprine can cause self limiting increases in liver function tests for which nothing needs to be done. However, the medication can also cause acut... Read More
A 41-year-old member asked:
Dr. Mary Maluccio
28 years experience
No: Both ompahlocele and gastroschesis are associated with the bowel being outside the abdominal wall. It only rarely runs in families and has more to do ... Read More
A 47-year-old member asked:
Dr. Mary Maluccio
28 years experience
Healthy living: There is no magic bullet for liver health. Eating a balanced and healthy diet is probably the best approach.
A 45-year-old member asked:
Dr. Mary Maluccio
28 years experience
Ssurveillance: Treatment for early hcc can be quite effective. However, since most hcc develops in the setting of underlying liver disease, we worry about new tumors... Read More
A 36-year-old member asked:
Dr. Mary Maluccio
28 years experience
Reasonable: We will often do one of several things when treating a liver abscess, one being to pull off some of the fluid and send it for culture. This will ident... Read More
A 35-year-old member asked:
Dr. Mary Maluccio
28 years experience
NIH or ACS website: The nih/nci website can give you a lot of information of surgical oncology, clinical trials available for certain cancers. The american cancer society... Read More
A 30-year-old member asked:
Dr. Mary Maluccio
28 years experience
Depends: Depending on the cancer and the response to chemotherapy, survival can be weeks to months or months to years. In some cases, responsive stage IV cance... Read More
A 54-year-old female asked:
Dr. Mary Maluccio
28 years experience
Yes: Oriental cholangiohepatitis is a disease of stones within the liver. In patients who develop stones in the gallbladder, there are some patients who wi... Read More
A 35-year-old member asked:
Dr. Mary Maluccio
28 years experience
Better imaging: There is now better imaging for carcinoid that can help clarify symptoms and help make the diagnosis or find a small primary. Gallium 68 was populariz... Read More
A 33-year-old member asked:
Dr. Mary Maluccio
28 years experience
Moderately high: Hepatitis b is the most potent risk factor for the development of hcc worldwide. A response to antiviral medications has been shown to decrease this r... Read More
A 34-year-old member asked:
Dr. Mary Maluccio
28 years experience
Absolutely: Cirrhosis of the liver is the most common risk factor for the development of liver cancer. The highest risk is in patients with viral hepatitis (b or ... Read More
A 43-year-old member asked:
Dr. Mary Maluccio
28 years experience
Good: Depending on the underlying liver disease, early stage hcc is curable. Unfortunately, the liklihood of additional tumors popping up in a diseased live... Read More
A 27-year-old member asked:
Dr. Mary Maluccio
28 years experience
Depends: Barrett's esophagus is a continuum from mild atypia to highly abnormal or precancerous. If you have barrett's changes at 29, it is most likley from re... Read More
A 35-year-old member asked:
Dr. Mary Maluccio
28 years experience
Depends: Carcinoid syndrome can range from manageble with somatostatin receptor targeting medication to unmanageble and leading to consequences like malnutriti... Read More
A 24-year-old member asked:
Dr. Mary Maluccio
28 years experience
Confusing: Carcinoid tumors are classified as typical or atypical depending on what they look like under the microscope and how this relates to how they behave c... Read More
A 35-year-old member asked:
Dr. Mary Maluccio
28 years experience
Irregularities: Liver lesions implies that there are areas where the homogeneity of the liver is not complete. Most often and when they are detected incidentally, the... Read More
A 27-year-old member asked:
Dr. Mary Maluccio
28 years experience
Yes: Even severe sepsis is survivable. Many factors influence recovery including: 1) other medical conditions, 2) evidence of secondary organ dysfunction (... Read More
A 42-year-old member asked:
Dr. Mary Maluccio
28 years experience
Primary liver cancer: Hepatocellular carcinoma is a cancer of the liver cells. These cells are responsible for producing bile and for metabolizing debris. Hcc is most commo... Read More
A 30-year-old member asked:
Dr. Mary Maluccio
28 years experience
Several: There are imaging tests used to surveil patients at risk for hcc (hepatitis) and include ultrasound, ct and mri. For patients with an abnormal area in... Read More
A 36-year-old member asked:
Dr. Mary Maluccio
28 years experience
Not impossible: Breast cancer in teenagers is highly unusual but not impossible. Concern of breast cancer in this decade is usually associated with a palpable lump. A... Read More
A 44-year-old member asked:
Dr. Mary Maluccio
28 years experience
Yes: Colon cancer can be asymptomatic. The recommendations from the american cancer society include a colonoscopy at the age of 50 even if you have no symp... Read More
A 28-year-old female asked:
Dr. Mary Maluccio
28 years experience
There are treatments: The vast majority of neuroendocrine carcinomas in the liver originate in another site. Since the liver disease is the most common contributor to survi... Read More
A 17-year-old female asked:
Dr. Mary Maluccio
28 years experience
Not likely: If the pap was negative, it is unlikely that you would develop cancer within the year. The recommendations of a pap every year are based on the odds o... Read More
A 36-year-old member asked:
Dr. Mary Maluccio
28 years experience
Sometimes: Anal cancer is best diagnosed on physical exam or anosocopy since the area of concern is limited to a defined length from the anus. If there is suspic... Read More
A 59-year-old female asked:
Dr. Mary Maluccio
28 years experience
Probiotics: Try probiotics (i.e. Yogurt) or a gluten free diet. If part of your prep included antibiotics, this can change the bacterial flora in your intestines.... Read More
A 30-year-old member asked:
Dr. Mary Maluccio
28 years experience
Probably: Surgery is the mainstay of cancer therapy if the tumor can be removed with a margin of normal surrounding tissue. Depending on the location of the can... Read More
A 31-year-old male asked:
Dr. Mary Maluccio
28 years experience
Not unlikely: Neuroendocrine tumors can be difficult to detect. If the symptoms persist or worsen, there are more sophisticated imaging modalities available to look... Read More
A 30-year-old member asked:
Dr. Mary Maluccio
28 years experience
Would get checked: If you have never noticed it before, a new lump under thenipple should be checked. In a young age group, an ultrasound +/- biopsy would be able to cla... Read More
A 40-year-old member asked:
Dr. Mary Maluccio
28 years experience
Common: E coli is a common bacteria found in bile, but it does not contribute to illness unless that biliary tree is not draining properly or there are stones... Read More
A 50-year-old female asked:
Dr. Mary Maluccio
28 years experience
Possibly: The symptoms you have are characteristic of problems with the biliary tree, but the area is more complex that just the gallbladder. However, the tests... Read More
A 36-year-old member asked:
Dr. Mary Maluccio
28 years experience
Don't be: You should not be afraid or embarrased to tell your doctor anything, especially if it is something that concerns you. If your relationship with you do... Read More
A 37-year-old member asked:
Dr. Mary Maluccio
28 years experience
Yes: Pancreatic related pain is more often in your back, but can be around the belly button as well.
A 37-year-old member asked:
Dr. Mary Maluccio
28 years experience
Maintains balance: The liver has three major functions: 1) it synthesizes proteins that help you clot your blood and maintain fluid balance and 2) it metabolizes all the... Read More
A 38-year-old member asked:
Dr. Mary Maluccio
28 years experience
Below the ribs: A normal liver usually sits under the rib cage on the right side. When enlarged one can feel the edge of the liver as dull and tender below the right ... Read More
A 36-year-old member asked:
Dr. Mary Maluccio
28 years experience
Yes: A colonoscopy is not perfect, but it is the best we have for evaluating the lining of the colon. It is excellent for looking at inflammatory condition... Read More
A 49-year-old female asked:
Dr. Mary Maluccio
28 years experience
One year is correct: Colon cancer develops from a polyp with high grade dysplasia. A history of dysplastic polyps puts you at high risk of forming new polyps and the pace ... Read More
A 24-year-old male asked:
Dr. Mary Maluccio
28 years experience
Endocrine surgeon: Several subspecialties deal with pheochromocytoma. Endocrine surgeons work closely with endocrinologists and are therefore best equipped to take care ... Read More
A 70-year-old female asked:
Dr. Mary Maluccio
28 years experience
Virtual colonoscopy: Not that virtual colonoscopy has been embraced as an equal alternative to standard colonoscopy, it is an alternative that may provide meaningful infor... Read More
A 46-year-old member asked:
Dr. Mary Maluccio
28 years experience
Probiotics: There are many things that can cause a disruption in the normal flora of bacteria in your intestine including antibiotic use, diet, and exposure to ce... Read More
A 45-year-old member asked:
Dr. Mary Maluccio
28 years experience
Maybe: The treatment of metastatic neuroendocrine carcinoma varies widely and depends on several factors, including tumor grade, pattern of spread, and pace ... Read More
A 51-year-old female asked:
Dr. Mary Maluccio
28 years experience
Difficult to know: Metastatic hepatocellular carcinoma is associated with a poor prognosis. Depending on your mother's functional status, there are chemotherapies availa... Read More
A 35-year-old member asked:
Dr. Mary Maluccio
28 years experience
Depends: The type of cancer in the pancreas will dictate the types of treatments available and the outcomes. Cystic neoplasms of the pancreas and neuroendocrin... Read More
A 28-year-old male asked:
Dr. Mary Maluccio
28 years experience
Spread outside area: Metastatic carcinoma refers to the spread of the cancer outside the area of origin. For some cancers, this can be spread to nodes outside the area tha... Read More
A 45-year-old member asked:
Dr. Mary Maluccio
28 years experience
Depends: Stage ii colon cancer is early stage, limited to the lining of the colon. If your question refers to the use of sophisticated ct imaging (virtual colo... Read More
A 32-year-old member asked:
Dr. Mary Maluccio
28 years experience
No: Your stomach is inside your abdominal wall. Abs refer to the muscles that line the anterior abdominal wall. Situps will allow you to get abs. A firm a... Read More
A 38-year-old member asked:
Dr. Mary Maluccio
28 years experience
Rarely if ever: When it metastasizes, breast cancer can go to unusual sites, like the retroperiteum causing obstruction of the ureter. However, this is rare as it wou... Read More
A 40-year-old member asked:
Dr. Mary Maluccio
28 years experience
Complicated: Stomach ulcers must be followed closely as they are not as common as duodenal ulcers, have a lower likelihood of being associated with acid productio... Read More
A 30-year-old female asked:
Dr. Mary Maluccio
28 years experience
Complicated: The prognosis of pancreatic neuroendocrine tumor depends on the type of cell involved and what the tumor looks like under the microscope. The patholog... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
160
Thank you notes
HealthTap member
May 4, 2018
Dr mary saved our sons life 4 years ago . We are forever indebted. Love to you Dr M!!
HealthTap member
Mar 30, 2015
Dr. Maluccio is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Maluccio is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! I lost my appendix, gallbladder, followed by sepsis & transaminitis.
HealthTap member
Thank you, your answer was very helpful! Thank you so much for your exceptional answers
HealthTap member
This saved my life. Thank You! now I know what to do thank you very much

Education & Training

Medical/Graduate school

Columbia University College of Physicians and Surgeons, NY
Graduated 1994MD

Awards

Top Surgical Oncologist, First Place, National - Summer
2013
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less