Biography
Dr. Michael Alvarado is a cancer surgeon who cares for patients with breast cancer and melanoma at the UCSF Helen Diller Family Comprehensive Cancer Center at Mount Zion.
In his research, Alvarado conducts trials of radiation therapy for breast cancer. He also studies blood-based and molecular markers with the goal of improving breast cancer screening.
Alvarado earned a master's degree in chemistry at the University of Arizona and a medical degree at Dartmouth College’s Geisel School of Medicine. After completing a residency at Dartmouth-Hitchcock Medical Center, he completed a surgical oncology fellowship at the H. Lee Moffitt Cancer Center and Research Institute at the University of South Florida.
  In his research, Alvarado conducts trials of radiation therapy for breast cancer. He also studies blood-based and molecular markers with the goal of improving breast cancer screening.
Alvarado earned a master's degree in chemistry at the University of Arizona and a medical degree at Dartmouth College’s Geisel School of Medicine. After completing a residency at Dartmouth-Hitchcock Medical Center, he completed a surgical oncology fellowship at the H. Lee Moffitt Cancer Center and Research Institute at the University of South Florida.
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Education
| Institution | Degree | Dept or School | End Date | 
|---|---|---|---|
| Darmouth | M.D. | School of Medicine | 1998 | 
Board Certifications
- 2005, American Board of Surgery
Clinical Expertise
Breast Reconstruction
DCIS (Ductal Carcinoma in situ)
Inflammatory Breast Cancer
Invasive Breast Cancer
LCIS (Lobular Carcinoma in situ)
Lumpectomy/Partial Mastectomy
Lymphadenectomy
Mastectomy
Melanoma
Merkel Cell Carcinoma
Recurrent Breast Cancer
Sentinel Lymph Node Biopsy
Wire Localization Surgery
Clinical Trials
- Intraoperative Radiation Therapy in Treating Patients With Breast Cancer Undergoing Breast-Conserving Surgery (NCT01570998)Related Conditions: Breast Cancer| Start Date: | End Date:
- SentiMag® Intraoperative Comparison in Breast Cancer (NCT02336737)Related Conditions: Breast Cancer| Start Date: | End Date:
Program Affiliations
- UCSF Helen Diller Family Comprehensive Cancer Center
- UCSF Melanoma Center
- Carol Franc Buck Breast Care Center
Research Interests
Investigation of blood-based and molecular markers to improve breast cancer screening
Sentinel Lymph Node Biopsy
Publications
      MOST RECENT PUBLICATIONS FROM A TOTAL OF 93
    
      
      - Disparities in the Surgical Management of the Axilla by Self-Identified Race in the Multicenter Neoadjuvant I-SPY2 Trial.| | PubMed PubMed
- Limitations in the Application of Clinicopathologic Factors Alone in Predicting Radiation Benefit for Women With Low-Risk Ductal Carcinoma In Situ After Breast Conserving Surgery: The Impact of a 7-Gene Biosignature Based on 10-Year Ipsilateral Breast Rec| | PubMed PubMed
- Single-Cell Analyses Reveal a Functionally Heterogeneous Exhausted CD8+ T-cell Subpopulation That Is Correlated with Response to Checkpoint Therapy in Melanoma.| | PubMed PubMed
- Bilateral Mastectomy vs Lumpectomy and Breast Cancer Mortality Risk.| | PubMed PubMed
- Balancing risks of surgical complications and positive margins for patients with invasive lobular carcinoma of the breast and elevated BMI: An institutional cohort study.| | PubMed PubMed
- Comparing the effectiveness of lumbar medial branch radiofrequency coagulation using 18-gauge and 16-gauge cannulae.| | PubMed PubMed
- Predictors of Early Versus Late Recurrence in Invasive Lobular Carcinoma of the Breast: Impact of Local and Systemic Therapy.| | PubMed PubMed
- Changes in Surgical Management of the Axilla Over 11 Years - Report on More Than 1500 Breast Cancer Patients Treated with Neoadjuvant Chemotherapy on the Prospective I-SPY2 Trial.| | PubMed PubMed
- Breast Conservation Surgery and Mastectomy Have Similar Locoregional Recurrence After Neoadjuvant Chemotherapy: Results From 1462 Patients on the Prospective, Randomized I-SPY2 Trial.| | PubMed PubMed
- Expanding Candidacy for Nipple-sparing Mastectomy in Women with Large or Ptotic Breasts: Staged Reconstruction Outcomes.| | PubMed PubMed
- In Regard to Hammer et al.| | PubMed PubMed
- In Reply to Ward et al.| | PubMed PubMed
- The TARGIT-A Randomized Trial: TARGIT-IORT Versus Whole Breast Radiation Therapy: Long-Term Local Control and Survival.| | PubMed PubMed
- Neoadjuvant T-DM1/pertuzumab and paclitaxel/trastuzumab/pertuzumab for HER2+ breast cancer in the adaptively randomized I-SPY2 trial.| | PubMed PubMed
- Should Sentinel Lymph Node Biopsy Status Guide Adjuvant Radiation Therapy in Patients With Merkel Cell Carcinoma?| | PubMed PubMed
- Positive margins after mastectomy in patients with invasive lobular carcinoma of the breast: Incidence and management strategies.| | PubMed PubMed
- Modulation of the immune microenvironment of high-risk ductal carcinoma in situ by intralesional pembrolizumab injection.| | PubMed PubMed
- New clinical and biological insights from the international TARGIT-A randomised trial of targeted intraoperative radiotherapy during lumpectomy for breast cancer.| | PubMed PubMed
- Accuracy of breast MRI in evaluating nodal status after neoadjuvant therapy in invasive lobular carcinoma.| | PubMed PubMed
- Intraoperative radiotherapy for breast cancer: powerful evidence to change practice.| | PubMed PubMed
- In Regard to Polgar et al.| | PubMed PubMed
- Accuracy of sentinel lymph node biopsy in invasive lobular carcinoma of the breast: Factors associated with false negatives.| | PubMed PubMed
- Correction to: SentimagIC: A Non-inferiority Trial Comparing Superparamagnetic Iron Oxide Versus Technetium-99m and Blue Dye in the Detection of Axillary Sentinel Nodes in Patients with Early-Stage Breast Cancer.| | PubMed PubMed
- Oncological Outcomes of Total Skin-Sparing Mastectomy for Invasive Lobular Carcinoma of the Breast: A 20-Year Institutional Experience.| | PubMed PubMed
- Layilin augments integrin activation to promote antitumor immunity.| | PubMed PubMed
- Long term survival and local control outcomes from single dose targeted intraoperative radiotherapy during lumpectomy (TARGIT-IORT) for early breast cancer: TARGIT-A randomised clinical trial.| | PubMed PubMed
- Evaluating the impact of axillary dissection on recurrence-free survival by extent of nodal disease in invasive lobular carcinoma of the breast.| | PubMed PubMed
- Effect of Delayed Targeted Intraoperative Radiotherapy vs Whole-Breast Radiotherapy on Local Recurrence and Survival: Long-term Results From the TARGIT-A Randomized Clinical Trial in Early Breast Cancer.| | PubMed PubMed
- Breast conservation therapy versus mastectomy in the surgical management of invasive lobular carcinoma measuring 4 cm or greater.| | PubMed PubMed
- Tumor Immune Profiling-Based Neoadjuvant Immunotherapy for Locally Advanced Melanoma.| | PubMed PubMed
- Mitotic score and pleomorphic histology in invasive lobular carcinoma of the breast: impact on disease-free survival.| | PubMed PubMed
- Success rates of re-excision after positive margins for invasive lobular carcinoma of the breast.| | PubMed PubMed
- SentimagIC: A Non-inferiority Trial Comparing Superparamagnetic Iron Oxide Versus Technetium-99m and Blue Dye in the Detection of Axillary Sentinel Nodes in Patients with Early-Stage Breast Cancer.| | PubMed PubMed
- Feasibility of Magnetic Seeds for Preoperative Localization of Axillary Lymph Nodes in Breast Cancer Treatment.| | PubMed PubMed
- Synchronous Detection of Circulating Tumor Cells in Blood and Disseminated Tumor Cells in Bone Marrow Predicts Adverse Outcome in Early Breast Cancer.| | PubMed PubMed
- Erratum: Author Correction: Surgical Standards for Management of the Axilla in Breast Cancer Clinical Trials with Pathological Complete Response Endpoint.| | PubMed PubMed
- Surgical Standards for Management of the Axilla in Breast Cancer Clinical Trials with Pathological Complete Response Endpoint.| | PubMed PubMed
- Breast Conservation and Negative Margins in Invasive Lobular Carcinoma: The Impact of Oncoplastic Surgery and Shave Margins in 358 Patients.| | PubMed PubMed
- A natural killer-dendritic cell axis defines checkpoint therapy-responsive tumor microenvironments.| | PubMed PubMed
- Initial Clinical Experience With an Inducible Magnetic Seed System for Preoperative Breast Lesion Localization.| | PubMed PubMed
- Complications After Total Skin-Sparing Mastectomy and Expander-Implant Reconstruction: Effects of Radiation Therapy on the Stages of Reconstruction.| | PubMed PubMed
- Best practices for multidisciplinary integration of a DCIS genomic assay into clinical practice.| | PubMed PubMed
- Indications for Postmastectomy Radiation After Neoadjuvant Chemotherapy in ypN0 and ypN1-3 Axillary Node-Positive Women.| | PubMed PubMed
- Partially exhausted tumor-infiltrating lymphocytes predict response to combination immunotherapy.| | PubMed PubMed
- Tumor immune profiling predicts response to anti-PD-1 therapy in human melanoma.| | PubMed PubMed
- Prognostic Impact of 21-Gene Recurrence Score in Patients With Stage IV Breast Cancer: TBCRC 013.| | PubMed PubMed
- Less Is More: The Evolving Surgical Approach to Breast Cancer.| | PubMed PubMed
- The Impact of Radiation Therapy, Lymph Node Dissection, and Hormonal Therapy on Outcomes of Tissue Expander-Implant Exchange in Prosthetic Breast Reconstruction.| | PubMed PubMed
- Tissue Expander Reconstruction After Total Skin-Sparing Mastectomy: Defining the Effects of Coverage Technique on Nipple/Areola Preservation.| | PubMed PubMed
- Sentinel Lymph Node Mapping in Post-Mastectomy Chest Wall Recurrences: Influence on Radiation Treatment Fields and Outcome.| | PubMed PubMed
- A Prospective Comparison of the 21-Gene Recurrence Score and the PAM50-Based Prosigna in Estrogen Receptor-Positive Early-Stage Breast Cancer.| | PubMed PubMed
- Negative Genetic Testing Does Not Deter Contralateral Prophylactic Mastectomy in Younger Patients with Greater Family Histories of Breast Cancer.| | PubMed PubMed
- Expanding the Indications for Total Skin-Sparing Mastectomy: Is It Safe for Patients with Locally Advanced Disease?| | PubMed PubMed
- In Regard to Hepel and Wazer.| | PubMed PubMed
- In Regard to Hepel and Wazer.| | PubMed PubMed
- Tumor Involvement of the Nipple in Total Skin-Sparing Mastectomy: Strategies for Management.| | PubMed PubMed
- The impact of genomic testing on the recommendation for radiation therapy in patients with ductal carcinoma in situ: A prospective clinical utility assessment of the 12-gene DCIS score™ result.| | PubMed PubMed
- Rates of Reconstruction Failure in Patients Undergoing Immediate Reconstruction With Tissue Expanders and/or Implants and Postmastectomy Radiation Therapy.| | PubMed PubMed
- Pride, Prejudice, or Science: Attitudes Towards the Results of the TARGIT-A Trial of Targeted Intraoperative Radiation Therapy for Breast Cancer.| | PubMed PubMed
- The impact of breast mass on outcomes of total skin-sparing mastectomy and immediate tissue expander-based breast reconstruction.| | PubMed PubMed
- Immediate implant-based breast reconstruction following total skin-sparing mastectomy: defining the risk of preoperative and postoperative radiation therapy for surgical outcomes.| | PubMed PubMed
- Haste makes waste, but lack of urgency is opportunity lost.| | PubMed PubMed
- Total skin-sparing mastectomy and immediate breast reconstruction: an evolution of technique and assessment of outcomes.| | PubMed PubMed
- Immediate implant-based breast reconstruction following total skin-sparing mastectomy in women with a history of augmentation mammaplasty: assessing the safety profile.| | PubMed PubMed
- Local recurrence rates are low in high-risk neoadjuvant breast cancer in the I-SPY 1 Trial (CALGB 150007/150012; ACRIN 6657).| | PubMed PubMed
- The current clinical value of the DCIS Score.| | PubMed PubMed
- Setting a research agenda for ductal carcinoma in situ that meets the current need for change.| | PubMed PubMed
- Abstract 124: outcomes of total skin-sparing mastectomy and reconstruction in 924 breasts over 11 years.| | PubMed PubMed
- Memory regulatory T cells reside in human skin.| | PubMed PubMed
- Patient preferences regarding intraoperative versus external beam radiotherapy following breast-conserving surgery.| | PubMed PubMed
- Risk-adapted targeted intraoperative radiotherapy versus whole-breast radiotherapy for breast cancer: 5-year results for local control and overall survival from the TARGIT-A randomised trial.| | PubMed PubMed
- Total skin-sparing mastectomy in BRCA mutation carriers.| | PubMed PubMed
- Cost-effectiveness analysis of intraoperative radiation therapy for early-stage breast cancer.| | PubMed PubMed
- Author's reply to Lamy.| | PubMed PubMed
- Clinical validity/utility, change in practice patterns, and economic implications of risk stratifiers to predict outcomes for early-stage breast cancer: a systematic review.| | PubMed PubMed
- Evaluating the feasibility of extended partial mastectomy and immediate reduction mammoplasty reconstruction as an alternative to mastectomy.| | PubMed PubMed
- The effects of acellular dermal matrix in expander-implant breast reconstruction after total skin-sparing mastectomy: results of a prospective practice improvement study.| | PubMed PubMed
- Outcomes after total skin-sparing mastectomy and immediate reconstruction in 657 breasts.| | PubMed PubMed
- Overdiagnosis and overtreatment of breast cancer.| | PubMed PubMed
- The impact of preoperative magnetic resonance imaging on surgical treatment and outcomes for ductal carcinoma in situ.| | PubMed PubMed
- Impact of chemotherapy on postoperative complications after mastectomy and immediate breast reconstruction.| | PubMed PubMed
- Targeted intraoperative radiotherapy versus whole breast radiotherapy for breast cancer (TARGIT-A trial): an international, prospective, randomised, non-inferiority phase 3 trial.| | PubMed PubMed
- Is radiation indicated in patients with ductal carcinoma in situ and close or positive mastectomy margins?| | PubMed PubMed
- Gene expression profiling of colorectal mucinous adenocarcinomas.| | PubMed PubMed
- Bacteriologic features of surgical site infections following breast surgery.| | PubMed PubMed
- Prognostic implications of positive nonsentinel lymph nodes removed during selective sentinel lymphadenectomy for breast cancer.| | PubMed PubMed
- Total skin-sparing mastectomy: complications and local recurrence rates in 2 cohorts of patients.| | PubMed PubMed
- Is it necessary to harvest additional lymph nodes after resection of the most radioactive sentinel lymph node in breast cancer?| | PubMed PubMed
- Surgery for palliation and treatment of advanced breast cancer.| | PubMed PubMed
- The value of sentinel lymph node biopsy in the management of head and neck melanoma.| | PubMed PubMed
- Down-regulation of pro-apoptotic genes is an early event in the progression of malignant melanoma.| | PubMed PubMed
- Biomarkers predict outcomes following cytoreductive surgery for hepatic metastases from functional carcinoid tumors.| | PubMed PubMed
- The potential role of gene expression in the management of primary and metastatic colorectal cancer.| | PubMed PubMed
 
    