One's practice as a general surgery trained oncologist can vary widely depending upon 1) your interests, 2) your referal pattern, & 3) your partners specialties.
For instance:
We have 6 active surgical oncologists @ our institution & their practices are
- three who do melanoma, misc. skin cancers, breast, pancreas, liver, stomach, esophageal, soft tissue sarcomas, and the ocassional colon and renal CA
- one does exclusively head & neck (thyroid, parathyroid, upper airway, tonsilar, pharyngeal/laryngeal, squamous cell)
- one does endocrine tumors + broad based general surgery
- one (our 66 yo chairman) used to do everything but now does mostly melanoma
- one who just left to take the chairman's job @ Arkansas used to do eerything but now does only breast CA
- one who is retiring who did lots of hepatobiliary, colon CA, and photodynamic therapy for esophageal CA. He also did a fair amount of ERCP work & ran a very busy diabetic foot clinic
As you can see, a lot of variability within the same practice group
In an academic setting, the relative strengths of other divsions of general surgery or other departments may dictate what you're able to do. A strong thoracic surgery or colorectal division may limit your access to esophageal & general thoracic cancers or colon cancers respectively. In private settings, most general surgeons do not feel that colon, breast, melanoma, and thyroid/parathyroid cancers are beyond their expertise & do not refer them to tertiary centers or subspecialists routinely. Comfort level with certain procedures may dictate referrals for esophageal,hepatobilliary, sarcomas, and ano-rectal carcinomas for which the surgeries tend to be more complex & less frequently done in routine practice.