Thoracic  Oncology

 

Lung Cancer

Lung cancer is one of the most commonly diagnosed cancers. It is the most deadly cancer encountered but treatments, if applied early and appropriately, can be life-saving. It can happen to anyone at any time, even non-smokers.

Types of Lung Cancer

There are two main varieties of lung cancer, depending from which cells the cancer originates. Non-small cell lung cancer (NSCLS) is the most common type. Its treatment frequently involves surgery, which brings the best outcomes. Small Cell Lung Cancer (SCLC), on the other hand, tends to grow and spread quickly. The primary treatment for SCLC is often chemotherapy.

Staging is Key

Treatment for lung cancer varies depending on a variety of factors, including the type of lung cancer and most importantly the stage of disease. Has it spread outside the lung to other organs? Are lymph nodes involved? How large is it? Once staged, a treatment plan that may consist of surgery, chemotherapy, targeted cancer therapy or radiation (traditional or novel approaches) is created for the patient. On occasion, combination therapy, utilizing multiple modalities is required for optimal treatment.

Non-Invasive Diagnostic and Staging Procedures

Radiologic and Nuclear Medicine Scans: CT scan of the chest is usually done to investigate an abnormality, symptom, or other reason and frequently is the basis of referral to a thoracic specialist. Additional radiologic studies are frequently performed to assess if an abnormality is tumor as well as, to determine the extent of the process. Some imaging that may be necessary include PET CT, MRI, CT scan and bone scan which are non-invasive.

Bronchoscopy: Performed by either a pulmonary specialty physician or thoracic surgeon. It is an examination of the trachea and bronchi (tubes leading to the lung) utilizing a camera which is passed into the airway by a flexible tube. It can be done either under local numbing analgesia or general anesthesia. Patients most often can go home the same day and hospitalization is not necessary. Samples of tissue can be obtained to make a diagnosis of a lung abnormality.

Endobronchial ultrasound (EBUS): Samples lymph glands in the chest to diagnose cancer, infections or diseases such as sarcoidosis. EBUS is performed through a bronchoscope and therefore requires no surgical incision. Ultrasound identifies target lymph nodes and allows biopsies to be done under direct ultrasound guidance.

Navigational Bronchoscopy: An innovative technology combining bronchoscopy, CT scanning and GPS concepts, allows tissue sampling of growths in the lung. This can obtain diagnostic tissue from hard to reach peripheral lung nodules or masses and is an alternative to CT guided biopsy, which involves using an invasive needle to enter the chest to biopsy a lung lesion. Navigational bronchoscopy does not require hospitalization.

Invasive Diagnostic and Staging Procedures

CT Guided Lung Biopsy: Performed by an experienced thoracic interventional radiologist. The lung lesion is accessed by a needle placed through the chest, under local anesthesia. Patients typically go home the same day and hospitalization is not necessary.

Mediastinoscopy: This procedure accesses and samples lymph nodes adjacent to the trachea, and stages the tumor by clarifying whether nodes have cancer. It is a surgical procedure under general anesthesia, with a small incision in the lower neck. Patients typically go home the same day with no hospitalization necessary.

Surgical Procedures

Lobectomy—This definitive procedure is considered the gold standard of care for lung cancer and involves removal of the lung lobe containing the tumor. Lobectomy, when feasible, has been the treatment of choice for early stage lung cancer for over 60 years and multiple medical studies have reconfirmed this is the best option for cure. This procedure has traditionally been performed via an open surgical approach. It can also be performed by minimally invasive VATS technique (Video Assisted Thoracic Surgery) although this is a more complex and technically challenging procedure. Our extensive experience with VATS technique permits safe and effective results. We offer methods that facilitate complete tumor removal, while preserving lung function and offering shorter recovery time.

Our goal is to provide the results of our evaluation in a timely manner. Less Stress and Better Outcomes.

Helpful Links:

Lung Cancer Screening at Mountainside Medical Cente
American Lung Association
Smoking cessation – NJQUITS

Conditions Managed
  • Malignant Lung Conditions:
  • Lung nodules/nodes
  • Lung Cancer
  • Mediastinal tumors
  • Mesothelioma
  • Carcinoid Tumors
  • Thymoma
  • Lung Cancer Screening
Non-Cancer Lung Conditions:
  • Pleural Disease
  • Interstitial Lung Disease
Esophageal Conditions:
  • Benign Esophageal Disease
  • Achalasia
  • Esophageal Cancer
  • Other Conditions We Treat:
  • Chest Wall Disorders (pectus excavatum)
  • Hyperhidrosis (Excessive Sweating)
  • Pleural Effusions
  • Pneumothorax
Procedures performed

Lung Cancer Procedures:

  • Lung Cancer Resection
  • VATS / Robotic/ Open Lobectomy
  • VATS Wedge resection
  • Pneumonectomy
  • Segmentectomy
  • Pulmonary Sleeve Resection
  • Lung Biopsy
  • EBUS
  • Navigational/Super D Bronchoscopy
  • Mediastinoscopy
  • Endobronchial Tumor Resection
  • Airway Stenting
Other Procedures We Perform:
  • Esophageal Resection
  • Esophageal Myotomy
  • Thymectomy
  • VATS Sympathectomy

 

To learn more about our Lung Cancer/Lung Nodule Program or to schedule an appointment, please visit www.mountainsidehosp.com/lung.

 

 

 
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