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Dr. Merav and NP Sethi perform a minimally invasive thoracoscopic procedure (VATS)
Chemotherapy when appropriate, oncological evaluation follows the accurate staging of each case. Genetic analysis of the tumor guides drug treatment according to the latest guidelines and protocols.
Radiation Therapy can be used to treat lung cancer instead of or in addition to surgery; sometimes in combination with chemotherapy. We are affiliated with several modern Radiation Therapy Centers equipped with the latest technology including Stereotactic Body Radiation Therapy (SBRT), Image Guided Radiation Therapy (IGRT) and Intensity Modulated Radiation Therapy.
Smoking Cessation is not only crucial in the prevention of lung cancer and cardiovascular disease but is paramount in improving lung function. Our patients who are smokers are referred to a formal smoking cessation program.
Pulmonary Rehabilitation is offered sometimes preoperatively to improve lung function. More often it helps patients recover from Thoracic Surgery and to improve their functional capacity.
Twice as many Americans die from lung cancer each year than from breast or prostate cancer - why? Because most lung cancers are not discovered until they are too advanced for curative treatment. Early diagnosis, before symptoms occur, provides the best chance for curing lung cancer. At present, early lung cancer can be detected only on a chest X-ray or CT scan. Early lung cancer is most often discovered incidentally as a NODULE, (a coin like opacity) when the lungs are visible in a radiological examination that was performed for an unrelated reason. While most lung nodules that are discovered in this fashion are not due to lung cancer; it is imperative to identify nodules that are cancerous so that proper treatment can be provided without delay.
Why depend on luck to discover an early lung cancer?
Routine mammography and colonoscopy save many lives by discovering breast and colon cancer at an early, curable stage; why not screen for lung cancer too? Earlier attempts to screen for lung cancer with chest X-rays alone did not meet with any success. Only recently was it demonstrated that using CT scanning (which is far more sensitive and accurate than plain X-rays) to screen people who are at high risk for developing lung cancer leads to a significant reduction in death rates among this group. (Ref) The Westchester Lung Nodule Center ® offers CT screening for lung cancer using modern equipment that keeps radiation exposure to a minimum (low dose CT). The images are interpreted by our experienced Board Certified diagnostic radiologists.
Once a nodule is discovered each case is carefully reviewed by our team of specialists and a recommendation is made for a reasonable and appropriate plan of action. Some patients may only require continued observation, others may require additional imaging studies such as a PET scan.
If a sample of tissue from the nodule is required it may be obtained by different minimally invasive tests:
The tissue sample is analysed by our team of Board Certified Pathologists using the latest techniques of immuno-histological staining and genetic analysis.
When a nodule is due to an infection, the patient is referred to a member of our Infectious Disease team for further evaluation and treatment.
Surgery has been and remains the best treatment for lung cancer. The Center’s two thoracic surgeons offer each patient the benefit of a combined experience of almost 70 years of diagnosing and treating lung cancer. Most patients who require surgery undergo minimally invasive, Video Assisted Thoracic Surgery (VATS) offering the benefit of a faster recovery.