Pulmonary Nodule Clinic
The PinnacleHealth Pulmonary Nodule Clinic is the only multidisciplinary group in the Central Pennsylvania region designed to comprehensively manage pulmonary nodules. The Clinic provides rapid evaluation and treatment of pulmonary nodules by a team of skilled specialists including thoracic surgeons, pulmonologists, interventional radiologists and a nurse practitioner. This team works together to:
Thoroughly evaluate each nodule
Develop a comprehensive individualized plan of care utilizing the most advanced technologies
Significantly reduce the time from detection to treatment.
A nurse practitioner facilitates each plan and helps all patients understand and manage their care process. If cancer is diagnosed, patients are promptly evaluated by leading physician experts from the PinnacleHealth Thoracic Oncology Team. To ensure coordinated and compassionate care, the patient and family meet with a Nurse Navigator from the PinnacleHealth-Fox Chase Regional Cancer Center who assists them in understanding the disease and treatment process, arranges supportive services and guides them through the course of treatment.
What is a Pulmonary Nodule?
A pulmonary nodule is any “spot” in the lung that is less than 3 centimeters in diameter. Often these nodules cause no symptoms and therefore go undetected. The majority of nodules are found through testing performed for other reasons, such as x-rays or CT scans for pneumonia or abdominal pain. While most pulmonary nodules are benign and can come from an infection or scar tissue from old infection, some are early signs of lung cancer and require prompt evaluation.
Treatment plans for pulmonary nodules commonly include “watchful waiting” with serial imaging to assess for changes in shape or size, but may involve a diagnostic approach such as biopsy or surgery to determine if it is cancerous. In any case, our multidisciplinary team employs the most advanced, minimally invasive technologies available to provide a personalized approach to the diagnosis and treatment of pulmonary nodules which include:
Low Dose and Volume CT scanning - innovative technologies that administer up to 80% less radiation than conventional CT scans and provide a more accurate assessment of nodule size and growth.
PET/CT – a specialized imaging tool that allows physicians to see early changes of disease in the body on the molecular level and determines the exact location of affected areas to guide diagnosis and treatment.
SuperDimension Electromagnetic Navigation Bronchoscopy—a highly advanced procedure that utilizes GPS-like navigation to provide precise access to lesions deep in the lungs beyond the reach of conventional bronchoscopy as well as to mediastinal lymph nodes for diagnosis and staging. Additionally it can be used to place markers for more exact surgical borders and precision placement of CyberKnife Radiosurgery.
Endobronchial Ultrasound – a sophisticated approach to sampling lymph nodes and lung nodules deep in the chest near the main airway that offers guided access to areas not obtainable with mediastinoscopy.
Transthoracic Needle Biopsy – an additional technique for obtaining tissue samples of pulmonary nodules or pathologic lymph nodes for biopsy under radiologic guidance.
Video-Assisted Thoracic Surgery- a minimally invasive approach for evaluating the lungs and chest cavity and performing necessary biopsies and surgeries that affords patients less discomfort, fewer complications and earlier recoveries.
da Vinci® Robotic-Assisted Thoracic Surgery-- state-of-the-art robotic technology that provides enhanced 3-D viewing of the surgical site for increased accuracy and allows the surgeon’s hand movements to be scaled, filtered and translated into fine actions of micro-instruments for surgical biopsy and treatment of pulmonary nodules and other surgical conditions in a precise fashion.
CyberKnife Robotic Radiosurgery System – the world’s first and only robotic stereotactic radiotherapy system that treats tumors with precise beams of radiation providing a highly effective, pain-free, non-surgical treatment option for malignant pulmonary nodules.
Personalized Approach to Tissue Analysis – upon collection of tissue via any one of the mentioned techniques, our surgeons have access to pioneering technologies including genetic tumor profiling and chemosensitivity assays to assist in personalized therapeutic guidance for malignant nodules.
For more information or to make a referral, please contact us:
Toll-free 1-855-855-LUNG (5864)
Pulmonary Nodule Clinic
PinnacleHealth Harrisburg Campus (click for directions)
Cardiovascular & Thoracic Surgery
Brady Building, 4th Floor
205 South Front Street
Harrisburg, PA 17104
Additional locations include:
Patients can call toll-free 1-800-654-0924
to schedule and pay for the screening ($99).
"This clinic is the only one of its kind in the area and provides a much needed service,” says Troy Moritz, DO, FACOS, thoracic surgeon on staff at PinnacleHealth. “With smoking rates in Pennsylvania above the national average, the number of people in this region likely to develop nodules and perhaps lung cancer is relatively high. The Pulmonary Nodule Clinic enables us to help find and treat these nodules sooner, ideally when lung cancer is in its early stages and potentially curable.”