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Article Category: Highlights

Wellstar Experts Collaborate to Help People Fight Lung Cancer

Published on November 01, 2024

Last updated 09:21 AM November 22, 2024

Illustration of a lung scan

From catching cancer to following through with expert care, Wellstar ensures patients never have to fight lung cancer alone.

Wellstar is dedicated to early intervention in lung cancer, which improves outcomes for patients. After detection of an abnormality on a CT scan, patients are immediately surrounded with an interdisciplinary support team devoted to their well-being.

Identifying lung cancer early

If you are at increased risk for developing lung cancer, talk to your care team about screenings. With a low-dose CT scan of the chest, it only takes a few seconds to check in on your lung health. These screenings are offered at several Wellstar imaging centers.

The United States Preventive Services Task Force has revised lung screening guidelines. Patients may qualify for screening if they are 50 to 80 years old and smoked for 20 years. If they are a former smoker, they may qualify if they quit less than 15 years ago.

“Lung screening improves a person’s chances of detecting a lung cancer at an early stage and being cured of that cancer,” said Wellstar Thoracic Surgeon Dr. William Mayfield.

Because finding cancer and starting treatment sooner can be life-saving, Wellstar has invested in the incidental nodule program. When people come into a hospital seeking care for something else—whether that be a health condition like appendicitis or a traumatic event like a motorcycle accident—they might get a scan of the abdomen or chest that also shows portions of the lungs.

Using artificial intelligence, reports of those scans are fed to report coordinators, categorized based on their risk level, and if the patient is higher-risk, forwarded to nurse navigators for review. Nurse navigators consult with physicians about the findings, and Wellstar can then initiate care if cancer is found.

“People that come to the hospital for other problems may also be walking around with a lung cancer they didn’t know about,” Dr. Mayfield said.

The program, which started in fall 2020, has identified a total of 148 lung cancers and 14 other types of cancer, as of October 2024.

“Now those people are getting care, and it’s quite likely those cancers would have been missed,” Dr. Mayfield said.

Wellstar is developing another incidental nodule program for the abdominal area, which could lead to the discovery of several cancers including ovarian, kidney, bladder and liver cancers.

The program aligns with the Wellstar mission of enhancing the health and well-being of every person we serve.

“It was the right thing to do for the community. If we miss these cancers, it is a broken promise to the patient,” Dr. Mayfield said.

Then, if cancer is found, Wellstar “closes the loop” by initiating treatment and connecting the patient with resources, Dr. Mayfield said.

Expert care and support at every step

From the very beginning, lung cancer patients at Wellstar are surrounded by a team of experts. Rather than go through the time-consuming process of driving to multiple appointments with different specialists, patients meet with all these physicians in one place.

The Wellstar Lung Cancer STAT Clinic, at Wellstar Cobb, Douglas, Kennestone Regional, North Fulton and Paulding medical centers, as well as the Thoracic NOW Clinic at Wellstar MCG Health Medical Center, give patients immediate access to specialists in medical oncology, radiation oncology, pulmonary medicine and thoracic surgery.

“No other health system does multidisciplinary care the way Wellstar does,” Dr. Mayfield said.

Getting multiple expert opinions from the start not only gives patients peace of mind, it speeds up treatment, too. In the United States, the average time between an abnormal scan and the beginning of treatment is 95 days, Dr. Mayfield said. The STAT Clinic reduces that time to as little as 14 days. Time-to-treatment affects long-term survival in lung cancer patients, Dr. Mayfield said—a six-week delay can reduce five-year survival by up to 13%, according to research from the Cleveland Clinic.

“Time really does matter in the treatment and diagnosis of lung cancer,” Dr. Mayfield said.

High-tech surgery options

For many patients, surgery is a crucial part of lung cancer treatment. Wellstar offers several minimally invasive options, reducing recovery time for patients.

Dr. Mayfield said more than 90% of lung cancer surgeries at Wellstar are performed using either the da Vinci Surgical System or Video Assisted Thoracic Surgery techniques (VATS).

Minimally invasive surgeries reduce pain, scarring, blood loss and infection, as well as time to recover—getting patients back to work and other routines quicker.

The da Vinci system is equipped with 3D cameras and instruments that can make very intricate, precise movements, allowing for shorter incisions and more accurate surgery. Some patients can leave the hospital as early as the next day.

For biopsies, Wellstar has completed 500 procedures using the Ion system, a robotic-assisted platform.

To prevent lung cancer and keep your lungs healthy, talk to your primary care team and follow a few tips, such as avoiding smoking and getting your exercise. Learn more about treatments on our cancer care page.

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Cancer Care Primary Care Pulmonary Care
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Highlights

Prostate Cancer Screening in Black Men

Screening for prostate cancer is crucial for early detection and to help provide the best possible outcome. It is especially important for Black men to be vigilant about screening, as they are disproportionately impacted by this cancer.

About 1 in 6 Black men will be diagnosed with prostate cancer in their lifetime, compared to 1 in 8 white men, according to a report from the American Cancer Society. Prostate cancer is the second leading cause of cancer death in Black men.

The American Cancer Society recommends that men at an average risk of developing prostate cancer begin screening when they are 50, but Black men should start earlier—at age 45 if they have no family history of prostate cancer, and at age 40 if any of their male relatives have had prostate cancer. Wellstar takes a personalized approach to cancer screenings, with clinicians discussing benefits versus risks of screening and helping patients evaluate their risk.

“Despite many physicians being aware of this and following this practice, Black men continue to be diagnosed with and die from metastatic prostate cancer. This is a trend that desperately needs to be reversed,” said Wellstar Primary Care Physician Dr. Earl Stewart. “We have adequate screening tools that do not even require a digital rectal examination.”

The Prostate-Specific Antigen (PSA) blood test is more accurate than the digital rectal examination in helping to detect prostate cancer, according to Dr. Stewart. Patients should also discuss family history with their relatives. “Patients knowing their family history is so crucial in having those discussions with primary care physicians to determine the best age at which to start screening,” Dr. Stewart said.

Screening for prostate cancer is as simple as making a preventive appointment with your primary care physician, discussing your family history with him or her, and having a PSA blood test. This test may be performed during an annual physical or wellness visit. Shared decision making between physician and patient is important to discuss your risk, your need for testing and next steps to take if your PSA level is elevated and concerning. Knowing your risk can save your life.

“I know many personally who are near and dear to me who had the disease and who unfortunately died from complications of metastatic prostate cancer,” Dr. Stewart said. “I know many more who lived because they had the conversation and dared to move forward with appropriate screening at the appropriate age.”

Learn more about prostate cancer care at Wellstar.

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Highlights

4 Common Questions About Gynecologic Cancer—Answered

The gynecologic oncologists at Wellstar care for women at all stages of life, treating a variety of conditions with compassion and offering advanced care options. Our team are experts in treating cancers such as uterine, ovarian, cervical, vaginal and vulvar cancers. Here, we answer common questions about gynecologic cancer care with the help of Dr. Rosa Miller Polan, a gynecologic oncologist at Wellstar Cobb Medical Center. 

What is a gynecologic oncologist?

Gynecologic oncologists are specialists trained in the multidisciplinary management of patients with cancers of the female reproductive tract. Trained originally in obstetrics and gynecology, gynecologic oncologists treat patients with complex benign gynecologic issues, as well as gynecologic cancer patients who may need surgery, chemotherapy, immunotherapy or a combination of different treatments. 

When should you seek care?

Gynecologic cancers have different warning signs. When a person experiences concerning symptoms, a physical exam, including a pelvic exam, should be performed. Cervical and vaginal cancer symptoms include abnormal vaginal discharge, vaginal bleeding and pain. The most common warning sign for uterine cancer is abnormal vaginal bleeding. In postmenopausal women, any bleeding or spotting is abnormal and should prompt an evaluation. 

Ovarian or fallopian tube cancer symptoms include bloating, constipation, pelvic or abdominal pain and difficulty eating or feeling full quickly. Vulvar cancer symptoms include itching, burning, discoloration, and new bumps or lumps on the skin outside of the vagina. 

Who is at risk for developing gynecologic cancer?

Women who smoke cigarettes are at elevated risk for cervical, vaginal and vulvar cancer development. People who are immunosuppressed and those who have tested positive for the human papillomavirus (HPV) are also at increased risk. Genetics can contribute to the development of uterine, ovarian or fallopian tube cancers and these types of cancers can run in families. Obesity and use of hormone replacement therapy can put women at risk for the development of uterine, ovarian and fallopian tube cancers. A history of infertility, endometriosis and pelvic radiation are also risk factors for developing gynecologic cancer. 

What services are available at Wellstar?

At Wellstar, gynecologic oncologists provide comprehensive care for patients with gynecologic cancers, including administering chemotherapy and performing surgeries when needed. As high-volume pelvic surgeons, gynecologic oncologists also care for patients who need elective and emergent complex benign gynecologic surgery.

For many patients, robotic-assisted surgery offers a minimally invasive approach with less associated blood loss, shorter hospital stays and fewer post-operative complications. Gynecologic oncologists are some of the top users of the innovative DaVinci 5 robotic surgery platform. Performing complex gynecologic cancer surgeries, minimally invasive or otherwise, requires the type of highly specialized and multidisciplinary teams that work at Wellstar—and an infrastructure of resources to ensure patients have access to best-in-class care in their own backyard.

Learn more about gynecologic oncology at Wellstar at wellstar.org/gyncancer. 

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Provider checking patient's blood pressure

Highlights

Team Up with Wellstar to Fight These Men’s Health Issues

If you’re a sports fan, you’re probably glued to every game, rooting for your team and analyzing every play. But are you as vigilant with your own health? 

In addition to knowing your health stats—those important numbers like blood pressure, cholesterol and blood sugar—you should also watch for health conditions that more commonly impact men. 

An annual physical gives you the opportunity to ask your clinician questions about your health, and you’ll get a few quick, crucial health screenings that can catch issues early and put you on track for staying well.

“See your primary care provider at least once a year to check in on your well-being and stay up to date on essential screenings you may need,” said Wellstar Primary Care Physician Dr. Facia Dew. “Your provider will customize care based on your health history, age and other factors to help you feel your best.”

Take action against illness

Some illnesses are more likely to affect men than women, so men should be especially mindful about taking steps to prevent these issues:

Lung cancer

Men are slightly more likely to get lung cancer—the lifetime risk for men is 1 in 17, while it’s 1 in 18 for women, according to the American Cancer Society. Black men are about 12% more likely to develop lung cancer compared to white men. Decrease your risk of lung cancer by avoiding smoking.

With a low-dose CT scan of the chest, it only takes a few seconds to check in on your lung health. An order from your healthcare professional is required for a lung cancer screening. Contact your Wellstar primary care team or a pulmonologist to discuss if screening is right for you.

Parkinson’s disease

Men are 1.5 times more likely than women to have Parkinson’s disease, according to the Parkinson’s Foundation. Wellstar neurologists and neurosurgeons are experts in helping patients manage this condition.

Kidney stones

The risk of kidney stones is about 11% in men and 9% in women, according to the National Kidney Foundation. You can reduce your risk of kidney stones by staying hydrated and eating a low-sugar, low-sodium diet. Your care team can help you evaluate your risk factors, including personal and family history, obesity and being 40 or older. 

Prostate cancer

While all men are at risk for prostate cancer, Black men are more likely to get prostate cancer and are more commonly affected at younger ages. Men who are 50 or older should ask their doctor about testing, and Black men should discuss testing with their care team at age 45. If you have a family history of prostate cancer, you should also consider screenings at a younger age, and your healthcare professional will discuss options with you. 

Form healthy habits

According to Wellstar Urologist Dr. Scott Miller, men need to stay active and stay away from smoking. He also noted a few lifestyle changes that are sometimes overlooked can make a difference in how you feel.

“What’s often neglected is a full and consistent night’s sleep,” Dr. Miller said. “And keep stress under control—too much stress can negatively impact our immune systems.” 

Find a primary care professional near you.

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