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Article Category: Highlights

Wellstar Offers Advanced Colorectal Cancer Care Close to Home

Published on March 05, 2025

Last updated 03:37 PM March 05, 2025

Illustration of provider looking at colon with magnifying glass

When a Wellstar patient is diagnosed with colorectal cancer, their multidisciplinary care team works with them to create a personalized care plan with advanced treatment available at every step. 

Support from the start

Patients are surrounded by a team of experts from the very beginning of their cancer care. To better prepare patients for treatment, Wellstar offers a “pre-hab” program with support services to care for patients’ overall well-being.

“Patients often ask what they can eat or do to prepare for treatment, and we want them to feel empowered,” said Wellstar Surgical Oncologist Dr. Sahir Shroff.

Patients can meet with team members including dietitians, physical therapists or behavioral healthcare providers so they feel their best both physically and mentally.

Learn more about cancer support services. 

Innovative care options

Robotic surgeries provide patients with benefits like less recovery pain, less blood loss, fewer complications and shorter hospital stays, or for some outpatient procedures, no hospital stay at all. That means patients can start living cancer-free sooner and get back to their routines and the activities they enjoy. 

About 85% of colorectal cancer surgeries at Wellstar are now robotic procedures, according to Wellstar Surgical Oncologist Dr. Sartaj Sanghera. 

“Robotic surgery has really provided us the tools as far as the instruments and vision so that a larger cohort of surgeons in general, colorectal surgeons and surgical oncologists have been able to adopt the technology,” Dr. Sanghera said.

Patients with smaller, early-stage tumors may be candidates for transanal minimally invasive surgery, known as TAMIS. Rather than making an incision in the abdomen to remove a tumor, the surgeon is able to access the tumor through the anus.

“It is working through a natural orifice, through the anus. It’s not actually poking a hole in the belly,” Dr. Sanghera said. “It’s really minimally invasive.”

TAMIS is usually offered as an outpatient surgery with no hospital stay. It has been especially helpful in treating patients who may be at higher risk with traditional surgery due to their age or other health conditions, Dr. Sanghera noted.

Clinicians also adapt treatment methods based on the location of the cancer, according to Dr. Shroff. For example, if one spot is near a blood vessel, the care team may opt to use radiation rather than surgery to prevent blood loss.

New approach to treatment improves outcomes

The colorectal cancer experts at Wellstar have adopted a relatively new approach to treatment called total neoadjuvant therapy, or TNT, which makes surgery the last step in the cancer treatment process. Patients receive chemotherapy and radiation first, then finish treatment with surgery.

“Recognizing that rectal cancer is a systemic disease, with risks of spreading to other parts of the body, we have evolved in our management of rectal cancer, offering an operation as the last step in the treatment process,” Dr. Shroff said.

Wellstar has seen positive results with this technique.

“We have adopted that approach for nearly all patients now,” said Wellstar Hematologist and Oncologist Dr. John French. “We are seeing that if you do that approach, it’s safe, more patients are able to complete all the therapy lines, and we are noticing an increase in pathologic complete response rates.”

Pathologic complete response describes the absence of any detectable cancer cells in a tissue sample following a particular treatment. It refers to the absence of cancer cells in the area of the body where the tumor was originally located, as well as anywhere the cancer may have spread.

Nonoperative care

Some patients at Wellstar don’t require surgery at all.

“There have been recent studies of a subgroup of patients who are treated pre-surgery through chemotherapy, immunotherapy and radiation and they are seeing great responses,” Dr. Shroff said.

The care team continues to monitor these patients for any signs of cancer.

“We're excited to offer this different pathway for patients,” Dr. Shroff said.

Immunotherapy

Immunotherapy is based on the concept that a patient’s own immune system can fight their cancer.

When given, immunotherapy drugs wake up the patient’s own immune system to recognize and fight the cancer. People with colorectal cancer are screened for four proteins that help with DNA repair. If these proteins are missing or mutated, the patient is more likely to respond to immunotherapy.

While immunotherapy has been groundbreaking in the treatment of stage 4 colorectal cancer, only about 15% of patients are found to be eligible for the treatment based on their protein screenings, Dr. French noted. 

If you are interested in immunotherapy, ask your clinician about your care options.

Top-of-the-line rectal cancer care

Wellstar Kennestone Regional Medical Center has received accreditation from the National Accreditation Program for Rectal Cancer (NAPRC), a quality program of the American College of Surgeons.

To achieve voluntary NAPRC accreditation, a rectal cancer center must demonstrate compliance with the NAPRC standards that address program management, clinical services and quality improvement for patients. Centers are required to establish a multidisciplinary rectal cancer team that includes clinical representatives from surgery, pathology, radiology, radiation oncology and medical oncology.

Learn more about colorectal cancer care at Wellstar.

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John Thomas French Sartaj Singh Sanghera Sahir Girish Shroff
Cancer Care
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Illustration of a lung scan

Highlights

Wellstar Experts Collaborate to Help People Fight Lung Cancer

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

We are 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 by 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.

“Finding lung cancer early leads to better outcomes, and screening with CT scans is recommended as the only proven way to minimize delay in diagnosis,” said Wellstar Thoracic Surgeon Dr. Daniel Fortes.

Because finding cancer and starting treatment sooner can be life-saving, Wellstar has invested in one of the nation's largest lung screening programs and an 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 a 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 suspected.

The program, which started in fall 2020, has identified a total of 203 lung cancers and 22 other types of cancer, as of November 2025.

Expert care and support at every step

From the very beginning, people with lung cancer 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, Wellstar Douglas, Wellstar Kennestone, Wellstar North Fulton, Wellstar Paulding and Wellstar West Georgia Medical Centers, as well as Wellstar Cherokee Health Park and 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.

"We plan patients’ appointments ahead of time, ordering multiple tests that will be necessary for the treatment decision-making. These can include PET scans, CT scans, MRIs and/or a pulmonary function test," Dr. Fortes said. "We’re always gaining time in the patient’s overall treatment because we are anticipating and creating a plan as a team."

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 60 to 90 days. The STAT Clinic reduces that time to as little as 14 days. Time-to-treatment affects long-term survival in patients with lung cancer.

"We have data to show that if we delay treatment, even in early-stage cancers, we decrease the chance of a cure," Dr. Fortes said. "The goal of the STAT Clinic is to get them the quickest we can into their final treatment plan."

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.

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.

The system uses a three-dimensional spatial recognition technology that helps guide a catheter down the airway, deep into the lung, all the way to small nodules where biopsies can be performed. The robotic catheter maintains its shape and stability throughout the biopsy process, significantly improving diagnostic yield compared to other modalities.

"The better the image and the more certainty we have of the spatial location of the catheter, the better we can avoid complications by making sure we are not too close to a blood vessel or the edge of the lung," said Dr. Fortes.

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

Keep reading
Patient getting CT scan

Highlights

Monitoring Your Lung Health with Cancer Screenings

Lung cancer screening can detect cancer earlier—even before symptoms show up. Earlier-stage cancers are more easily treatable. If you are at increased risk of developing lung cancer, you could benefit from regular low-dose CT scans to monitor your lung health.

“Finding lung cancer early leads to better outcomes, and screening with CT scans is recommended as the only proven way to minimize delay in diagnosis,” said Wellstar Thoracic Surgeon Dr. Daniel Fortes.

Our team has built one of the country’s largest and most comprehensive screening programs. Wellstar has been designated as a Screening Center of Excellence and Care Continuum Center of Excellence by the GO2 Foundation, an organization that supports lung cancer patients and educates about screenings and care. We’re also a designated Lung Cancer Screening Center by the American College of Radiology.

Evaluating your lung cancer risk

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

“Those who are current or past smokers of cigarettes are more likely to develop lung cancer,” Dr. Fortes said. “However, while smoking is the leading risk factor for lung cancer, a large number of lung cancer patients have never smoked—1 in 5 women and 1 in 10 men diagnosed with lung cancer were never smokers.”

You may also be at increased risk of developing lung cancer if you have been exposed to radon, asbestos or other agents such as uranium or arsenic, according to the American Cancer Society. Previous radiation therapy in the lung area, such as chest radiation for breast cancer treatment, can also increase risk. Additionally, be sure to discuss your family history with your provider—siblings and children of people who have had lung cancer may have a higher risk of developing it.

Screening for lung cancer is not a one-time test, but a process that involves a periodic evaluation of your lungs over time to look for newly emerging cancer. CT scans can detect nodules that are compared over time for changes in size. 

“For those who are at high risk for lung cancer, it is best to have nodules and lung health evaluated by a team of physicians specializing in lung cancer care so the appropriate decision can be made of continued observation versus the need for early intervention,” Dr. Fortes said. 

Depending on the findings, some patients may have more or fewer exams. If findings are suspicious for lung cancer, your care team will contact you to discuss your screening results.

How do I schedule a screening?

An order from your physician is required to get a screening. Contact your primary care team or a pulmonologist to talk about screening and when it may be right for you. Once an order has been obtained from your physician, call (470) 793-4AIR (4247) to schedule your appointment.

What if my scan shows a lung nodule?

Your care team will support you at every step of the screening process. If you have any questions about your results or your screening plan, contact your provider over the phone or using the secure messaging feature in MyChart. You can also call our cancer care team at (877) 366-6032 to learn about our care options.

All lung screenings are initially interpreted by a radiologist. A team of physicians who specialize in the diagnosis and treatment of lung cancer will review findings that are suspicious for cancer. Once the physicians complete their review of your images, your results are posted within three to five days to your MyChart account. Results will be communicated with you and your physician via MyChart or mail within one week.

If a lung cancer is suspected, our team will call you to answer your questions and arrange next steps. You will then meet with a physician specializing in lung cancer treatment.

Patients whose screening shows a lung nodule may feel concerned. However, you should not be overly concerned if your report indicates you have small lung nodules. Most people who meet eligibility for screening will have some. Nodules are very common—at least 50% of people have them by the time they are 50 years old.

Learn more at wellstar.org/lungcancer.

Keep reading
Illustration of provider inspecting lung

Highlights

Wellstar Offers Saturday Hours for Lung Cancer Screening Day November 8

Lung cancer screening can detect cancer earlier, before symptoms show up. Earlier-stage cancers are more easily treatable and more frequently cured, so if you are at increased risk of developing lung cancer, you could benefit from regular low-dose CT scans to monitor your lung health. To expand access to these vital screenings, Wellstar will offer screenings at several imaging locations Saturday, November 8.

“Finding lung cancer early leads to better outcomes, and screening with CT scans is recommended as the only proven way to minimize delay in diagnosis,” said Wellstar Thoracic Surgeon Dr. Daniel Fortes.

Wellstar is partnering with the American Cancer Society National Lung Cancer Roundtable, the American College of Radiology, the Radiology Health Equity Coalition, and GO2 for Lung Cancer to celebrate National Lung Cancer Screening Day Saturday, November 8. While lung scans are always available at Wellstar’s conveniently located imaging centers during regular business hours, offering these Saturday hours will help patients fit screenings into their schedules.

Ask your care team about whether you meet the criteria for screening, or call us to learn more about qualifying and to make an appointment for a scan.Call us at (470) 793-4AIR (4247) to learn more and make an appointment for a scan.

The following Wellstar imaging locations will be open Saturday, November 8:

  • Wellstar Imaging at Wellstar East Cobb Health Park, 3747 Roswell Road, Suite 102 in Marietta
  • Wellstar Imaging Services, 60 Lacy St. in Marietta
  • Wellstar Imaging Services, 1220 West Wheeler Parkway in Augusta
  • Wellstar Imaging Services at Wellstar Cobb Medical Center, 1625 Hospital North Drive in Austell
  • Wellstar Imaging at Wellstar Douglas Medical Center, 8954 Hospital Drive in Douglasville
  • Wellstar Imaging at Wellstar Vinings Health Park, 4441 Atlanta Road SE, Suite 101 in Smyrna
  • Wellstar Imaging at Wellstar Windy Hill, 2540 Windy Hill Rd SE in Marietta
  • Wellstar West Georgia Medical Imaging, 1514 Vernon Road in LaGrange

In addition to these special hours November 8, low-dose CT lung scans are available at several Wellstar imaging locations. 

Keep reading
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