2007 Cancer Annual_prod5 - St. Joseph Medical Center

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Focus on Non-Small Cell Lung Cancer In-Depth Site Study (continued) Table 6 Comparative overall three-year survival rates for patients with non-small cell lung cancer, by stage. Cancer St. Joseph Medical Center National Stage 2001– 2006 1988 – 2003 Localized 62.1% 58.0% Regional 18.6% 20.8% Distant 3.8% 4.5% Unstaged 11.6% 14.3% Patients with advanced lung cancer may develop airway obstruction due to their tumor. Such airway obstruction can often be relieved with conventional radiation therapy, but this treatment method may require several weeks to produce results and not all patients are suitable candidates. St. Joseph Medical Center now offers bronchoscopic tumor ablation and airway stenting. Using the Nd:YAG laser through a fiberoptic video bronchoscope, thoracic surgeons are able to essentially vaporize a tumor blocking a patient’s airway. In cases where a tumor is causing external compression of the airway, an expandable stent can be deployed into the airway in order to keep it open. These interventions typically produce instantaneous results and can usually be performed on an outpatient basis. Availability of Clinical Trials The nature of cancer treatment is continually evolving. Rather than follow others, The Thoracic Oncology Center at St. Joseph Medical Center is striving to lead the fight against lung cancer. As an accredited center with the South West Oncology Group (SWOG) and with the Radiation Therapy Oncology Group (RTOG), we can now offer many of our patients the opportunity to participate in exciting clinical trials that will help to establish the standard of care for tomorrow. Future Directions The future of lung cancer care is exciting. The Thoracic Oncology Center at St. Joseph is poised to achieve prominence as a leader in many aspects of lung cancer care. Already in 2007, aggressive pretreatment staging including routine use of mediastinoscopy has improved our ability to make optimal treatment decisions for our patients. Our patients with early stages of lung cancer have been undergoing thoracoscopic lobectomy and enjoying faster than ever recuperation. Patients with regionally advanced lung cancer have been undergoing tri-modality therapy, including high-dose radiotherapy and surgery, with low complication rates and excellent results. Aggressive management of obstructing airway tumors using lasers and stents has helped patients to regain quality of life. As The Thoracic Oncology Center establishes itself as a local and regional leader in lung cancer care, we will need to share and compare our results with other centers. Toward this end, we are planning to undertake full participation in the Society of Thoracic Surgeons clinical database. We are expecting to 14 | ST. JOSEPH MEDICAL CENTER sjmcmd.org
treat ever increasing numbers of patients from outside Baltimore City, Baltimore County and Harford County and have already seen a dramatic increase in the number of patients traveling to our center from over two hours away. In order to allow these patients to receive all of their care at St. Joseph Medical Center, we are seeking a commitment from the American Cancer Society to establish a Hope Lodge that will provide nearby free accommodations for patients undergoing treatment and/or their family members. We are also exploring new treatment strategies to offer patients with malignant pleural effusions, including intrapleural hyperthermic chemotherapy. As our Thoracic Oncology Center evolves and expands, striving for ever increasing excellence, we must never lose sight of our other core values: reverence, integrity and compassion. For while our patients will always continue to seek us out for our excellence, it is our adherence to these other core values that truly sets St. Joseph Medical Center apart from the rest. 2007 Cancer Committee Members Arthur Serpick, M.D. Chairman Lucy Shamash, R.N., M.A. V. P. Cancer Institute Howard Berg, M.D. Colon and Rectal Surgery Elaine Que Lim, M.D. Obstetrics and Gynecology Richard Schraeder, M.D. Medical Oncology Michael Schultz, M.D. Breast Surgery Sue Currence, R.N., B.S.N., C.E.T.N. Wound Ostomy Continence Nursing Monica Fulton, R.N., B.S.N., M.B.A. The Cancer Institute Danielle McQuigg, R.N., O.C.N. Cancer Navigator Marcia Medina Performance Improvement Carol Smith Cancer Institute Registry Paul Chang, M.D. Medical Oncology Hector Silva, M.D. Medical Oncology Pat Johnson, R.N., O.C.N. Research Pam Trombero Clinical Research Associate Jason Citron, M.D. Radiation Oncology Rima Couzi, M.D. Medical Oncology Mark Fraiman, M.D. Hepatobiliary Surgery Maen Farha, M.D. General Surgery Mark Krasna, M.D. Thoracic Surgery/Medical Director of The Cancer Institute Nassif Soueid, M.D. Plastic and Reconstructive Surgery Alma Nyhan, M.D. Diagnostic Radiology Fowzia Taqi, M.D. Pathology Nancy Conner, R.N., NACC Certified Spiritual Care Brian Cornblatt, Ph.D. Research Sharon Katrinak, M.B.A., R.C.H. Inpatient Pharmacy Coordinator Kathleen Kelly Cancer Institute Registry Ann Kennedy, R.N., B.S.N. Supportive Care Coordinator Sherry McCarter, L.S.C.W. Social Services Pat Wallace Cancer Institute Registry Gloria Webster, R.N. Community Outreach Bernadette White, R.N., M.S. Community Outreach 2007 THE CANCER INSTITUTE ANNUAL REPORT | 15
Page 1 and 2: 2007 Annual Report | 2006 Statistic
Page 3 and 4: “This way, the patient is assured
Page 5 and 6: The Cancer Institute Cancer Liason
Page 7 and 8: Cancer Institute Registry Activity
Page 9 and 10: Focus on Non-Small Cell Lung Cancer
Page 11 and 12: Table 2 Geographic distribution of
Page 13: community setting, The Thoracic Onc

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