oUR consUltants - London Bridge Hospital
oUR consUltants - London Bridge Hospital
oUR consUltants - London Bridge Hospital
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<strong>London</strong> Lung Cancer Centre<br />
TWELVE<br />
<strong>London</strong> Lung<br />
Cancer Centre<br />
A new clinic for patients with suspected<br />
or established lung or thoracic cancer.<br />
The <strong>London</strong> Lung Cancer Centre<br />
was originally developed at <strong>London</strong><br />
<strong>Bridge</strong> <strong>Hospital</strong> to offer patients with<br />
suspected or proven lung cancer – or<br />
any thoracic cancer – a rapid opinion<br />
and treatment plan.<br />
We have exceptional expertise in<br />
minimally invasive thoracic surgery<br />
and can offer keyhole surgery when<br />
other surgeons would offer a standard<br />
operation through a large incision. The<br />
benefit is reduced pain and discomfort,<br />
rapid return to normal activities and<br />
improved cosmetics.<br />
We also have a particular expertise<br />
in managing complex thoracic cases<br />
such as advanced-stage lung cancer or<br />
secondary lung cancer – when a cancer<br />
has spread to the lungs (from a primary<br />
bowel, renal, breast or skin cancer).<br />
Lung Cancer Clinic<br />
We offer all treatment modalities<br />
including surgery, chemotherapy,<br />
targeted therapy with new agents<br />
aimed at blocking key receptors on<br />
the cancer cells and radiotherapy<br />
including CyberKnife radiosurgery,<br />
one of the most accurate and<br />
effective radiotherapy modality.<br />
We offer Radiofrequency Ablation<br />
(RFA), a new treatment modality<br />
allowing percutaneous treatment<br />
of lung cancer when patients are<br />
not fit enough for surgery.<br />
We have an established reputation<br />
in the field of malignant pleural<br />
mesothelioma, a form of pleural<br />
cancer involving the lining of the<br />
lung and induced by asbestos<br />
exposure. Our expertise in surgery,<br />
chemotherapy, targeted therapy and<br />
radiotherapy for this condition is<br />
widely acknowledged both nationally<br />
and internationally.<br />
We offer expertise in all fields and<br />
a combined integrated approach<br />
minimising delays and improving<br />
the chances of success. Our expertise<br />
is based on treating hundreds of<br />
patients per year and participating<br />
in ground-breaking research in<br />
the field.<br />
We offer rapid consultations and<br />
appointments for onward treatment.<br />
Generally, patients can have an<br />
appointment within 24-48 hours of<br />
referral at different sites across <strong>London</strong>:<br />
<strong>London</strong> <strong>Bridge</strong> <strong>Hospital</strong>, Harley Street<br />
Clinic in Central <strong>London</strong> or The Lister<br />
<strong>Hospital</strong> in West <strong>London</strong>.<br />
For more information regarding the <strong>London</strong> Lung Cancer Centre, please contact the GP Liaison Department on:<br />
t: 020 7234 2009 or visit our website www.londonlungcancer.com<br />
Specialist Vascular<br />
Ultrasound Service<br />
Now available at Docklands and 31 Old Broad Street<br />
A service provided by a small team<br />
specialising in vascular ultrasound is<br />
now available to all referrers, including<br />
GPs and Consultants, at Docklands<br />
Healthcare and 31 Old Broad Street.<br />
The service is run by Elaine Young and<br />
Kate Sommerville who were among the<br />
first small group of specialists to work<br />
in the routine application of diagnostic<br />
vascular ultrasound in the UK and<br />
jointly they have 40 years’ experience<br />
in diagnostic vascular ultrasound. Both<br />
have held the post of President for the<br />
professional body in the UK (SVT GBI).<br />
The service, which uses the latest<br />
advanced Colour Doppler Ultrasound<br />
technology, provides three half-day<br />
sessions a week across the two sites<br />
during working hours.<br />
The team comprises four clinical<br />
vascular scientists all of whom hold full<br />
accreditation with the SVT GBI and have<br />
extensive specialist experience of at least<br />
ten years in full-time vascular ultrasound.<br />
This experience includes running services<br />
at a number of large NHS teaching<br />
hospitals including UCH/Middlesex, St<br />
George’s <strong>Hospital</strong> and the Royal Free<br />
<strong>Hospital</strong>, as well as large private<br />
hospitals and clinics across <strong>London</strong>.<br />
Vascular Ultrasound or Colour Doppler<br />
Ultrasound (Duplex) is a specialist,<br />
non-invasive imaging modality, giving<br />
accurate and detailed images of the<br />
blood vessels and flow patterns in real<br />
time. The investigations require minimal<br />
preparation, will typically take from thirty<br />
1. Abdominal aortic aneurysm<br />
minutes to an hour, and the results are<br />
available immediately to be sent to the<br />
clinician. This allows prompt exclusion or<br />
confirmation of disease, and therefore<br />
management of any conditions diagnosed.<br />
Patient groups regularly requiring these<br />
specialist investigations include those<br />
suffering from diabetes, heart disease,<br />
high cholesterol and high blood pressure.<br />
patients who may require<br />
arterial ultrasound<br />
investigations<br />
Patients with suspected carotid artery<br />
disease who present with suspected<br />
TIA, stroke or who may have risk factors<br />
and require screening. Below, image 3<br />
shows a significant carotid stenosis.<br />
Patients are also referred with a<br />
suspected Abdominal Aortic Aneurysm<br />
(AAA) or screening to exclude an<br />
AAA (image 1 below). AAA ultrasound<br />
screening has recently been introduced<br />
as an NHS national screening programme<br />
for males of 65 years or over, however<br />
referrers may wish to exclude this<br />
condition in other patient groups or<br />
those at high risk.<br />
Early detection of both carotid artery<br />
disease and AAA can be of great benefit<br />
to the patient in terms of disease<br />
management and intervention if required.<br />
Patients may also present with symptoms<br />
of lower limb arterial disease. These<br />
include intermittent claudication,<br />
ischaemia and in extreme cases,<br />
2. Common femoral vein partial<br />
thrombosis<br />
ulceration/gangrene. A lower limb arterial<br />
ultrasound scan can easily and reliably<br />
identify narrowing or occlusion in the<br />
arteries and can provide a map of any<br />
segments of disease from the aorta to the<br />
ankles. Fine detail of the particular artery<br />
affected provides information on the<br />
aetiology of disease, location, percentage<br />
narrowing and length of diseased<br />
segments. Below, image 4 shows a normal<br />
posterior tibial artery waveform.<br />
patients who may require<br />
venous ultrasound<br />
investigations<br />
The patient may present with suspected<br />
acute Deep Vein Thrombosis (DVT) or<br />
have a previous history of suspected<br />
DVT which has resulted in possible<br />
post-thrombotic syndrome.<br />
Image 2 shows an acute deep vein<br />
thrombosis in the femoral vein.<br />
The patient may also present with<br />
varicose veins or thread veins, some<br />
cases may be complex with recurrent<br />
disease following surgery. A full map<br />
of all the underlying incompetent veins<br />
can be given allowing the referrer to<br />
plan any treatment required.<br />
The team are also highly experienced in<br />
assessing renal dialysis patients either<br />
pre or post fistula, patients with upper<br />
limb symptoms of thoracic outlet disease/<br />
thrombosis, lower limb entrapment<br />
syndrome, false aneurysms, aortic stents<br />
and lower limb grafts.<br />
3. Internal carotid artery stenosis 4. Posterior tibial artery<br />
For further details on Vascular Ultrasound Screening Services, please visit www.londonbridgehospital.com.<br />
31 Old Broad Street – Tuesday (pm) & Thursday (am) Docklands Healthcare, Canary Wharf – Monday (am)<br />
t: 020 7234 3522 t: 020 7516 1999<br />
Vascular Ultrasound<br />
THIRTEEN<br />
Vascular Ultrasound