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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

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