ADVANCED BRONCHOSCOPIC TECHNOLOGY FOR MINIMALLY INVASIVE LUNG CANCER STAGING (EBUS)
Endobronchial Ultrasound (EBUS) bronchoscopy is a minimally-invasive outpa-tient procedure using an innovative ultrasonic airway bronchoscope to detect lung cancer spread to lymph nodes for accurate lung cancer staging. Using state-of-the-art technology, EBUS offers more accurate diagnosis and staging in the lung than more conventional bronchoscopy (thin tube-like instrument with camera to examine inside of the trachea and bronchi located in the lungs) because it has imaging capabilities for structures external to the airways for accurate positioning of a biopsy needle into lymph nodes.

ADVANCED ENDOSCOPIC TECHNOLOGY FOR MINIMALLY INVASIVE ESOPHAGEAL AND LUNG CANCER STAGING (EUS)
Endoscopic Ultrasound (EUS) is a minimally-invasive outpatient procedure used to stage esophageal cancer by determining tumor thickness and evaluat-ing if any cancer has spread to lymph nodes in the chest and abdomen. EUS offers more accurate diagnosis and staging capabilities than more standard techniques because it can image structures in and around the esophagus for accurate positioning of a biopsy needle into lymph nodes. This technique can also be used in conjunction with EBUS for lung cancer staging.CYBERKNIFEPatients who require radiotherapy for management of their tumors are offered conventional and image guided techniques. Our cyberknife radiotherapy program at Overlook Medical Center was the first in the New York area and is offered to non-surgical candidates selectively. Brachytherapy is also available for patients with central, obstructing lesions.

CHEST WALL TUMORS
Primary chest wall tumors originate from soft tissue, muscle, or ribs located on the chest. Tumors located on the chest wall may have also spread from another primary site (metastasis) such as prostate, melanoma, colon, etc. Primary chest wall tumors and metastatic tumors to the chest wall can present as a lump or persistent pain. Preoperative workup may include CT scan, MRI, bone scan and in some cases a biopsy is performed before surgery to confirm the diagnosis. Tumors that may not be palpable or symptomatic that are detected on radiologic studies can be localized using non-invasive methods to help determine the exact location of the tumor. Most tumors are surgically removed and some patients may need chest wall reconstruction depending on its location, size and thickness.