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Pulmonary Nodule Clinic

Providers at the Pulmonary Nodule Clinic are committed to giving patients the most accurate, rapid assessment of nodules and lesions. High risk patients can expect to see a physician during the next available clinic; typically most patients will be seen within two weeks of calling our staff.

Physicians will provide a clear explanation of the best course of action for diagnoses and treatment. And once that is decided, patients are diagnosed with not only the best equipment available, but by the only multi-disciplinary pulmonary clinic team in the Rocky Mountain Region.

What is a pulmonary nodule?

A pulmonary nodule is a small spot on the lung less than 3 centimeters in diameter. Often nodules do not cause pain, or present any signs or symptoms. Most patients, in fact, are surprised to learn they have a pulmonary nodule – physicians find almost 90% of them while conducting chest x-rays or CT scans for other ailments.

Most pulmonary nodules are benign. They are often the result of an infection, or scar tissue build-up from a previous infection. But because they can be cancerous, they are worrisome for patients. Doctors may recommend a "watchful waiting period" to see if the nodule grows or changes shape or they may recommend a diagnostic approach to determine if the nodule is cancerous.

Because early detection is critical to successfully treating cancer, our clinic uses the most advanced diagnostic technology, enabling faster, safer and more accurate diagnoses.

For referring physicians

If you refer a patient to the Pulmonary Nodule Clinic, you can expect your patient to be seen in less than 10 days - most often he or she can receive a diagnostic procedure within a week.

Our medical team will communicate all diagnostic plans and findings with you, and provide any additional work-up if needed. We will also provide ongoing radiographic follow-up, if indicated, for nodules not amenable to tissue diagnosis.

Once a diagnosis is obtained, we will handle any referrals to specialists that may be needed; we serve as a single entry point into the University of Colorado system.

Why choose us?

If you are diagnosed with lung cancer, the University of Colorado Cancer Center is one of the best facilities you'll find to handle your case.

Based on Colorado Cancer Registry data, the survival rates for patients treated within the UCCC Thoracic Oncology Team are up to two to three times those of the rest of Colorado.

Learn more

Fast, accurate assessments

The Pulmonary Nodule Clinic is committed to providing patients with the most accurate, rapid assessment of nodules and lesions.

High risk patients can expect to see a physician during the next available clinic; typically most patients will be seen within two weeks of calling our staff.

Physicians will provide a clear explanation of the best course of action for diagnoses and treatment. And once that is decided, patients are diagnosed with not only the best equipment available, but by the only multi-disciplinary pulmonary clinic team in the Rocky Mountain Region.

Advanced diagnostics

Early, accurate diagnosis is the best way to end worries or begin a course of treatment. At the Pulmonary Nodule Clinic, we use the most precise, least invasive tools to diagnose nodules.

 

Click to learn more about inReach.

One of the newest is the superDimension™ inReach™ system. The system, also known as Electromagnetic Navigation Bronchoscopy, combines a traditional bronchoscope with electromagnetic technology that enables physicians to navigate the airways of the lungs and reach smaller nodules, in more remote places. A bronchoscope is a thin, lighted tube inserted through the mouth or nose, down the trachea and into the lungs. It can take a tissue sample of nodules in this region.

Extending diagnostic reach

But 65% of nodules are beyond the reach of a traditional bronchoscope. The inReach™ system extends the reach of the bronchoscope with a device so small it can reach places other equipment cannot. Physicians use an electromagnetic device to navigate small airways of the lungs. 

Other benefits for patients include:

  • Less invasive procedure that may reduce damage to healthy lung tissue
  • Can be used on patients with some procedure-restricting conditions
  • Reduced risk of complications
  • Shorter hospital length of stay

Contact us

Want to find out more? Contact us to set up an appointment. We look forward to hearing from you!

Bethie Jean-Philippe
(720) 848-3386
Bethie.JeanPhilippe@uch.edu

 

Your clinic providers

The doctors who staff the Pulmonary Nodule Clinic are expert diagnosticians and practitioners who stay ahead of the curve in recognizing and treating lung nodules and lesions.

Derek Linderman, MD

Dr. Linderman joined the University of Colorado faculty in 2007 as a specialist in Pulmonary and Critical Care Medicine with a particular interest in patients with pulmonary nodules, lung cancer and COPD. As Director of Bronchoscopy Services at UCH has been instrumental in bringing advanced bronchoscopic techniques such as navigational brochoscopy and bronchoscopic ultrasound to UCH.

Stephen Malkoski, MD, PhD

Dr. Malkoski joined the University of Colorado Hospital faculty in 2008. He practices Pulmonary and Critical Care Medicine and does basic science research on lung cancer (watch this YouTube video about one of Dr. Malkoski's research projects). He is a full member of the University of Colorado Cancer Center and took a leading role in establishing the Pulmonary Nodule Clinic at UCH.