Diagnostic and Therapeutic Bronchoscopy
Since 2002, the Milton S. Hershey Medical Center has expanded its bronchoscopy services and continues to do so with the advent of the new Cancer Center. Both diagnostic and therapeutic bronchoscopies are performed in the Bronch/Endo/Litho (BEL) suite in the main hospital five days per week.
Medical director of bronchoscopy Dr. Jennifer Toth supervises pulmonary fellows and performs procedures along with a dedicated team of technicians and nurses. Routine diagnostic procedures such as bronchoalveolar lavage, transbronchial biopsy, and microbiology and cytology brushings are performed safely and efficiently on a daily basis. A particular strength of the service includes the advanced diagnostic technique of transbronchial needle aspiration (TBNA) of lymph nodes which is a vital minimally invasive staging technique for lung malignancies as well as a valuable tool for diagnosing entities such as sarcoidosis, lymphoma, and atypical infection.
The MSHMC Bronchoscopy service places a special emphasis on the diagnosis, management, and palliation of lung cancer cases. Interventional procedures including argon plasma coagulation/electrocautery of endobronchial lesions, airway stenting, balloon bronchoplasty, and the forthcoming autofluorescence bronchoscopy airway exam for early detection and management of premalignant lesions and carcinoma in situ. The service is heavily involved with the Multidisciplinary Thoracic Oncology conference held weekly which coordinates care of patients with other specialists including Cardiothoracic Surgery, Medical Oncology, Radiation Oncology, and Nuclear Medicine