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atla.doereport.comatla.doereport.comLung Cancer Staging: Non-small Cell - Medical Animation
Lung Cancer Staging: Non-small Cell - Medical Animation



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5/24/20
Lung Cancer Staging: Non-small Cell - Medical Animation
 
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Lung Cancer Staging: Non-small Cell - Medical Animation
MEDICAL ANIMATION TRANSCRIPT:
The staging of lung cancer refers to the extent of the disease. If you have the most common form of lung cancer, or non-small cell lung cancer, it would be staged according to the size of the tumor and whether it has spread to lymph nodes or other organs of the body. In the occult, or hidden stage, cancer cells are found in coughed up mucous or other lung fluids, but no tumor can be seen in the lung. Stage 0 is not considered invasive because the cancer cells are found in the innermost lining of the air passages but have not grown through it. Stage 1A is considered invasive cancer because the tumor has grown through the inner lining of the airways into the deep lung tissue. When measured, the tumor is no more than 3 centimeters in diameter and has not spread to the bronchi, lymph nodes, or distant sites. In stage 1B, the diameter of the tumor is larger than 3 centimeters or has spread to the main bronchus or has grown through the lung into the inner layer of the pleura. In stage 2A, the tumor is no more than 3 centimeters across, but it has spread to nearby lymph nodes on the same side of the chest as the tumor. There are two scenarios that can occur with stage 2B lung cancer. One, where cancer cells have not spread to nearby lymph nodes but have invaded the chest wall, diaphragm, pleura, the membrane surrounding the heart, or a main bronchus. In the second scenario for stage 2B, the cancer has spread to the lymph nodes on the same side of the chest as the tumor. Also, the tumor is larger than 3 centimeters across or has grown into a main bronchus or has grown through the lung into the pleura. In stage 3A, the tumor may be any size, and the cancer cells have spread to the lymph nodes on the same side as the lung tumor. Also, the cancer may have spread to the chest wall, diaphragm, pleura, the membrane around the heart, or a main bronchus but not the trachea. In stage 3B, the tumor may be any size and has spread to lymph nodes above the collar bone or on the other side of the chest. The cancer may have spread to nearby structures, such as the heart, major heart vessels, diaphragm, chest wall, trachea, esophagus, breast bone, or to more than one place in the same lung. In stage 4, cancer has spread to other lobes of the same lung, or into the opposite lung, and has spread to other parts of the body, such as the brain, liver, kidneys, adrenal glands, or bone.

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"Medical illustrations are essential during trial for any medical malpractice case. The people at MLA have the uncanny ability of creating medical illustrations that simplify the most complex of medical concepts and human anatomy to a lay audience. The exhibits of MLA allow experts to easily describe complex concepts and human anatomy in a manner that could not be done otherwise.

In addition, their custom illustrations show in great detail the extent of injuries suffered and the devastating effects they have had on the client's anatomy. These custom illustration can show, side by side, the body before and after a catastrophic injury. The effect of this juxtaposition is unmatched by any testimony that can be adduced at the time of trial.

Even jurors after trial have commented on the ease with which they grasp medical concepts and anatomy once the MLA exhibits were introduced and used by my experts. Even judges who have "seen it all" are thoroughly impressed by the detail and sophistication of the illustrations.

I would not want to try a case without them."

Lambros Y. Lambrou
McHUGH & LAMBROU, LLP
New York, NY

"I wanted to thank you for the terrific job you did illustrating my client's injuries. The case was settled at the pre-suit mediation, and I believe a good part of the success we had was due to the medical legal art you prepared.

Your work received the ultimate compliment at the conclusion of the mediation. The hospital risk manager took the exhibit with them at the conclusion of mediation, and will be using it to train nurses on how to prevent bed sores..."

Steven G. Koeppel
Troy, Yeslow & Koeppel, P.A.
Fort Myers, FL

"Whether it's demonstrating a rotator cuff tear, neck movement a few milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report represents an instant on-line database of medical illustration for health-care and legal professionals.

Illustrations can be purchased 'as is' or modified within hours and sent either electronically or mounted on posterboard. An illustration is worth a thousand words, as juries perk up and look intently to capture concepts that are otherwise too abstract. Start with good illustrations, a clear and direct voice, a view of the jury as 12 medical students on day one of training, and your expert testimony becomes a pleasure, even on cross examination. An experienced trial lawyer should also emphasize these illustrations at the end of trial, as a means of visually reinforcing key concepts covered.

As a treating physician, I also use these accurate illustrations to educate my own patients about their medical conditions. The Doe Report is an invaluable resource, and its authors at MLA have always been a pleasure to work with."

Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine
www.seattlespine.info

"It is my experience that it's much more effective to show a jury what happened than simply to tell a jury what happened. In this day and age where people are used to getting information visually, through television and other visual media, I would be at a disadvantage using only words.

I teach a Litigation Process class at the University of Baltimore Law Schooland use [Medical Legal Art's] animation in my class. Students always saythat they never really understood what happened to [to my client] until theysaw the animation.

Animations are powerful communication tools that should be used wheneverpossible to persuade juries."

Andrew G. Slutkin
Snyder Slutkin & Kopec
Baltimore, MD
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