Welcome

Thank you for your interest in our practice. We can offer you the most technologically advanced endoscopic procedures in the Inland Northwest. Our focus is on endoscopic oncology and invasive mediastinal staging of lung cancer with endoscopic ultrasound. We also perform routine endoscopies and colon cancer screening.

We work closely with your primary care or specialty care provider. Once our diagnostic or therapeutic procedures have been completed we will communicate with the referring physician who will resume your overall care.

Endoscopic Ultrasound and Endobronchial Ultrasound are increasingly used as a minimally invasive method to diagnose and stage lung cancer. We have ten years of experience in the field. For more information follow the link to this Wikipedia article Lung Cancer Staging with EUS

We welcome phone consultations by physicians who consider EUS-FNA of mediastinal lymph nodes at 1-509-455-3453 extension 1.

EUS case of the week

Paravertebral mass in a 75 year old patient. This is a 75 year old patient with a history of prostate cancer and rising PSA levels previously diagnosed with polymyalgia rheumatica. He took steroids for 3 years. He developed chest pain and after cardiac causes were eliminated an MRI of the thoracic spine was obtained which showed a paravertebral mass which measured 6 cm in length and extended from T3 to T6. EUS evalution and guided biopsies were requested. The FNA cytology shows carcinoma cells most consistent with a prostate origin.