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Dr. Nathaniel Evans III

Surgery - Thoracic
Philadelphia, PA
20 years experience male

Locations

Thomas Jefferson University Hospital

Philadelphia, PA

Address

1025 Walnut Street, Suite 607, Philadelphia, PA
Directions

My office hours

Wednesday: Closed
Show more

Fax

2159666010

Office

Philadelphia, PA

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Surgery - Thoracic

Surgery

Thoracic Surgery

Languages spoken

English

Doctor Q&A

46 Answers
33 Agrees
The number of answers this doctor has agreed with.
A 24-year-old female asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Contact your surgeon: The most likely cause for this is irritation and swelling from the breathing tube used during the procedure. BUT, there are some very rare and more d... Read More
A 45-year-old female asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
It depends: Not all lung nodules are alike. The odds that a nodule is cancer depends in the appearance and size of the nodule, the medical history of the patient... Read More
A 38-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Not necessarily: Some stage 3 patients can be cured, but much more information is needed about the patient and the cancer. Stage 3 lung cancer patients should be eval... Read More
A 38-year-old female asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Maybe: Recovery after thymoma differs depending on the type of surgery done to remove the thymus e.g. Sternotomy, cervical approach, minimally invasive (vats... Read More
A 21-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Very slightly: People with hiatal hernias usually have some gastroesophageal reflux (gerd). Gerd is a risk factor for esophageal cancer. That said, nearly half of... Read More
A 22-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Two fold: 1) patients with myasthenia are more likely than others to develop tumors in their thymuses called thymomas. When found early these tumors can be rem... Read More
A member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Depends on the size: Some pneumothoraces will resolve on their own. Larger pneumothoraces require a tube to be placed in the chest to pre-expand the lung. If someone has... Read More
A 35-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Three ways: 1) cervical: through a small incision in the neck. 2) thoracoscopy using a camera inserted between the ribs with 3-4 small incision 3) robotic assist... Read More
A 46-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
We don't know: Although smoking is by far the greatest risk factor for lung cancer, not every lung cancer patient has a smoking history. Some non-smokers have othe... Read More
A 39-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
We don't know: Although smoking is by far the greatest risk factor for lung cancer, not every lung cancer patient has a smoking history. Some non-smokers have othe... Read More
A 41-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Very rarely: Lung cancer can present as shoulder pain. This a rare presentation but in a person with extensive smoking history and no other cause of pain it should... Read More
A 38-year-old female asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Yes...: It is possible that there are two different cancers. It may also be that the primary tumor is a combination of the two (adenosquamous) and the biopsy ... Read More
A 20-year-old male asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Probably not: Lung cancer in non smokers your age is extremely rare. If the cough persists you should be evaluated by your primary care doctor and/or a pulmonary p... Read More
A 45-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
A biopsy should tell: The only way to be absolutely sure that lung cancer has spread to the liver or anywhere else is to biopsy the area of concern. Other tests like pet/ct... Read More
A 23-year-old female asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
No, but...: There are several causes of trouble swallowing (or dysphagia). Esophageal cancer is a very rare cause especially in young people. But, dysphagia defi... Read More
A 32-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Usually not very: The main complaint that most esophageal patients have is difficulty swallowing food or drink (called dysphasia). Rarely, people complain of pain when ... Read More
A 42-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Sometimes: The two main types of esophageal cancer are adenocarcinoma and squamous cell carcinoma. Cure with chemotherapy and radiation alone is much more likel... Read More
A 31-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Yes: Most early stage lung cancer patients have no symptoms at all. Unfortunately, most patients do not have symptoms until their tumor is quite large or i... Read More
A 47-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
It depends: That depends on the stage of the cancer and how bad you're cirrhosis is. The treatment for lung cancer varies dependent upon how far the cancer has sp... Read More
A 22-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Ask your oncologist: Your medical or radiation oncologist should know or be able to find out about any clinical trials that a patient might be eligible for. Nci designa... Read More
A 28-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Sometimes: The most common diseases related to asbestos exposure involve the lining of the lung. However asbestos exposure can result in lung nodules.
A 30-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Depends on the stage: Lung cancer treatment depends on stage. The extent the cancer has spread is described by the stage (1-4). In general: stage 1 cancer is usually best t... Read More
A 42-year-old female asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Rarely: The vast majority of lung cancer is thought to be caused by tobacco exposure. A small percentage of the lung cancer cases in non smokers are thought ... Read More
A 55-year-old male asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
It depends: Not all lung nodules are alike. The odds that nodules are cancer depends in the appearance and size of the nodule, the medical history of the patien... Read More
A 20-year-old male asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
No: Appendicitis is not contagious.
A 38-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Since before 1900: Before the 1900s lung cancer was known about but extremely rare. In the early 1900 as tobacco smoking became more common, so did lung cancer. It was... Read More
A 43-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Yes: Small cell lung cancer often responds very well to chemotherapy (shrinks) but it is unfortunately also common for the cancer to return after the comp... Read More
A 55-year-old female asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
It depends: It depends on the patients medical history, smoking history, whether or not the nodule has grown over time, and what exactly it looks like. The patie... Read More
A 59-year-old female asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Continued chemo: The term maintenance chemotherapy refers to chemotherapy given for an extended period of time (usually at a lower dose) after initial standard treatme... Read More
A member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Depends: It depends on what you mean by advanced. If she is a candidate for surgery she may require a procedure to biopsy lymph nodes and then a procedure to ... Read More
A 42-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Sympathectomy: A sympathectomy via video assisted thoracic surgery (vats) is a procedure that divides the nerves that cause sweaty palms. In most large studies 90-95... Read More
A 37-year-old male asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Airway irritation: Coughing in esophageal cancer is usually caused by airway (aka bronchus or wind pipe) irritation, most commonly by: 1. Aspiration (saliva and/or f... Read More
A member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Thoracentesis: Thoracentesis is a procedure that allows removal of fluid from the pleural space (the space between the lungs and the rib cage). Normally there shoul... Read More
A 28-year-old female asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Sympathectomy: A sympathectomy via video assisted thoracic surgery (vats) is a procedure that divides the nerves that cause sweaty palms. In most large studies 90-95... Read More
A 34-year-old female asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Intense inflammation: This means there was an area of intense inflammation in your lung. Fortunately, this is not cancer. Although it often looks a lot like cancer on imag... Read More
A 35-year-old female asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Yes: Gastroesophageal reflux (GERD) can present in many ways. Some people do not experience the "typical" heartburn and regurgitation. They may have cou... Read More
A 49-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Constant: Pain from lung cancer usually only occurs when the cancer has spread outside of the lung to the chest wall or ribs. In that case people develop const... Read More
A 45-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Stage IV lung cancer: The five year survival for stage 4 lung cancer (percent of people with this stage that are alive five years after diagnosis) is less than 10 percent. ... Read More
A 22-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
No, but...: There are several causes of trouble swallowing (or dysphagia). Esophageal cancer is a very rare cause especially in young people. But, dysphagia defi... Read More
A 35-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Usually not: Throat cancer is generally used to describe laryngeal cancer. The larynx is also called the voice box and serves as the opening from the back of the m... Read More
A 54-year-old female asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
No: Although some studies have shown an association between reflux and lung cancer, there is no evidence that reflux causes lung cancer.
A 33-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Multimodality: Early stage esophageal cancer in otherwise healthy people is treated with removal of the esophagus. Larger tumors or tumor that have spread to lymph n... Read More
A 56-year-old female asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
80% in some patients: In patients whose tumor has a specific mutation that makes it sensitive to the drug (alk translocation) the response rate is about 80%. That is, the ... Read More
A 43-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Rarely but yes: Cancer is rare in children and esophageal cancer is extremely rare. But it is possible for children and teenagers to get esophageal cancer.
A 37-year-old member asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
It depends: Not all lung nodules are alike. The odds that a nodule is cancer depends in the appearance and size of the nodule, the medical history of the patient... Read More
A 35-year-old female asked:
Dr. Nathaniel Evans III
Surgery - Thoracic 20 years experience
Possibly: Endoscopic ultrasound is an advanced endoscopic procedure best performed by an experienced endoscopist who's practice involves many esophageal cancer ... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
89
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Evans III is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Evans III is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
I had the sternotomy. I read many answers online and they all said about 2 weeks. It's comforting to learn that that is not true. Thanks.
HealthTap member
Thank you, your answer was very helpful! I have a thymoma and am discussing robotic surgery with my doctor.
HealthTap member
Thank you, your answer was very helpful! Share thanks in your own words...

Education & Training

Medical/Graduate school

Stanford University School of Medicine, CA
Graduated 2002MD

Residency

MASSACHUSETTS GENERAL HOSPITAL

Awards

Top Thoracic Surgeon , Second Place, Pennsylvania - Winter
2013
HealthTap Founding Doctor

Affiliations

Jefferson Medical College Thomas Jefferson University
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less