Lung cancer

Question 1

What are the red flag symptoms for lung cancer?

4

Answer 1

1. Unexplained haemoptysis (age>40)
2. CXR suggestive of malignancy
3. Chest symptoms : SOB, cough, chest pain.
4. Supraclavicular or cervical lymphaneopathy

Question 2

Initial Ix or examination of suspected Lung Cancer

Answer 2

1. CXR

2. FBC : Platelets (Thrombocystosis)

Question 3

What are the risk factors for lung cancer?

Answer 3

1. Smoking
2. Asbestos exposure or toxins
3. COPD
4. Previous history of cancer esp head and neck

Question 4

When would you consider making a referral using the cancer pathway for an appointment within 2 weeks?

Answer 4

1. CXR findings suggestive of Lung cancer

2. Aged > 40 with unexplained haemoptysis

Question 5

When should Chest X ray be offered to > 40 years?

Answer 5

• (1 symptoms for asbestos exposure and 2 symptoms for never smoked)
  1. Cough, SOB, chest pain
  2. Fatigue, weight loss and loss of appetite