Cancer Keys: Differentiation of the Cs in Lung Cancer: Cancer vs COVID-19

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Telephone consultations: working with verbal cues

Telephone consultations: working with verbal cues

Monday 10th August 2020 GatewayC and the Maguire Communication Skills Training Unit have partnered to produce this resource below. Missed our free webinar on Effective Telephone Consultations? Watch it here. What are cues? It is often the case that people do not...

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Potential pitfall:

Overlapping lung cancer and COVID-19 symptoms means that the message to patients about early diagnosis is negated by the messages necessary to control the COVID pandemic.

Helpful hint:

Consider the following action if a patient presents with features more suggestive of lung cancer and overlapping symptoms of a cough, breathlessness and fatigue:

  • Arrange an urgent nasal/oropharyngeal swab for SARS-CoV-2 PCR and if negative:
  • Refer for Chest X-ray or direct to lung cancer service for CT and triage on the National Optimal Lung Cancer Pathway
  • If PCR positive, manage according to current COVID-19 guidelines and review after 2 weeks if hospital admission not required; consider 2 week wait referral in patient recovered from COVID-19 in whom lung cancer suspected
  • If symptoms require urgent attention, consider emergency admission

Please note: the NICE NG12 guideline recommends offering an urgent chest X‑ray (to be performed within 2 weeks) to assess for lung cancer in people aged 40 and over if they have 2 or more of the following unexplained symptoms, or if they have ever smoked and have 1 or more of the following unexplained symptoms including a cough, fatigue and shortness of breath.

References:

Evison, M. et al (2020) Differentiation of the Cs in lung cancer: Cancer vs Covid-19. Available at: https://www.healthylondon.org/wp-content/uploads/2020/03/Differentiation-of-the-Cs-in-lung-cancer_-Cancer-vs.-COVID.pdf (Accessed 29 June 2020).

Cancer Keys are brought to you by GatewayC.

Download this Cancer Key here

Read the NICE NG12 guideline here

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