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

Latest from the Blog

Meet the specialists: lung cancer vs COVID-19 Q&A

Meet the specialists: lung cancer vs COVID-19 Q&A

Friday 30th October 2020 Missed our free GatewayC webinar on Lung Cancer vs COVID-19? Watch our recording here. In this webinar GatewayC met Dr Matthew Evison, Consultant Chest Physician and Director of the Lung Pathway Board, and Dr Seamus Grundy, Consultant...

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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).

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Latest from the Blog

Meet the specialists: lung cancer vs COVID-19 Q&A

Meet the specialists: lung cancer vs COVID-19 Q&A

Friday 30th October 2020 Missed our free GatewayC webinar on Lung Cancer vs COVID-19? Watch our recording here. In this webinar GatewayC met Dr Matthew Evison, Consultant Chest Physician and Director of the Lung Pathway Board, and Dr Seamus Grundy, Consultant...

read more
Meet the specialists: acute leukaemia Q&A

Meet the specialists: acute leukaemia Q&A

Friday 23rd October 2020 Missed our free GatewayC webinar on Acute Leukaemia? Watch our recording here. In this webinar GatewayC met Dr Amit Patel, a Consultant in Cellular Therapies and Stem Cell Transplantation, who answered key questions from our audience. These...

read more

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Cancer Keys: False negative FIT results

Cancer Keys: False negative FIT results

Whilst FIT can be a good indicator of bowel cancer, inflammatory bowel disease and sometimes precursors of cancer, some symptomatic patients can still have false negative results. With this in mind, how should you proceed? Potential Pitfall A normal result can miss...

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