Friday 21st August 2020 Did you miss our free webinar on Suspected Cancer Referrals and COVID-19? Watch it here. Miss Susannah Penney, Consultant Head, Neck and Thyroid Surgeon, receives over 2000 cancer referrals a year. When making a suspected cancer referral, are...
Cancer Keys: Differentiation of the Cs in Lung Cancer: Cancer vs COVID-19
Latest from the Blog
Communication is at the heart of GatewayC and fundamental to improving patient care. This series focuses on introductions and reflections from the team behind the programme. In this post, we’re introducing GatewayC's Programme Administrator, Emma Jones. ...
Potential pitfall: There has been a significant reduction in suspected cancer referrals during the COVID-19 crisis. Yet, lung cancer is a major cause of premature death in the UK. Clinician’s must identify those at risk of lung cancer and investigate when appropriate,...
Neutropenic sepsis is a potentially fatal complication of anticancer treatment (particularly chemotherapy). Helpful hint: NICE have produced a COVID-19 rapid guideline on the delivery of systemic anticancer treatments. If patients present with COVID-19 symptoms this...
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.
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.
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