Potential pitfall: Jaundice can be a classic symptom of pancreatic cancer; about half of patients have jaundice when they first go to their GP. Yet, pancreatic cancer is difficult to diagnose as symptoms can vary or may be late, vague and non-specific. Helpful hint:...
Tuesday 15th September 2020 It’s World Lymphoma Awareness Day. Why not increase your knowledge and complete our free online Lymphoma – Early Diagnosis course supported by Lymphoma Action? Lymphoma has many non-site specific symptoms and patients can often visit...
Potential pitfall: Jaundice can be a classic symptom of pancreatic cancer; about half of patients have jaundice when they first go to their GP. Yet, pancreatic cancer is difficult to diagnose as symptoms can vary or may be late, vague and non-specific. Helpful hint:...
Potential pitfall: Faecal calprotectin testing is an incredibly sensitive investigation for detecting the presence of inflammation. It is raised in a wide variety of conditions including malignancy, inflammatory bowel disease and alcohol misuse. It is therefore not...
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, to ensure we do not miss opportunities for early diagnosis and curative treatment.
Helpful hint:
Consider this guidance when selecting patients for a chest X-ray or a suspected lung cancer referral during coronavirus, if a patient presents with a persistent cough > 3 weeks and:
NICE guidelines recommend offering an urgent chest X-ray (to be performed within 2 weeks) to assess for lung cancer in people aged 40 and over, who have ever smoked and present with a cough; or are aged 40 and over who present with a cough and another red flag symptom, or a persistent or recurrent chest infection. Refer using a suspected cancer pathway referral (for an appointment within 2 weeks) if they are aged 40 and over with unexplained haemoptysis, or their chest X-ray suggests lung cancer.
References:
Dr Matthew Evison, Consultant Chest Physician and Clinical Lead, Director of the Lung Pathway Board and clinical lead for the CURE project for Greater Manchester
Kennedy et al. Lung cancer stage-shift following a symptom awareness campaign. Thorax. 2018 Dec;73(12):1128-1136
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