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    Anonymous
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    LUNG CANCER- Early Diagnosis

    Symptoms and signs indicating urgent chest X-ray and urgent and immediate referral.

    Symptoms and signs suggesting lung cancer requiring an urgent referral for chest X-ray include the following:
    haemoptysis
    unexplained or persistent (that is, lasting more than 3 weeks):
    cough
    chest/shoulder pain
    dyspnoea
    weight loss
    chest signs
    hoarseness
    finger clubbing
    features suggesting metastasis from a lung cancer (for example, in brain, bone, liver or skin)
    cervical/supraclavicular lymphadenopathy.

    Symptoms and signs suggesting lung cancer requiring an urgent referral to a member of the lung cancer multidisciplinary team (either directly or while awaiting the result of a chest X-ray) include:
    persistent haemoptysis in smokers/ex-smokers older than 40 years
    signs of superior vena cava obstruction (swelling of the face/neck with fixed elevation of jugular venous pressure)
    stridor.

    Offer urgent referral to lung cancer MDT (usually the chest physician) if:
    a chest X-ray or CT scan suggests lung cancer (including pleural effusion and slowly resolving consolidation) or
    chest X-ray is normal but there is a high suspicion of lung cancer.

    G Mohan.

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