Source: Annual Congress 2002 - Lung cancer: epidemiology and clinical characteristics
Disease area: Thoracic oncology

Abstract

Rapid Access lung cancer clinics began 31 March 2000 to expedite the diagnosis and management of patients with suspected lung cancer. Data were presented from 164(107 male) patients aged 24-92 mean (SD)66.3(13.74) median 60 years; including(n=139 /164 , 89%) current or ex-smokers attending between (31st March 2000 and 1st April 2001 ). All patients were seen within 2 weeks (median=6) mean 5 ( range 1 – 14)days. Presenting symptoms including cough, weight loss and breathlessness(n= 90, 55%) , haemoptysis (n=40, 24%), pleural effusion and chest pain (n=17, 10%) and direct referral with abnormal CXR(n=17, 10%). Histological evidence of cancer was found in (n=77/164, 47%) .There were 11 small cell and 59 non small cell lung cancers, and 7 others Lymphoma(1), Neurofibroma(1), Mesothelioma(1), Hamartoma(1), Metastatic lung cancers(3). Bronchoscopy diagnosed 59, CT guided biopsy 7,with thoracotomy required for the other 4. Lung resection was possible in( n=19/70 , 27%) patients. Only (n=3/19) were needed further treatment with radiotherapy (DXT). Our Rapid access lung cancer service has enabled the 100 % 2 week government target for patients with suspected lung cancer. The majority of patients were smokers or ex-smokers adding weight to the arguments for campaigning against tobacco. Almost half the referred patiernts had cancer. Our lung resection rates at 27% exceeded the national average(15%).
References: 1-Treasure T.et.al Whose lung is it anyway? Thorax 2002; 57(1):3-4
2-Laroche C, Wells F, Coulden R et al. Improving surgical resection rate in lung cancer. Thorax 1998;53:445-9

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Citations should be made in the following way:
M. K. M. Al-Jibury, R. M. Cayton (Blackburn, United Kingdom). Rapid access lung cancer clinics. Eur Respir J 2002; 20: Suppl. 38, 577

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