Lung Cancer

Availability

North South North West Statewide

Pre-referral work-up

History

  • Suspected lung cancer*
  • Lung mass for assessment
  • All cases will be viewed as urgent
  • Referrals can be faxed to the Department of Respiratory Medicine in your region.
  • Cases can be discussed with the Respiratory Registrar or the Consultant on call (contact via Switch in your area)

All referrals should comply with the Referral Standards and specifically include:

  • Recent symptoms
  • Smoking history
  • Occupational history, including prior asbestos exposure
  • Functional status (ECOG score)

Tests

  • CXR
  • CT Chest

Interim/GP management

To refer a patient with this condition, please see the Respiratory and Sleep Medicine clinic page for the full referral process and templates.

* Lung cancer should be considered if potential symptoms/signs of lung cancer including unexplained haemoptysis, new or changed cough, chest and/or shoulder pain, shortness of breath, hoarseness, anorexia, weight loss, unresolved chest infection, abnormal chest signs clubbing, cervical and/or supraclavicular lymphadenopathy, features suggestive of metastasis from the  lung (brain, bone, liver, skin) pleural effusion, SVC obstruction, stridor are unexplained and greater than 3 weeks in duration.

Please refer to the Cancer Council of Australia website for GP advice regarding the investigation and management of patients with suspected lung cancer.

For more information please see the Tasmanian Health Pathways website.

Emergency

Acutely unwell/dyspnoeic

Large haemoptysis (>30ml/24hours)

Severe hypercalcemia

Urgent / category 1

All cases will be viewed as urgent

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED).
LGH ED Reception  – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100  Fax: (03) 6173 0489

Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.

Urgent:

We will endeavour to see these patients within four weeks.

Patients with suspected lung cancer will be seen within one week.

Urgent referrals should be accompanied by a phone call to the Respiratory Department and/or the relevant doctor for urgent assessment and referral faxed to the Respiratory Department as well (03) 6173 0462.

Semi-urgent:

We will endeavour to see these patients within 12 weeks.

Routine:

Next available appointment.