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 on (03) 6173 0462
  • Cases can be discussed with  the Respiratory Registrar or the Consultant on call (contact via RHH Switch)

All referrals should comply to the referral standards and in particular 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.

Direct link to Health Pathways - 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). Please contact ED Medical Officer in Charge:
LGH ED
– Phone: (03) 6777 6405 Fax: (03) 6348 7382
MCH ED
– Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED
– Phone: (03) 6493 6340 Fax: (03) 6464 1926
RHH ED
– Phone: (03) 6166 6100 Fax: (03) 6173 0489

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.