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This table highlights the criteria set by NICE for urgent referral and diagnostic testing for lung cancer, emphasizing the importance of a thorough assessment of symptomatic individuals aged 40 and over. The guidance aims to ensure that those presenting with specific symptoms or findings that could indicate lung cancer are quickly identified and assessed through the appropriate diagnostic pathways, enhancing the chances of early detection and timely treatment.
Lung cancer
| Guidance Item | Criteria for Referral or Diagnostic Action | Patient Group | Recommended Action | Timeline | Symptoms/Findings |
|---|---|---|---|---|---|
| Lung Cancer 1.1.1 | • Chest X-ray findings suggest lung cancer or • unexplained haemoptysis and they are aged 40 and over | Suspected cancer pathway referral | A person to receive a diagnosis or ruling out of cancer within 28 days of being referred urgently by their GP for suspected cancer. | - | |
| Lung Cancer 1.1.2 | Two or more unexplained symptoms, or ever smoked with one or more unexplained symptoms | Aged 40 and over | Urgent chest X-ray | Within 2 weeks | Cough, fatigue, shortness of breath, chest pain, weight loss, appetite loss |
| Lung Cancer 1.1.3 | Persistent or recurrent chest infection, finger clubbing, supraclavicular lymphadenopathy or persistent cervical lymphadenopathy, chest signs consistent with lung cancer, thrombocytosis | Aged 40 and over | Urgent... |
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