Lung Shadow, Confused Lung Cancer Pathway

Hi there, I'm looking for anyone with knowledge of how the lung cancer pathway works in the UK.

My mum had a chest x-ray 3 weeks ago.  She was called back to the GP this week and told there's a denser area bottom of one lung and these things can be, amongst other things, cancer.  She had an awful chest infection that we all had at the time of the x-ray.  It was the second infection, we all had 2.  She started to wheeze and be uncomfortable breathing after the second virus hit, but it's taken a long while to go away (but did for all of us, just her's is longer) and she's blowing her nose constantly and getting fed up with it.  

She was told at the x-ray that it would take 2 weeks to get results.  But it's been 3 and so she assumed the x-ray was clear when she didn't hear anything.  

Is anyone able to tell me what the lung cancer pathway is because I thought if they were concerned about any x-ray they would contact within 24 - 48 hours and then a CT is ordered within 3 days?  But we've been told within the next 2 weeks she'll get an appointment to see the chest specialist.   

Another thing the GP said she may not need a CT scan when I told mum that would be the next step.  I thought a CT scan was the next step following a shadow on the lung.  

Confused, can anyone help me understand the pathway and how it works.  In the next county to me they call within a day or two for a shadow on the x-ray and then do a CT scan within 3 days.  I thought that was the protocol.  Thanks

 

 

  • Hi DaniRose  I'm afraid there is no proper pathway to follow it just when there is a space available for what ever scan, x-ray then specialist then maybe more scans to confirm what treatment options are best for the pacient. Sorry I'm not much help. Might be best to check with your Dr to try to get things sorted more.. Best wishes.......... Billy 

  • Thanks Billy

    I was told in the next county to me they follow the NOLCP pathway and it is a legal reqirement.  So this is confusing.  

    I wonder if anyone else here can tell me if there is an NOLCP pathway or a set of rules for when people must be seen?  I will

    check with the doctor tomorrow.  Thanks for any replies.

    I thought if things were serious then radiologist calls within 24 - 48 hours, so wondering if things are not as serious as that.

     

  • Hi Dani Rose

    I was diagnosed with lung cancer in November. I have private health insurance but I can tell you how things went for me.

    I received a phone call from the GP surgery the morning after my x-ray asking me to see the GP that day. So clearly the radiologists dealt with my x-ray urgently.

    The GP said there was a largeshadow on my lung and he was referring me to a chest specialist. He said it might be tuberculosis or....( I could guess the rest).  I got the impression that this was going to happen asap but I can't say how long it would have actually taken. 

    As I had insurance, I got hold of a chest specialist but the first private appointment was 8 days later, so we found another and managed to see him that same evening. He ordered a CT which was then done in 2 days.

    Basically, there was a sense of urgency form the radiology department at the hospital and the GP but no mention of rules about a specialist appointment / CT in 24-48 hours.

    Good luck to you and your mum. I hope the investigations happen as soon as possible.

    Joy