1. 影像检查疑似肺癌
2. 根据不同的医院
- 社区医院：转诊呼吸科或者直接转诊上级医院
- 大型综合医院：转诊胸外科、肿瘤科、呼吸科
- 肿瘤医院：转诊肿瘤胸外科、肿瘤科或者多学科讨论
3. 与患者/家属讨论临床诊断过程
4. 获得组织/细胞学诊断
- 痰细胞学
- 细针穿刺可触及的结节
- 纤维支气管镜
- 胸膜穿刺/活检
- 影像引导的经皮穿针穿刺肺部/深部结节
- 手术探查活检/切除
5. 专科按相关疾病诊疗原则处理
参考文献 - South Australian Lung Cancer Pathway-Optimising outcomes for all South Australians diagnosed with Lung Cancer. September 2013
- ACCP. Clinical and Organizational Factors in the Initial Evaluation of Patients With Lung Cancer Diagnosis and Management of Lung Cancer,3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. 2013
- South Australian Lung Cancer Pathway-Optimising outcomes for all South Australians diagnosed with Lung Cancer. September 2013
- Cancer Care Ontario (CCO). Lung Cancer Diagnosis Pathway.Version 2012.02
- Evidence-Based Series 24-2: A Quality Initiative of the Program in Evidence-Based Care (PEBC), Cancer Care Ontario (CCO). Referral of Suspected Lung Cancer by Family Physicians and Other Primary Care Providers. L. Del Giudice, S. Young, E. Vella, M. Ash, P. Bansal, A. Robinson, R. Skrastins, Y. Ung, R. Zeldin, and C. Levitt. Report Date: August 29, 2011.CCO website at http://www.cancercare.on.ca/
- NICE guideline. Referral guidelines for suspected cancer. Second draft for consultation, September 2004
|
|
