The lung team has their multidisciplinary meeting on a Monday lunchtime followed by a clinic.
There are two main types of primary lung cancer. Non-small cell lung cancer (the most common type of lung cancer) and small cell lung cancer, which is less common and accounts for about 10% of cases. Small cell lung cancers are also classed as neuro endocrine tumours and develop in cells of the neuro endocrine system.
There are two main types of non-small cell lung cancers- adenocarcinoma and squamous cell carcinomas. They are grouped together as they behave in a similar way. Rarer forms of lung cancer include mesothelioma- a cancer of the lung covering (pleura).
Kingston Hospital offers a comprehensive diagnostic service. Investigations can include lung function testing, bronchoscopies, specialist ultrasound or CT guided biopsy, MRI scans, CT and PET scanning. Our pathology service provides expert analysis of blood, cells and tissues.
We may also ask you attend neighbouring hospitals for more specialist tests such as a PET scan at Royal Marsden Hospital or an endobronchial ultrasound at Royal Brompton Hospital where lymph nodes in your chest can be sampled.
Treatments for lung cancer include surgery, systemic therapy and radiotherapy or a combination of these treatments.
If surgery is a treatment option you will have your surgery at St Georges Hospital, Tooting. Follow-up will then be at Kingston Hospital.
Radiotherapy takes place at Royal Marsden Hospital, Sutton under the care of a clinical oncologist. Each treatment of radiotherapy is known as a “fraction of radiotherapy”. The amount of fractions will vary depending on the type of lung cancer and treatment regime. The Royal Marsden will discuss this with you and a planning CT scan will be performed before radiotherapy starts.
Systemic therapy is given at Kingston Hospital in the Sir William Rous Unit (SWRU) under the management of a medical oncologist from the Royal Marsden Hospital. If the multi-disciplinary team feel systemic therapy would be the best treatment option, your tissue will be sent off for further analysis to look for any molecular mutations. This ensures you receive the most appropriate treatment for you. This systemic treatment may be chemotherapy, tablet therapy, immunotherapy or a combination of these treatments. They are administered intravenously or orally.
Our lung cancer team is made up of specialists from across the hospital. You might interact with some or all of the following:
- Respiratory doctors responsible for diagnosis
- Specialist radiologists and histopathologists who analyse image and samples
- Clinical or Cancer Nurse Specialists
- Specialist surgeons and oncologists who deliver treatment
You can find further information about lung cancer at Cancer Research UK or Macmillan Cancer Support
Holistic Needs Assessment (HNA)
If you have cancer, you often need care, support and information above and beyond the management of your condition.
At a holistic needs assessment, a doctor or nurse will discuss your physical, emotional and social needs. It’s about you as a whole, not just your illness.
This is a chance for you to share as much as you want about your worries and concerns. It will help us to clarify your needs and make sure you are referred to the relevant services.
It’s not compulsory, and if you decide not to have an HNA it won’t affect your care. But many patients find it useful because it identifies what help is available – and the doctor or nurse carrying it out can refer you to other services.
An HNA may be offered:
- Around the time of diagnosis or start of treatment
- When surgery, chemotherapy or radiotherapy has been completed
Any time a patient asks for one