학술논문

Navigating patient journey in early diagnosis of lung cancer in India
Document Type
article
Source
Lung India, Vol 40, Iss 1, Pp 48-58 (2023)
Subject
early diagnosis
general practice
incidental pulmonary nodule
lung cancer
patient navigation
red flags
referral pathway
screening
policy consideration
Diseases of the respiratory system
RC705-779
Language
English
ISSN
0970-2113
0974-598X
Abstract
Lung cancer (LC) is one of the leading causes of cancer deaths worldwide. In India, the incidence of LC is increasing rapidly, and a majority of the patients are diagnosed at advanced stages of the disease when treatment is less likely to be effective. Recent therapeutic developments have significantly improved survival outcomes in patients with LC. Prompt specialist referral remains critical for early diagnosis for improved patient survival. In the Indian scenario, distinguishing LC from benign and endemic medical conditions such as tuberculosis can pose a challenge. Hence, awareness regarding the red flags—signs and symptoms that warrant further investigations and referral—is vital. This review is an effort toward encouraging general physicians to maintain a high index of clinical suspicion for those at risk of developing LC and assisting them in refering patients with concerning symptoms to specialists or multidisciplinary teams as early as possible.