A 55-year-old man with a 30 pack-year smoking history presents with a 3-month history of chronic cough and haemoptysis. Chest radiograph shows a right...

Question

A 55-year-old man with a 30 pack-year smoking history presents with a 3-month history of chronic cough and haemoptysis. Chest radiograph shows a right upper lobe mass. According to Canadian lung cancer investigation pathways, what is the next best step?

Accepted Answer

Urgent CT chest and referral to a rapid lung cancer diagnostic programme

Answer

Empiric antibiotics for 3 months then repeat imaging

Answer

Begin inhaled corticosteroids

Answer

No further work-up; likely COPD

Answer

Start long-term anticoagulation

ca-mccqe1 MCQ (SBA): Lung cancer work-up

A 55-year-old man with a 30 pack-year smoking history presents with a 3-month history of chronic cough and haemoptysis. Chest radiograph shows a right upper lobe mass. According to Canadian lung cancer investigation pathways, what is the next best step?