Lung cancer can start in your windpipe, your main airway or your lung tissue. This is called primary lung cancer. There are two types: non-small cell and small cell.
NHS Choices has more information about primary lung cancer.
What to expect at your appointment
Your first appointment at hospital may take between 45 minutes and two hours. You may have tests and investigations on the same day or at a later date.
You will see one of our respiratory consultants or doctors. They will ask you about your symptoms and your general health and examine you.
You may also meet the lung clinical nurse specialist (CNS) who will be your key worker during your care. They will explain your test and treatment options and support you and your family. You will also be given written information about the type of cancer you have, your treatment options, and other sources of support, such as King's Macmillan Information and Support Centre.
We usually send you appointment letters for tests, investigations or treatments by post.
Tests and investigations
At your first appointment you may have one or more of the following tests or you may be asked to return at a later date to have them. They help us to find out whether you have cancer and to assess your treatment options. They include:
- nuclear medicine scan of your bones
- CT scan at King’s
- endocscopy, such as a bronchoscopy at King's or an endobronchial ultrasaound (EBUS) at St Thomas’
- lung biopsy, either CT-guided or surgical. You have both types at King's
- MRI scan at King’s
- PET scan at King's
Your care and treatment depends on the type cancer you have, its size and where it is, how far it has advanced (the stage) and your overall health. The final decision about what treatment you have is yours.
After our team of specialists reviews the results of your tests and investigations, we will arrange another appointment so you can discuss your treatment options with your consultant and clinical nurse specialist.
Your care usually includes one or more or a combination of treatments. You have all of these at Guy’s and St Thomas’.
- Surgery: To completely remove the tumour you have a surgical resection at Guy’s Hospital. After surgery you may need chemotherapy.
If you do not have surgery, you may have:
- chemotherapy, including oral chemotherapy, at Guy’s
- radiotherapy at St Thomas’
- radiotherapy and chemotherapy together
- chemotherapy and then radiotherapy.
Who to contact
At your first appointment, we will tell you who your key worker is, and how and when you can contact them. Your key worker is usually a clinical nurse specialist (CNS).
Lung clinical nurse specialists
Tel: +44 (0)20 3299 1452
Pager number: ring +44 (0)20 3299 9000 and ask for pager KH 4060
Tel: +44 (0)20 3299 4733
Pager number: ring +44 (0)20 3299 9000 and ask for pager KH 3667
Available: Monday to Friday, 9am – 5pm
If you cannot get in touch with your key worker, especially out of hours, please call the on-call oncology registrar at Guy's Hospital. Otherwise, visit your local GP or nearest Accident & Emergency department.
For practical queries you can contact the Macmillan Centre at King’s on +44 (0)20 3299 5228, 8.30am to 4.30pm, Monday to Friday.
Please note the Macmillan Centre cannot help with medical queries, as there are no nurses based at the Centre.
Your care will be provided by a group of experts called a multidisciplinary team (MDT). This is a team of doctors, nurses and other health professionals specialising in treating your type of cancer. You can discuss your care with them and ask them any questions you have about your treatment. Our team includes:
- Dr Anna Gerratt
- Dr Frank McCaughan
- Dr Geoffrey Warwick
- Dr Shahreen Ahmad
- Dr Rohit Lal
Consultant Cardiothoracic Surgeons
- Miss Juliet King
- Dr Donald Whittaker
How we support you
We want to make sure that you get all the assistance you need to live well with – and after – cancer. There’s a wide range of support available to help you cope with cancer, including physical, emotional and practical advice for you, your family, friends and carers.
The Lung cancer survivorship support group meets from 1-3pm, every third Wednesday of the month, at King's Macmillan Information and Support Centre. Please ask your key worker for more details.