The lungs are part of the body that we use to breathe. The lungs are divided into areas called lobes. The right lung has 3 lobes and the left lung has 2 lobes.
Lung cancers are cancers of the lungs and respiratory system.
There are two main types of primary lung cancer; non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC) which is less common and makes up about 10% of lung cancers.
Other rarer cancers include mesothelioma, a cancer of the covering of the lung (pleura) and carcinoid cancer.
Kingston Hospital NHS Foundation Trust, in conjunction with other local Trusts, offer a comprehensive diagnostic service including lung function testing, bronchoscopies, specialist lung ultrasound or CT guided biopsy, MRI, CT and PET scanning. The pathology service provides expert analysis of bloods, cells and tissues.
Kingston Hospital NHS Foundation Trust works as part of the South West London Cancer Network to provide treatments to patients diagnosed with lung cancer.
Lung cancers are usually treated with surgery, chemotherapy or radiotherapy (or a combination of treatments). The type of surgery needed and the particular combination of surgery and therapy will depend on the type and complexity of the cancer.
Patients requiring surgery will be seen by a thoracic surgeon from St George's University Hospitals NHS Foundation Trust, who is the provider of thoracic surgery for the hospitals in the South West London Cancer Network. Surgical follow up is with thoracic surgeons at Kingston Hospital.
Thanks to our close links with the Royal Marsden Hospital, patients requiring chemotherapy will usually receive this as an out-patient in the Sir William Rous Unit at Kingston Hospital, a state of the art cancer facility. This is led by our clinical oncologist, Dr Sanjay Popat from Royal Marsden Hospital.
Patients requiring radiotherapy are referred to Dr Merina Ahmed, clinical oncologist at Royal Marsden Hospital Sutton.
The lung cancer team is a specialist team formed from representatives of every part of the service. A lung cancer patient, within the South West London Cancer Network, might interact with some or all of the following during their diagnosis and treatment:
Clinic staff and coordinators who track and follow patients throughout their pathway
Consultant Respiratory physicians
Consultant Medical Oncologist
Consultant Thoracic Surgeons
Consultant Clinical Oncologist (Radiotherapy)
Lung Cancer Clinical Nurse Specialist
Find out more about the different types of lung cancer at:
Holistic Needs Assessment ( HNA)
People with cancer often require care, support and information in addition to the management of their cancer or condition.
A holistic needs assessment is a discussion with a doctor or nurse to talk about physical, emotional and social needs. The focus is on the patient as a whole – not just their illness. A doctor or nurse will gather information from the patient, however much they would like to share about their current situation. This is an opportunity for them to talk about any worries or concerns they may have. It will help to clarify their needs and ensure that they are referred to the relevant services.
In order to prepare for this discussion, patients may be asked to complete a questionnaire to bring to their next consultation. This is not compulsory and not having this assessment will not affect their care. However, many patients find having an assessment helpful as it can help to identify what help is available.
It may be offered at certain times during care, including:
It may be carried out over the phone.
With the patient's agreement the doctor or nurse carrying out the assessment may refer them to other services that may be of help. Alternatively, if preferred, written information can be given about these services.