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We read with interest the article by Thirumaran et al.1 They described their experience of 270 consecutive patients referred with haemoptysis and a normal chest radiograph. In their study they found the incidence of respiratory malignancy within this group was 9.6% (26 individuals) and of these 22 were primary lung malignancies. This is slightly higher than the 3–6% incidence previously reported in the literature.2–4
We have delivered a nurse-led clinic for patients referred via the 2 week wait system with haemoptysis and a normal, or non-localising, chest x-ray. Patients were stratified into high risk or low risk groups according to age and smoking history. An algorithm was then devised to guide further investigation …
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Competing interests None.
Provenance and peer review Not commissioned; not externally peer reviewed.