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Is investigation of patients with haemoptysis and normal chest radiograph justified?
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  1. A J Conway,
  2. J A Bennett,
  3. A D Richardson,
  4. M D Peake
  1. University Hospitals of Leicester, Glenfield Hospital, Leicester, UK
  1. Correspondence to A J Conway, University Hospitals of Leicester, Glenfield Hospital, Groby Road, Leicester LE3 9QP, UK; alison.conway{at}uhl-tr.nhs.uk

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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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