Work ups

Question 1

Neck lump, how would you proceed?

Answer 1

Full history and examination
FBC, biochemical profile, LDH, thyroid function
MRI neck US guided biopsy
CT TAP

Question 2

Breast lump, how would you proceed?

Answer 2

Full history and examination
Triple assessment - clinical exam, mammography (or MRI breast or US) and US guided biopsy.

Question 3

Lung cancer, full set of investigations?

Answer 3

History and examination
FBC, biochemical profile including creatinine
CT TAP
CT/MRI Head
PETCT
PFTs

Question 4

Breast cancer full work up pre treatment?

Answer 4

T3/4 or TNBCa or N+ - for CT TAP
Echo
Blood tests with renal liver function

Question 5

Lump at top of throat, initial investigations?

Answer 5

ENT review, nasoendoscopy
MRI Neck
CT TAP

Question 6

PR bleeding investigations

Answer 6

Full history and examination, rectal examination
Bloods including Hb
colonoscopy with biopsy

Question 7

Suspected rectal cancer work-up?

Answer 7

History and examination
Bloods including DPYD deficiency
Mri pelvis
CT TAP