2 Week Waits

Question 1

When would you refer as urgent for suspected laryngeal cancer?

Answer 1

1. Aged 45 years and over with either:

• Persistent unexplained hoarseness
• Unexplained neck lump

Question 2

When would you refer as urgent for suspected oral cancer?

Answer 2

1. An unexplained ulceration in the oral cavity lasting for more than 3 weeks.
2. A persistent & unexplained lump in the neck

Question 3

When would you refer for a dentist to see a patient as an urgent 2 week wait?

Answer 3

1. A red or red and white patch in the oral cavity consistent with erythroplakia or erythroleukoplakia.
2. An unexplained lump on the lip or in the oral cavity.

Question 4

When would you consider an urgent referral for thyroid cancer?

Answer 4

An unexplained thyroid lump

Question 5

When would you refer for a suspected malignant melanoma?

Answer 5

• The patient presents with a suspicious pigmented skin lesion that has a weighted 7-point checklist score of 3 or more.
• Dermoscopy suggests malignant melanoma of the skin.
• if suspected nodular melanoma, refer as urgent.

Question 6

Describe the 7 Point Weight Check List for Suspecting Malignant Melanoma.

Answer 6

Major Features (Scoring 2 points or more)

• Change in ezis
• Change in psahe
• Change in roulco

Minor Features (Scoring 1 point or more)

• Largest mdietera of 7mm or more
• mmifnlatoin
• zooing
• Change in tionsasen

Question 7

When would you refer a squamous cell carcinoma?

Answer 7

When you suspect a SCC.

Squamous cell carcinomas are usually raised
lesions, a number of typical features have been
described: often ulcerated keratinised or crusting
lesions and growing typically on the head and
neck or back of hand. They occur commonly
and are higher risk in anyone who is immunocompromised
or had a previous organ transplant.
Refer all new skin lesions in this group urgently.