GP cancer Flashcards
CXR referral criteria for lung cancer?
- Age >40 + smoker + one unexplained symptom
or - Age >40 + 2 unexplained symptoms
Symptoms: Cough, Fatigue, chest pain, weight loss, anorexia
Appointment criteria for lung cancer?
CXR that suggests lung cancer
or
Age>40 with haemoptysis
What is the time allowed for cancer referral for appointments or investigations?
2 weeks
General red flag symptoms?
Weight loss Night sweats Loss of appetite/anorexia Pain Bone pain Night sweats
Risk factors for breast cancer?
Smoking
Oestrogen - early menarche, late menopause, COCP
Age
BRCA1, BRCA2
Red flags for breast cancer?
Breast lump, pain or discharge
P’eau d’orange
Axillary or supraclavicular node
Key investigations when screening for breast cancer?
Breast exam - hard, non-mobile, painful lump. skin changes
Mammogram - every 3 years from 50-70 or young women with +ve FH
Appointment referral criteria for breast cancer?
Age >30 and unexplained breast lump or axillary node
or
Age > 50 and one of discharge, retraction, other concerns
or
Skin changes that suggest breast cancer
Non-urgent referral for breast cancer?
Age < 30, unexplained lump without pain
Stages of breast cancer?
Stage 1 - confined to breast tissue
Stage 2 - spreads to axillary LN
Stage 3 - spreads to superficial structures of chest wall and involvement of ipsilateral internal mammary LN
Stage 4 - distant metastases (lung, liver, bone and brain) and supraclavicular LN
Risk factors for gastric cancer?
Smoking Diet (spicy or burnt) Alcohol H. pylori Male >50yrs
Red flags for gastric cancer?
Haematemesis
Dysphagia and dyspepsia
N+V
Upper abdominal mass + pain
Key investigations for gastric cancer?
Gastro exam (abdo)
Endoscopy with biopsy
Referral criteria for endoscopy (gastric Ca)
Dysphagia or Age >55 with weight loss + one of: upper abdo pain reflux dyspepsia
Pancreatic cancer risk factors?
Smoking
FH
increased BMI
Alcohol
Most common type of pancreatic cancer?
Pancreatic ductal adenocarcinoma (exocrine)
Red flag symptoms of pancreatic cancer?
Abdominal pain Weight loss Diarrhoea/constipation Painless jaundice New diagnosis of DM
Appointment referral criteria for pancreatic cancer?
Age > 40 with jaundice
Direct access CT referral criteria?
Age > 60 with weight loss + one of: Constipation Diarrhoea Nausea Vomiting New onset diabetes
Colorectal cancer risk factors?
Smoking, IBD, diet, alcohol
Red flags for colorectal cancer?
Bowel change Malaena/rectal bleeding Abdo pain (vague) Abdo or rectal mass
Key investigations in screening for colorectal cancer?
Full abdo exam
Faecal occult blood screen - every 2 years 60-74yrs (home test kit)
Age related appointment referral criteria for suspected colorectal cancer?
Age > 40 with weight loss + abdominal pain
Age > 50 with rectal bleeding
Age > 60 with iron deficient anaemia or change in bowel habit
Age<50 with rectal bleeding + one of: abdo pain Bowel change Wt loss Fe anaemia
What symptom of colorectal cancer should prompt two week referral in all age groups?
abdominal mass
