MSRA - 2ww referral criteria Flashcards
Laryngeal cancer
Aged 45 and over with:
-Persistent unexplained hoarseness, or,
-Unexplained neck lump
Oral - cancer pathway referral
- Unexplained oral ulceration >3weeks
- Persistent unexplained neck lump
Oral - 2ww dentist assessment
-Lump on lip or in mouth
-?erythroplakia (red or red+white patch)
-Erythroleukoplakia
Thyroid cancer
Unexplained thyroid lump
Oesophageal - direct upper GI endoscopy within 2 weeks
Dysphagia
Aged >=55 with weight los AND
- Upper abdo pain
- Reflux
- Dyspepsia
Oesophageal- non-urgent direct upper GI endoscopy
Haematemesis
Aged >=55 with:
- Treatment-resistant dyspepsia
- Upper abdo pain + low Hb
- Raised PLTs with nausea/vomiting/weight loss/reflux/dyspepsia/upper abdo pain
- Nausea or vomiting with weight loss/reflux/dyspepsia/upper abdo pain
Pancreatic - 2ww suspected cancer referral
Aged >=40 + jaundice
Pancreatic - urgent CT scan
Aged >=60 with weight loss and:
- diarrhoea
- back pain
- abdo pain
- nausea
- vomiting
- constipation
- new diabetes
Stomach - 2ww suspected cancer referral
Upper abdo mass consistent with stomach cancer
Stomach - urgent direct upper GI endoscopy
Dysphagia
Aged >=55 with weight loss and:
- upper abdo pain
- reflux
- dyspepsia
Stomach - non-urgent direct upper GI endoscopy
Haematemesis
Aged >=55 with:
- Treatment-resistant dyspepsia
- Upper abdo pain + low Hb
- Raised PLTs with nausea/vomiting/weight loss/reflux/dyspepsia/upper abdo pain
- Nausea or vomiting with weight loss/reflux/dyspepsia/upper abdo pain
Gall bladder - urgent direct USS
Upper abdo mass consistent with enlarged gallbladder
Liver - urgent direct USS
Upper abdo mass consistent with enlarged liver
Colorectal - 2ww suspected cancer referral: Aged >=40
Unexplained weight loss + abdo pain
Colorectal - 2ww suspected cancer referral: Aged >=50
Unexplained rectal bleeding
Colorectal - 2ww suspected cancer referral: Aged >=60
Iron deficiency anaemia
OR
Changed in bowel habit
Colorectal - 2ww suspected cancer referral: adults any age
FOBT +ve
Colorectal - consider 2ww: any age
Rectal/abdominal mass
Colorectal - consider 2ww: <50
Rectal bleeding and:
- abdo pain
- change in bowel habit
- weight loss
- IDA
Anal - consider 2ww suspected cancer referral
Unexplained anal mass
Unexplained anal ulceration
Breast - 2ww suspected cancer referral: aged >=30
Unexplained breast lump +/- pain
Breast - 2ww suspected cancer referral: aged >=50
Unilateral:
- discharge
- retraction
- other concerning changes
Breast - consider 2ww
Skin changes that suggest breast cancer
Aged >=30 with unexplained lump in axilla
Breast - non-urgent referral
Aged =<30 with unexplained breast lump +/- pain