Referral

Question 1

Lung

Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks) for lung cancer if they…

Answer 1

Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks) for lung cancer if they:

• Have chest X‑ray findings that suggest lung cancer or
• Are aged 40 and over with unexplained haemoptysis

Question 2

Lung

Offer an urgent chest X‑ray (to be done within 2 weeks) to assess for lung cancer in people aged 40 and over if they have 2 or more of the following unexplained symptoms, or if they have ever smoked and have 1 or more of the following unexplained symptoms…

Answer 2

Offer an urgent chest X‑ray (to be done within 2 weeks) to assess for lung cancer in people aged 40 and over if they have 2 or more of the following unexplained symptoms, or if they have ever smoked and have 1 or more of the following unexplained symptoms:

• Cough
• Fatigue
• Shortness of breath
• Chest pain
• Weight loss
• Appetite loss

Question 3

Lung

Consider an urgent chest X‑ray (to be done within 2 weeks) to assess for lung cancer in people aged 40 and over with any of the following…

Answer 3

Consider an urgent chest X‑ray (to be done within 2 weeks) to assess for lung cancer in people aged 40 and over with any of the following:

• Persistent or recurrent chest infection
• Finger clubbing
• Supraclavicular lymphadenopathy or persistent cervical lymphadenopathy
• Chest signs consistent with lung cancer
• Thrombocytosis

Question 4

Breast

Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks) for breast cancer if they are…

Answer 4

Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks) for breast cancer if they are:

• Aged 30 and over and have an unexplained breast lump with or without pain or
• Aged 50 and over with any of the following symptoms in one nipple only:
  
  • Aischarge
  • Retraction
  • Other changes of concern

Question 5

Breast

Consider a suspected cancer pathway referral (for an appointment within 2 weeks) for breast cancer in people…

Answer 5

Consider a suspected cancer pathway referral (for an appointment within 2 weeks) for breast cancer in people:

• With skin changes that suggest breast cancer or
• Aged 30 and over with an unexplained lump in the axilla

Question 6

Bowel

Refer adults using a suspected cancer pathway referral (for an appointment within 2 weeks) for colorectal cancer if they are aged over 40…

Answer 6

Refer adults using a suspected cancer pathway referral (for an appointment within 2 weeks) for colorectal cancer if they are aged 40 and over with unexplained weight loss and abdominal pain.

Question 7

Bowel

Refer adults using a suspected cancer pathway referral (for an appointment within 2 weeks) for colorectal cancer if they are ageds over 50…

Answer 7

Refer adults using a suspected cancer pathway referral (for an appointment within 2 weeks) for colorectal cancer if they are aged 50 and over with unexplained rectal bleeding.

Question 8

Bowel

Refer adults using a suspected cancer pathway referral (for an appointment within 2 weeks) for colorectal cancer if they are aged over 60…

Answer 8

Refer adults using a suspected cancer pathway referral (for an appointment within 2 weeks) for colorectal cancer if they are aged 60 and over with:

• Iron‑deficiency anaemia
• Changes in their bowel habit
• Tests show occult blood in their faeces

Question 9

Bowel

Consider a suspected cancer pathway referral (for an appointment within 2 weeks) for colorectal cancer in adults aged under 50 with rectal bleeding and any of the following unexplained symptoms or findings…

Answer 9

Consider a suspected cancer pathway referral (for an appointment within 2 weeks) for colorectal cancer in adults aged under 50 with rectal bleeding and any of the following unexplained symptoms or findings:

• Abdominal pain
• Change in bowel habit
• Weight loss
• Iron‑deficiency anaemia

Question 10

Prostate

Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks) for prostate cancer if…

Answer 10

Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks) for prostate cancer if their prostate feels malignant on digital rectal examination.

Question 11

Prostate

Consider a prostate‑specific antigen (PSA) test and digital rectal examination to assess for prostate cancer in people with…

Answer 11

Consider a prostate‑specific antigen (PSA) test and digital rectal examination to assess for prostate cancer in people with:

• Any lower urinary tract symptoms, such as nocturia, urinary frequency, hesitancy, urgency or retention
• Erectile dysfunction
• Visible haematuria