Suspected Cancer Flashcards
Lung ca
2ww referral
CXR finding or
>40 and haemoptysis
Lung cancer
CXR
Over 40 and 2 or more: Ever smoked Asbestos exposure Cough, SOB, CP Weight loss, appetite loss, Fatigue Finger clubbing, lymphadenopathy Thrombocytosis
Upper GI cancer
2ww referral
Dysphagia or
Over 55, weight loss and…
Upper abdo pain
Reflux
Dyspepsia
Upper GI cancer
Non urgent endoscopy
Haematemesis or
Over 55 with Resistant dyspepsia Upper abdo pain and low Hb High Plt and GI disturbance N/V and GI disturbance
Pancreatic ca
2ww referral
> 40 and jaundice
Pancreatic Ca
Urgent CT scan or USS
Over 60, weight loss and.. Diarrhoea, constipation Back/Abdo pain N/V New onset DM
Chance of pancreatic Ca
Ix
CT scan or USS
BG ?new DM
Chance of upper GI Ca
Ix
Non urgent endoscopy
Bloods (Plt, Hb)
Chance lung cancer
Ix
CXR
Bloods (Plt)
Gall bladder Ca
USS under 2ww
Never just refer
Upper abdo mass
? Enlarged GB
Liver Ca
USS under 2ww
Never straight for referral
Upper abdo mass
? Enlarged liver
Chance liver cancer
Ix
USS
Bloods: LFT
Chance gall bladder Ca
Ix
USS
Bloods: LFT
Stomach Ca
2ww referral
Upper abdo mass
?stomach Ca
Endoscopy finding
Stomach Ca
2ww endoscopy
Dysphagia or
> 55 + weight loss +…
Stomach Sx
e.g. Reflux, pain
Stomach Ca
Non urgent endoscopy
Haematemesis or
>55 with Resistant dyspepsia Upper abdo pain + low hb High plt and stomach sx N/V and stomach sx
Stomach sx
N/V Haematemesis Weight loss Reflux Dyspepsia Upper abdo pain
Colorectal Ca
2ww referral
> 40 + weight loss + abdo pain or
> 50 + rectal bleeding or
> 60 + fe def anaemia or,
Change in bowel or
Occult blood in faeces
Offer faecal occult blood test
> 50 +
weight loss/abdo pain or
> 60 +
Anaemia or change in bowel
Anal Ca
2ww referral
Anal mass or ulceration.
Chance of colorectal cancer
Ix
Faecal occult blood test