Suspected Cancer Flashcards

1
Q

Lung ca

2ww referral

A

CXR finding or

>40 and haemoptysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Lung cancer

CXR

A
Over 40 and 2 or more:
Ever smoked
Asbestos exposure
Cough, SOB, CP
Weight loss, appetite loss, Fatigue
Finger clubbing, lymphadenopathy
Thrombocytosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Upper GI cancer

2ww referral

A

Dysphagia or

Over 55, weight loss and…
Upper abdo pain
Reflux
Dyspepsia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Upper GI cancer

Non urgent endoscopy

A

Haematemesis or

Over 55 with
Resistant dyspepsia
Upper abdo pain and low Hb
High Plt and GI disturbance 
N/V and GI disturbance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Pancreatic ca

2ww referral

A

> 40 and jaundice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Pancreatic Ca

Urgent CT scan or USS

A
Over 60, weight loss and..
Diarrhoea, constipation
Back/Abdo pain
N/V
New onset DM
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Chance of pancreatic Ca

Ix

A

CT scan or USS

BG ?new DM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Chance of upper GI Ca

Ix

A

Non urgent endoscopy

Bloods (Plt, Hb)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Chance lung cancer

Ix

A

CXR

Bloods (Plt)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Gall bladder Ca
USS under 2ww
Never just refer

A

Upper abdo mass

? Enlarged GB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Liver Ca
USS under 2ww
Never straight for referral

A

Upper abdo mass

? Enlarged liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Chance liver cancer

Ix

A

USS

Bloods: LFT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Chance gall bladder Ca

Ix

A

USS

Bloods: LFT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Stomach Ca

2ww referral

A

Upper abdo mass
?stomach Ca
Endoscopy finding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Stomach Ca

2ww endoscopy

A

Dysphagia or

> 55 + weight loss +…
Stomach Sx
e.g. Reflux, pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Stomach Ca

Non urgent endoscopy

A

Haematemesis or

>55 with 
Resistant dyspepsia
Upper abdo pain + low hb
High plt and stomach sx 
N/V and stomach sx
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Stomach sx

A
N/V
Haematemesis
Weight loss
Reflux
Dyspepsia
Upper abdo pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Colorectal Ca

2ww referral

A

> 40 + weight loss + abdo pain or

> 50 + rectal bleeding or

> 60 + fe def anaemia or,
Change in bowel or

Occult blood in faeces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Offer faecal occult blood test

A

> 50 +
weight loss/abdo pain or

> 60 +
Anaemia or change in bowel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Anal Ca

2ww referral

A

Anal mass or ulceration.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Chance of colorectal cancer

Ix

A

Faecal occult blood test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Breast Ca

2ww referral

A

> 30 + breast lump

> 50 +
One sided nipple changes

23
Q

Breast Ca

Consider 2ww referral

A

Skin changes ? Breast Ca

>30 and axilla lump

24
Q

Breast Ca

Non urgent referral

A

<30 + breast lump

25
Q

Ovarian Ca

2ww referral

A

Ascites or
Abdominal mass or
USS findings

26
Q

Chance ovarian Ca

Measure CA125 + USS

A
Over 12x per month
Persistent bloating 
Early satiety, loss appetite
Pelvic/ abdo pain
Urinary urgency/ frequency
Change in vowels 
>50 and Sx IBS
Weight loss, fatigue
27
Q

Chance ovarian Ca

Ix

A

Ca125

USS

28
Q

Endometrial Ca

2ww referral

A

Post menopausal bleed

>12m since menopause

29
Q

Chance endometrial Ca

USS 2ww

A
>55 + 
vaginal discharge w'
1st presentation or
Thrombycytosis or
Haematuria or 
Visible haematuria and
- low hb, high plt, high BG
30
Q

Chance of endometrial Ca

Ix

A

USS

31
Q

Cervical Ca

2ww referral

A

Vaginal examination suggestive cervical Ca

32
Q

Vulval Ca

2ww referral

A

Lump, ulcer or bleeding

33
Q

Vaginal Ca

2ww referral

A

Palpable mass in or at entrance to vagina

34
Q

Prostate Ca

2ww referral

A

DRE ?prostate Ca or

High PSA

35
Q

Prostate Ca

Indication DRE and PSA

A

Any LUTS
- (noct, freq, hesitancy, urgency, retention…)
Erectile dysfunction
Visible haematuria

36
Q

Chance of prostate Ca

Ix

A

DRE and PSA

37
Q

Bladder Ca

2ww referral

A

> 45 +
Visible haematuria w/o UTI

> 60 +
Non visible haematuria with
– dysuria and high WCC
Consider for Recurrent UTI

38
Q

Renal Ca

2ww referral

A

> 45 + Visible haematuria w/o UTI

39
Q

Testicular Ca

2ww referral

A

Non painful enlargement, change in shape or texture

40
Q

Chance testicular Ca

Ix

A

USS

41
Q

Testicular Ca

USS indication

A

Unexplained, persistent testicular symptoms

42
Q

Penile Ca

2ww referral

A

Penile mass/ ulceration w/o STI

Or after STI treatment

43
Q

Skin SCC

2ww referral

A

Exam ?SCC

44
Q

Skin BCC

Routine vs 2ww referral

A

2ww only if

Large size of difficult site

45
Q

Skin: malignant melanoma

2ww referral

A

Pigmented lesion + score >3/7
Or nonpigmented nodular melanoma

Score 2: Change size, irregular shape, irregular colour
Score 1: diameter>7mm, inflammation, oozing, change sensation

46
Q

Melanoma scoring system

A

> 3 worrying

Score 2: Change size, irregular shape, irregular colour
Score 1: diameter>7mm, inflammation, oozing, change sensation

47
Q

Laryngeal Ca

2ww referral

A

Unexplained hoarseness

Unexplained lump in neck

48
Q

Oral Ca

2ww referral ?dentist

A

Unexplained ulceration >3w
Lump in neck, lip, oral cavity
Red or red white patch - oral cavity

49
Q

Thyroid Ca

2ww referral

A

Unexplained thyroid mass

Moves up on swallow

50
Q
CNS Ca (adults)
MRI or CT 2ww indication
A

Progressive, sub acute loss CNS function

51
Q
CNS Ca (children) 
48h referral
A

Abnormal CNS function

52
Q

Leukaemia adults
FBC indications
W/I 48h

A
Pallor, fatigue
Fever, persistent infection
Lymphadenopathy
Bruising, Bleeding, Petechiae
Hepatosplenomegaly
53
Q

Leukaemia (children)
FBC indication
W/I 48h

A
Pallor, fatigue
Fever, persistent infection
Lymphadenopathy
Bruising, Bleeding
Persistent bone pain
54
Q

Leukaemia (children)

Immediate referral

A

Petechiae

Hepatosplenonomegaly