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Clinical Governance Research and Development Unit (CGRDU), Department of Health Sciences, University of Leicester. Referral Guidelines for Suspected Cancer in Adults and Children [Internet]. London: Royal College of General Practitioners (UK); 2005 Jun. (NICE Clinical Guidelines, No. 27.)

  • This publication is provided for historical reference only and the information may be out of date.

This publication is provided for historical reference only and the information may be out of date.

5Algorithms

A series of algorithms now follow summarising the principal recommendations for each cancer site. These give guidance on how to proceed when a patient presents with symptoms suggestive of a cancer. They are intended to be used alongside the text version of the recommendations, which should be consulted for full, detailed guidance.

The definitions of unexplained or persistent presented in the guideline glossary are reproduced here for convenience:

  • When used in a recommendation, unexplained refers to a symptom(s) and/or sign(s) that has not led to a diagnosis being made by the primary care professional after initial assessment of the history, examination and primary care investigations (if any).
  • Persistent ‘Persistent’ as used in the recommendations in this guideline refers to the continuation of specified symptoms and/or signs beyond a period that would normally be associated with self-limiting problems. The precise period will vary depending on the severity of symptoms and associated features, as assessed by the health professional. In many cases, the upper limit the professional will permit symptoms and/or signs to persist before initiating referral will be 4–6 weeks.

Referrals

Referral is to a team specialising in the management of the relevant cancer dependant on local arrangements, unless otherwise specified.

Urgency of referral

  • an acute admission or referral occurring within a few hours, or even more quickly if necessary.
  • Urgent: the patient is seen within the national target for urgent referrals (currently two weeks).
  • Non-urgent: all other referrals.
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Lung cancer (PDF, 22K)

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Upper gastrointestinal cancer (PDF, 22K)

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Lower gastrointestinal cancer (PDF, 21K)

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Breast cancer (PDF, 22K)

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Gynaecological cancers (PDF, 22K)

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Urological cancers –prostate (PDF, 21K)

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Urological cancers – renal (PDF, 16K)

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Haematological cancers (PDF, 22K)

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Skin cancers (PDF, 22K)

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Head and neck cancers (PDF, 54K)

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Brain and CNS cancers (PDF, 22K)

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Bone cancers and soft-tissue sarcomas (PDF, 21K)

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Children’s cancers – leukaemia and lymphoma (PDF, 21K)

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Children’s cancers – brain tumours (PDF, 22K)

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Children’s cancers – neuroblastoma and Wilm’s tumour (PDF, 22K)

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Children’s cancers –bone tumours, sarcoma and retinoblastoma (PDF, 22K)

Copyright © 2005, National Collaborating Centre for Primary Care.
Cover of Referral Guidelines for Suspected Cancer in Adults and Children
Referral Guidelines for Suspected Cancer in Adults and Children [Internet].
NICE Clinical Guidelines, No. 27.
Clinical Governance Research and Development Unit (CGRDU), Department of Health Sciences, University of Leicester.

NICE (National Institute for Health and Care Excellence)

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