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Suspected Colorectal Cancer — UKMLA MCQ

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HardOncologySuspected Colorectal CancerUKMLAMRCGP AKTPARAMRCEM SBAMRCP Part 1PSA

A patient has a palpable rectal mass on examination. FIT has not yet been performed. What does NICE advise about referral?

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Correct answer: B — Refer directly for suspected colorectal cancer assessment

The best answer is “Refer directly for suspected colorectal cancer assessment”. A rectal mass is a direct suspected-cancer referral finding; FIT is not required before referral and must not delay it. FIT guides referral for many symptom groups without a mass, but it is not a substitute for acting on a palpable lesion. Screening pathways are for asymptomatic populations.

Reference: NICE NG12: Suspected cancer recognition and referral: https://www.nice.org.uk/guidance/ng12/chapter/Recommendations-organised-by-site-of-cancer#colorectal-cancer