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Which specific referral criteria should I follow for patients with suspected head and neck cancer according to NICE guidelines?
Answer
Consider a suspected cancer pathway referral for laryngeal cancer in people aged 45 and over with persistent unexplained hoarseness or an unexplained lump in the neck 1.
Consider a suspected cancer pathway referral for oral cancer in people with either unexplained ulceration in the oral cavity lasting more than 3 weeks or a persistent and unexplained lump in the neck 1.
Consider a suspected cancer pathway referral for oral cancer in people when assessed by a dentist as having a lump on the lip or in the oral cavity, or a red or red and white patch in the oral cavity consistent with erythroplakia or erythroleukoplakia 1.
Consider a suspected cancer pathway referral for penile cancer in men if they have a penile mass or ulcerated lesion, when sexually transmitted infection has been excluded or a persistent penile lesion after treatment for an STI 1.
Consider a suspected cancer pathway referral for penile cancer in men if they have unexplained or persistent symptoms affecting the foreskin or glans 1.
Key References
- NG12 - Suspected cancer: recognition and referral
- CKS - Head and neck cancers - recognition and referral
- CKS - Neck lump
- CKS - Central nervous system and brain cancers - recognition and referral
- CKS - Lung and pleural cancers - recognition and referral
- NG36 - Cancer of the upper aerodigestive tract: assessment and management in people aged 16 and over
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