Publication - Advice and guidance

Scottish referral guidelines for suspected cancer: quick reference guide

Published: 22 Jan 2019
Directorate:
Community Health and Social Care Directorate
Part of:
Health and social care
ISBN:
9781787815292

User-friendly visual aid to the urgent referral criteria as well as routine referral criteria and primary care management and good practice points.

50 page PDF

3.0 MB

50 page PDF

3.0 MB

Contents
Scottish referral guidelines for suspected cancer: quick reference guide
Head and Neck Cancers

50 page PDF

3.0 MB

Head and Neck Cancers

Emergency referral

  • Stridor

Urgent suspicion of cancer referral

Head and neck Cancer

  • Persistent unexplained head and neck lumps for >three weeks
  • Unexplained ulceration or unexplained swelling/induration of the oral mucosa persisting for >three weeks
  • All unexplained red or mixed red and white patches of the oral mucosa persisting for >three weeks
  • Persistent (not intermittent) hoarseness lasting for >three weeks. If other symptoms are present to suggest suspicion of lung cancer, refer via lung cancer guideline
  • Persistent pain in the throat or pain on swallowing lasting for >three weeks

Thyroid cancer

  • Solitary nodule increasing in size
  • Thyroid swelling age 16 and under
  • Thyroid swelling with one or more of the following risk factors:
  • neck irradiation
  • family history of endocrine tumour
  • unexplained hoarseness
  • cervical lymphadenopathy

Good practice points

  • With the changing pattern of disease (in particular HPV associated cancers), age, non-smoking or non-drinking status should not be a barrier to referral
  • Dentists are key to identifying early cancer in the head and neck. There should be systems in place for urgent suspicion of cancer referral pathways for dentists

Contact

Email: Cancer Access Team