Scottish referral guidelines for suspected cancer: quick reference guide

Scottish Referral Guidelines for Suspected Cancer is a quick reference guide for cancer referrals.

Upper Gastrointestinal Cancers

  • Dysphagia - food sticking on swallowing (any age).
  • Dyspepsia at any age combined with one or more of the following 'alarm' symptoms:
    • Weight loss.
    • Proven anaemia.
    • Vomiting.
  • Dyspepsia >55 yrs with at least one 'high risk' feature:
    • Onset of dyspepsia less than one year ago.
    • Continuous symptoms since onset.
  • Dyspepsia combined with at least one risk factor:
    • Family history of Upper GI cancer in more than two first degree relatives.
    • Family history of colorectal cancer (familial adenomatous polyposis, hereditary non-polyposis colorectal cancer).
    • Barrett's oesophagus.
    • Pernicious anaemia.
    • Peptic ulcer surgery over 20 years ago.
    • Known dysplasia, atrophic gastritis, intestinal metaplasia.
  • Jaundice.
  • Upper abdominal mass.
  • Back pain and weight loss.
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