National Institute for Health and Care Excellence guidance for suspected cancer referral19
| System | Criteria |
|---|---|
| Gastric and oesophageal cancer | Patients with dysphagia Patients with persistent reflux and weight loss Patients with persistent reflux and associated nausea and vomiting Patients with haematemesis Patients aged over 55 years and any of upper abdominal pain with anaemia, treatment-resistant dyspepsia, raised platelets ±nausea, and vomiting ±weight loss |
| Colorectal cancer | Patients aged over 40 years with unexplained weight loss and abdominal pain Patients aged over 50 years with unexplained rectal bleeding Patients with iron deficiency anaemia or change in bowel habits Patients aged over 50 years with rectal bleeding and any of the following: abdominal pain, change in bowel habit, weight loss, iron deficiency anaemia Patients with a rectal or abdominal mass Patients with an unexplained anal mass or ulceration |
| Pancreatic cancer | Patients aged over 40 years with jaundice Patients with weight loss and any of diarrhoea, back pain, abdominal pain, nausea and vomiting, constipation, and new onset diabetes |
| Gall bladder and liver cancer | Patients with an upper abdominal mass consistent with enlarged gall bladder or liver |