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Anaemia - NICE urgent cancer referral guidance

Authoring team

 

Investigation findings and specific features

Possible Cancer

Recommendation

Anaemia (iron-deficiency), 60 and over

Colorectal

Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks)

 

Investigation findings and specific features

Possible Cancer

Recommendation

Anaemia (iron-deficiency, unexplained) with rectal bleeding in adults under 50

Colorectal

Consider a suspected cancer pathway referral (for an appointment within 2 weeks)

 

Investigation findings and specific features

Possible Cancer

Recommendation

Anaemia (iron-deficiency) without rectal bleeding in adults under 60

Colorectal

Offer testing for occult blood in faeces (FIT)

 

Investigation findings and specific features

Possible Cancer

Recommendation

Anaemia (even in the absence of iron-deficiency) without rectal bleeding, 60 and over

Colorectal

Offer testing for occult blood in faeces (FIT)

 

Investigation findings and specific features

Possible Cancer

Recommendation

Haemoglobin levels low with visible haematuria in women 55 and over

Endometrial

Consider a direct access ultrasound scan

 

Investigation findings and specific features

Possible Cancer

Recommendation

Haemoglobin levels low with upper abdominal pain, 55 and over

Oesophageal and stomach

Consider non-urgent direct access upper gastrointestinal endoscopy

Reference:


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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