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Raised platelet count (thrombocytosis) - NICE urgent cancer referral guidance

Authoring team

 

Investigation findings and specific features

Possible Cancer

Recommendation

Platelet count raised with nausea or vomiting or weight loss or reflux or dyspepsia or upper abdominal pain, 55 and over

Oesophageal or stomach

Consider non-urgent direct access upper gastrointestinal endoscopy

 

Investigation findings and specific features

Possible Cancer

Recommendation

Thrombocytosis, 40 and over

Lung

Consider urgent CXR (to be performed within 2 weeks)

 

Investigation findings and specific features

Possible Cancer

Recommendation

Thrombocytosis with visible haematuria or vaginal discharge (unexplained) in women 55 and over

Endometrial

Consider a direct access ultrasound scan

Reference:

  1. Suspected cancer: recognition and referral. NICE guideline [NG12]. Published: 23 June 2015 Last updated: 02 October 2023.

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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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