Abdominal examination findings - urgent cancer referral guidance
Ascites and/or a pelvic or abdominal mass identified by physical examination (which is not obviously uterine fibroids) in women - urgent cancer referral guidance
Symptom and Specific Features | Possible Cancer | Recommendation |
Ascites and/or a pelvic or abdominal mass identified by physical examination (which is not obviously uterine fibroids) in women | Ovarian | Refer urgently |
Abdominal, pelvic or rectal mass or enlarged abdominal organ - urgent cancer referral guidance
Symptom and Specific Features | Possible Cancer | Recommendation |
Abdominal or pelvic mass identified by physical examination (which is not obviously uterine fibroids) in women | Ovarian | Refer urgently |
Symptom and Specific Features | Possible Cancer | Recommendation |
Abdominal or rectal mass | Colorectal | Consider a suspected cancer pathway referral (for an appointment within 2 weeks) |
Splenomegaly (unexplained) in adults - urgent cancer referral guidance
Symptom and Specific Features | Possible Cancer | Recommendation |
Splenomegaly (unexplained) in adults | Non Hodgkin's lymphoma | Consider a suspected cancer pathway referral (for an appointment within 2 weeks). When considering referral, take into account any associated symptoms, particularly fever, night sweats, shortness of breath, pruritus or weight loss |
Upper abdominal mass consistent with stomach cancer - urgent cancer referral guidance
Symptom and Specific Features | Possible Cancer | Recommendation |
Upper abdominal mass consistent with stomach cancer | Stomach | Consider a suspected cancer pathway referral (for an appointment within 2 weeks) |
Upper abdominal mass consistent with an enlarged gall bladder - urgent cancer referral guidance
Symptom and Specific Features | Possible Cancer | Recommendation |
Upper abdominal mass consistent with an enlarged gall bladder | Gall bladder | Consider an urgent direct access ultrasound scan (to be performed within 2 weeks) |
Upper abdominal mass consistent with an enlarged liver - urgent cancer referral guidance
Symptom and Specific Features | Possible Cancer | Recommendation |
Upper abdominal mass consistent with an enlarged liver | Liver | Consider an urgent direct access ultrasound scan (to be performed within 2 weeks) |
Hepatosplenomegaly (in adults) - urgent cancer referral guidance
Symptom and Specific Features | Possible Cancer | Recommendation |
Hepatosplenomegaly | Leukaemia | Consider a very urgent full blood count (within 48 hours) |
Reference:
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