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Lymphadenopathy (enlarged lymph nodes) in adults - NICE urgent cancer referral guidance

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Lymphadenopathy

 

Symptom and Specific Features

Possible Cancer

Recommendation

Lymphadenopathy (unexplained) in adults

Non-Hodgkin's lymphoma or Hodgkin's lymphoma

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

When considering referral for Hodgkin's lymphoma, take into account any associated symptoms, particularly fever, night sweats, shortness of breath, pruritus, weight loss or alcohol-induced lymph node pain

When considering referral for non-Hodgkin's lymphoma, take into account any associated symptoms, particularly fever, night sweats, shortness of breath, pruritus or weight loss

 

Symptom and Specific Features

Possible Cancer

Recommendation

Lymphadenopathy (supraclavicular or persistent cervical), 40 and over

lung

Consider an urgent chest X-ray (to be performed within 2 weeks)

 

Symptom and Specific Features

Possible Cancer

Recommendation

Lymphadenopathy (generalised) in adults

Leukaemia

Consider a very urgent full blood count (within 48 hours)

Reference:


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