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Fatigue in adults - NICE urgent cancer referral guidance

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Fatigue

Symptom and Specific Features

Possible Cancer

Recommendation

Fatigue (unexplained), 40 and over, ever smoked

Lung or mesothelioma

Offer a chest Xray



Symptom and Specific Features

Possible Cancer

Recommendation

Fatigue (unexplained), 40 and over, exposed to asbestos

Mesothelioma

Offer a chest Xray



Symptom and Specific Features

Possible Cancer

Recommendation

Fatigue with cough or shortness of breath or chest pain or weight loss or appetite loss (unexplained), 40 and over

Lung or mesothelioma

Offer a chest Xray



Symptom and Specific Features

Possible Cancer

Recommendation

Fatigue (persistent) in adults

Leukaemia

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

 

Symptom and Specific Features

Possible Cancer

Recommendation

Fatigue (unexplained) in women

Ovarian

Carry out tests in primary care

measure serum CA125 in primary care

Reference:


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