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Abdominal examination findings - NICE urgent cancer referral guidance

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

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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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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