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  Two-Week Wait Rule - Suspected Cancer  
     
 
Referral Guidelines for Suspected Cancer (Two week wait rule) based on NICE Guidance 2005
 
Last Updated October 2012.
 

Gynaecological Cancer

Urgent Referral

  • Clinical features suggestive of cervical cancer on examination. A smear test is not required before referral, and a previous negative result should not delay referral
  • Not on HRT with postmenopausal bleeding
  • On HRT with persistent or unexplained postmenopausal bleeding after cessation of HRT for 6 weeks
  • Taking tamoxifen with postmenopausal bleeding
  • With an unexplained vulval lump
  • With vulval bleeding due to ulceration
  • With a palpable abdominal or pelvic mass on examination that is not obviously uterine fibroids or not of GI or urological origin

 

Consider Urgent Referral

  • Patients with persistent intermenstrual bleeding and negative pelvic examination

 

 
 
 
 
     
   
   
   
 

 

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