Childhood Cancer ; NICE USC guidance summary

This table summarizes the referral guidelines for neuroblastoma, retinoblastoma, and Wilms' tumour in children, as outlined by NICE, emphasizing the urgency and criteria for specialist assessment.

Cancer Type	Recommendation	Year
Neuroblastoma	Consider very urgent referral (for an appointment within 48 hours) for specialist assessment in children with: ♦ A palpable abdominal mass ♦ Unexplained enlarged abdominal organ	2015
Retinoblastoma	♦ Consider referral for ophthalmological assessment using a suspected cancer pathway referral in children with an absent red reflex. ♦ Additionally, if there is new-onset squint that occurs together with an absent red reflex, refer to the recommendation on new-onset squint with loss of red reflex in NICE's guideline on suspected neurological conditions ( see below )	2015
Wilms' Tumour	Consider very urgent referral (for an appointment within 48 hours) for specialist assessment in children with any of the following: ♦ A palpable abdominal mass ♦ An unexplained enlarged abdominal organ ♦ Unexplained visible haematuria	2015

Table of Referral Guidelines for Squint (Strabismus) Based on NICE Guidelines

Squint Type	Symptoms/Conditions	Referral Recommendation	Referral Destination
New-onset squint with loss of red reflex	♦ New-onset squint ♦ Loss of red reflex in one or both eyes	Refer immediately	Ophthalmology services
New-onset squint with...

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