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Colorectal cancer : USC guidance by NICE

"This table presents NICE's comprehensive guidelines for suspected colorectal and anal cancer referrals. This essential table provides a quick reference for healthcare professionals in primary care to ensure timely and accurate patient management.". Also, refer to our chart colorectal cancer for a better understanding of this topic.

ConditionCriteria/ConsiderationRecommendation/Action
Colorectal CancerAbdominal mass orOffer FIT

Change in bowel habits orOffer FIT

Iron-deficiency anaemia orOffer FIT

Age 40+ with unexplained weight loss & abdominal pain orOffer FIT

Age <50 with rectal bleeding & unexplained abdominal pain or weight loss orOffer FIT

Age 50+ with unexplained symptoms: rectal bleeding, abdominal pain, weight loss orOffer FIT

Age 60+ with anaemia, even without iron deficiencyOffer FIT

Rectal mass, unexplained anal mass or unexplained anal ulcerationDo not need to be offered FIT before referral is considered

FIT result ≥ 10 micrograms of haemoglobin/g of faecesRefer using a suspected cancer pathway referral within 2 weeks

Not returned faecal sample or FIT result < 10 micrograms of haemoglobin/g of faecesImplement safety netting processes; consider referral if strong clinical concern

Need assistance with sample returnConsider if people require additional help, information, or support

Presence of rectal...

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