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Empower Your RCGP AKT Journey: Master the MCQs with Us!
"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.
| Condition | Criteria/Consideration | Recommendation/Action |
|---|---|---|
| Colorectal Cancer | Abdominal mass or | Offer FIT |
| Change in bowel habits or | Offer FIT | |
| Iron-deficiency anaemia or | Offer FIT | |
| Age 40+ with unexplained weight loss & abdominal pain or | Offer FIT | |
| Age <50 with rectal bleeding & unexplained abdominal pain or weight loss or | Offer FIT | |
| Age 50+ with unexplained symptoms: rectal bleeding, abdominal pain, weight loss or | Offer FIT | |
| Age 60+ with anaemia, even without iron deficiency | Offer FIT | |
| Rectal mass, unexplained anal mass or unexplained anal ulceration | Do not need to be offered FIT before referral is considered | |
| FIT result ≥ 10 micrograms of haemoglobin/g of faeces | Refer using a suspected cancer pathway referral within 2 weeks | |
| Not returned faecal sample or FIT result < 10 micrograms of haemoglobin/g of faeces | Implement safety netting processes; consider referral if strong clinical concern | |
| Need assistance with sample return | Consider if people require additional help, information, or support | |
| Presence of rectal... |
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