Endometrial Cancer : NICE USC guidance summary

Below is a summarized table for the NICE guidance on referrals for assessing endometrial cancer. This table outlines specific guidelines for healthcare professionals regarding when to refer women for further investigation of endometrial cancer, based on age and symptoms such as post-menopausal bleeding, vaginal discharge, and other related signs

Guidance Item	Criteria for Referral or Diagnostic Action	Patient Group	Recommended Action	Symptoms/Findings
Endometrial Cancer 1.5.10	Post-menopausal bleeding (unexplained vaginal bleeding more than 12 months after menstruation has stopped because of menopause)	Women aged 55 and over	Suspected cancer pathway referral	Post-menopausal bleeding
Endometrial Cancer 1.5.11	Post-menopausal bleeding	Women aged under 55	Consider suspected cancer pathway referral	Post-menopausal bleeding
Endometrial Cancer 1.5.12	○ Unexplained symptoms of vaginal discharge who • presenting for the first time OR • thrombocytosis OR • haematuria OR ○ visible haematuria with • low haemoglobin OR • thrombocytosis OR • high blood glucose levels	Women aged 55 and over	Consider direct access ultrasound scan	Vaginal discharge, thrombocytosis, haematuria, low haemoglobin, high blood glucose

Terminology used by NICE

Term	Definition
Children	From birth to 15 years.
Children and young people	From birth to 24 years.
Consistent with	The finding has characteristics that could be caused by many things,...

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