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Head and Neck Cancers : NICE USC guidance summary

This table summarizes the NICE guidelines for the referral of head and neck cancers, highlighting the specific symptoms and conditions that warrant referral, along with the recommended referral pathway and age criteria where applicable.


Cancer TypeSymptom/ConditionReferral RecommendationAge CriteriaYear
Laryngeal Cancer♦ Persistent unexplained hoarseness
♦ Unexplained lump in the neck
Suspected cancer pathway referralAged 45 and over2015
Oral Cancer♦ Unexplained ulceration in the oral cavity lasting more than 3 weeks
♦ Persistent and unexplained lump in the neck
Suspected cancer pathway referralNot specified2015
Oral Cancer♦ Lump on the lip or in the oral cavity
♦ Red or red and white patch in the oral cavity consistent with erythroplakia or erythroleukoplakia
Urgent referral for assessment by a dentistNot specified2015
Oral Cancer♦ Lump on the lip or in the oral cavity consistent with oral cancer
♦ Red or red and white patch in the oral cavity consistent with erythroplakia or erythroleukoplakia
Suspected cancer pathway referral by the dentistNot specified2015
Thyroid Cancer♦ Unexplained thyroid lumpSuspected cancer pathway referralNot specified2015


Terminology used by NICE


TermDefinition
ChildrenFrom birth to 15 years.
Children and young...

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