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Head and Neck – 2WW


Information and referral forms for 2WW Head and Neck


Larynx aged 45 years and over with:

  • Persistent, unexplained hoarseness > 3 weeks       
  • Unexplained, persistent sore throat > 3 weeks

Oral / oropharyngeal:

  • Unexplained ulceration in the oral cavity lasting for more than 3 weeks  
  • Assessed by a dentist/doctor as having a lump on the lip/oral cavity consistent with oral cancer   
  • Assessed by a dentist/doctor as having a red or red/ white patch in the oral cavity consistent with Erythroplakia or  erythroleukoplakia
  • A persistent, unexplained lump in the neck  > 3 weeks


Unexplained thyroid lump

Salivary gland:

Persistent swelling in parotid / submandibular gland > 3 weeks

NOTE: The level of suspicion is further increased if the patient is a heavy smoker or heavy alcohol drinker or both. Other forms of tobacco use (chewing Betel, Gutkha, Pan) should also arouse suspicion.

Pre-investigations required of G.P: Nil.

Consider handing the patient a Cancer Research UK Information Sheet – follow link

Two Week Wait referrals should now be processed through the NHS eReferral Service (previously known as Choose & Book)

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