TWO WEEK REFERRAL SERVICES – 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
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)