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Paediatrics 2WW


Updated information and referral forms for 2WW Paediatrics


This referral is made on the basis that the referring doctor considers that the child or young person has clinical indications of a new malignancy. For full details see NICE NG12 ‘Suspected cancer: recognition and referral’ June 2015

However if you are concerned a child may have a malignancy, telephone advice is available via Dr Neuling or Dr Farooqi or the on service Paediatric Consultant.

LEUKAEMIA: Referral for immediate specialist assessment if unexplained petechiae or hepatosplenomegaly, or blood count is suspicious of leukaemia.

BRAIN/CNS: Very urgent referral (within 48 hours) for specialist assessment if newly abnormal cerebellar, other central neurological function or persistent early morning headache.

LYMPHOMA: Very urgent referral (within 48 hours) for specialist assessment for non-Hodgkin’s lymphoma for patients with unexplained lymphadenopathy or splenomegaly. Very urgent referral (within 48 hours) for specialist assessment for Hodgkin’s lymphoma for patients with unexplained lymphadenopathy. (Consider associated symptoms of fever, night sweats, shortness of breath, pruritus or weight loss.)

WILM’S TUMOUR: Very urgent referral (within 48 hours) for specialist assessment in children with a palpable abdominal mass or unexplained enlarged abdominal organ or unexplained visible haematuria.

OSTEOSARCOMA: Very urgent referral (within 48 hours) for specialist assessment if there is unexplained bone swelling, pain or radiological suspicion of bone sarcoma

SOFT TISSUE SARCOMA Very urgent referral (within 48 hours) if there is an unexplained lump that is increasing in size.

NEUROBLASTOMA: Very urgent referral (within 48 hours) for specialist assessment for Neuroblastoma in children with a palpable abdominal mass or unexplained enlarged abdominal organ.

RETINOBLASTOMA: TWW referral for ophthalmological assessment in infants with an absent red reflex

OTHER REASON FOR REFERRAL: Details based on clinical suspicion of malignancy

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

Issue the parent or guardian with a Cancer Research UK Information Sheet – follow link

Preview of referral form:

For full version see right

Young Lives vs Cancer (formerly known as CLIC Sargent) Social Work Support for Children with Cancer

Click on image below for link to website or follow link on right for information document



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