abdominal examination findings - NICE urgent cancer referral guidance
Last reviewed 01/2018
Abdominal examination findings - urgent cancer referral guidance
Ascites and/or a pelvic or abdominal mass identified by physical examination (which is not obviously uterine fibroids) in women - urgent cancer referral guidance
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Ascites and/or a pelvic or abdominal mass identified by physical examination (which is not obviously uterine fibroids) in women | Ovarian | Refer urgently |
Abdominal, pelvic or rectal mass or enlarged abdominal organ - urgent cancer referral guidance
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Abdominal or pelvic mass identified by physical examination (which is not obviously uterine fibroids) in women | Ovarian | Refer urgently |
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Abdominal or rectal mass | Colorectal | Consider a suspected cancer pathway referral (for an appointment within 2 weeks) |
Splenomegaly (unexplained) in adults - urgent cancer referral guidance
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Splenomegaly (unexplained) in adults | Non Hodgkin's lymphoma | Consider a suspected cancer pathway referral (for an appointment within 2 weeks). When considering referral, take into account any associated symptoms, particularly fever, night sweats, shortness of breath, pruritus or weight loss |
Upper abdominal mass consistent with stomach cancer - urgent cancer referral guidance
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Upper abdominal mass consistent with stomach cancer | Stomach | Consider a suspected cancer pathway referral (for an appointment within 2 weeks) |
Upper abdominal mass consistent with an enlarged gall bladder - urgent cancer referral guidance
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Upper abdominal mass consistent with an enlarged gall bladder | Gall bladder | Consider an urgent direct access ultrasound scan (to be performed within 2 weeks) |
Upper abdominal mass consistent with an enlarged liver - urgent cancer referral guidance
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Upper abdominal mass consistent with an enlarged liver | Liver | Consider an urgent direct access ultrasound scan (to be performed within 2 weeks) |
Hepatosplenomegaly (in adults) - urgent cancer referral guidance
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Hepatosplenomegaly | Leukaemia | Consider a very urgent full blood count (within 48 hours) |
Reference:
NICE urgent cancer referral guidance
NICE urgent cancer referral guidance (guidelines with respect to presenting symptoms and signs)
rectal examination findings - NICE urgent cancer referral guidance
abdominal , pelvic or rectal mass or enlarged abdominal organ - NICE cancer referral guidance
abdominal or rectal mass - NICE urgent cancer referral guidance
splenomegaly (unexplained) in adults - NICE urgent cancer referral guidance
upper abdominal mass consistent with an enlarged gall bladder - NICE urgent cancer referral guidance
hepatosplenomegaly (in adults) - NICE urgent cancer referral guidance