appetite loss or early satiety in adults - NICE urgent cancer referral guidance
Last reviewed 06/2021
Appetite loss or early satiety
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Appetite loss (unexplained) | Several, including lung, oesophageal, stomach, colorectal, pancreatic, bladder or renal |
Carry out an assessment for additional symptoms, signs or findings that may help to clarify which cancer is most likely Offer urgent investigation or a suspected cancer pathway referral (for an appointment within 2 weeks) |
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Appetite loss (unexplained), 40 and over, ever smoked | Lung or mesothelioma | Offer a chest X-ray |
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Appetite loss (unexplained), 40 and over, exposed to asbestos | Mesothelioma | Offer a chest Xray |
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Appetite loss (unexplained) with cough or fatigue or shortness of breath or chest pain or weight loss (unexplained), 40 and over | Lung or mesothelioma | Offer a Chest Xray |
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Appetite loss or early satiety (persistent or frequent - particularly more than 12 times per month) in women, especially if 50 and over | Ovarian |
Carry out tests in primary care Measure serum CA125 in primary care |
Reference:
NICE urgent cancer referral guidance
NICE urgent cancer referral guidance (guidelines with respect to presenting symptoms and signs)