2 Week Wait Criteria

Question 1

Breast cancer criteria

Answer 1

Skin changes
30+ unexplained breast or axillary lump
50+ nipple changes

Question 2

Colorectal cancer criteria

Answer 2

40+ weight loss, abdo pain
50+ rectal bleed
60+ Fe deficiency anemia, bowel habit changes

FIT testing => +ve

Question 3

Esophageal and stomach cancer criteria

Pancreatic cancer criteria

Answer 3

Stomach and esophagus
Dysphagia
55+ weight loss AND
-indigestion
-reflux
-upper abdo pain
=> Urgent UGI endoscopy

Stomach - upper abdo mass => 2WW

Pancreatic
40+ jaundice => 2WW
60+  weight loss AND
-D/C, N/V
-back/abdo pain
-new onset diabetes
=> Urgent CT

Question 4

Leukemia criteria

Myeloma criteria

Answer 4

Leukemia - any signs of BM failure
-pallor, fatigue, bruising, bleeding
-unexplained fever, infection, lymphadenopathy, hepatosplenomegaly
=> FBC in 48hrs

60+ with unexplained fracture, bone/back pain => FBC, Ca, ESR

• if suggestive of myeloma => v urgent protein electrophoresis/Bence Jones urine protein
• if protein electrophoresis or Bence Jones protein urine test suggest myeloma => 2WW

Question 5

Laryngeal criteria

Oral criteria

Answer 5

45+ hoarse voice, neck lump

Persistent mouth ulcers
Neck/mouth lumps
Red/red and white patches

Question 6

Prostate criteria
Bladder and renal criteria
Testicular criteria

Answer 6

DRE abnormal
PSA high
=> 2WW

Bladder and renal => 2WW
45+ VH thats not UTI related

Bladder only 
60+ NVH and
-dysuria
-high WCC
=> 2WW

Testicular => 2WW
-non painful enlarged/changes in testis

Question 7

Lung criteria

Answer 7

40+/smoker with any of the following
-cough
-fatigue
-SOB
-chest pain
-weight loss
-anorexia
=> urgent CXR

-CXR suggests lung cancer
-40+ hemoptysis
=> 2ww