2ww criteria and referrals

Question 1

colorectal lower GI 2ww referral for…

Answer 1

• > 40 years with wt loss + abdo pain
• > 50 years with PR bleeding
• > 60 yo with IDA or changes in bowel habit
• Rectal mass
• FIT test positive

Question 2

Upper GI referral for pancreatic cancer what is the 2ww criteria

Answer 2

> 40 years old with jaundice

Question 3

Upper GI 2ww referral

Answer 3

• Dysphagia
• Upper abdo mass
• > 55yo with wt loss AND:
  – upper abdo pain, or
  – dyspepsia, or
  – reflux

Question 4

Breast 2ww referral if…

Answer 4

• > 30 yo with lump
• > 50 yo with one nipple discharge, retraction etc

Question 5

Prostate 2ww referral if..

Answer 5

• Malignant feeling prostrate on DRE
• PSA high for age range

Question 6

2ww Urology referral if..

Answer 6

• > 45yo with visible haematuria
• > 45 yo with non-visible haematuria on 2 out of 3 samples separated by 2 weeks
• > 60yo with non-visible haematuria AND dysuria or raised WCC

Question 7

2ww head and neck - neck lumps

Answer 7

> 45yo with neck lump OR unexplained hoarseness

Question 8

2ww head and neck - throat symptoms

Answer 8

Ulcer for >3 weeks
Sore throat for >3 weeks

Question 9

2ww respiratory criteria

Answer 9

• > 40 yo with unexplained haemoptysis
• CXR findings of cancer or mesothelioma