Information from Cancer Research UK
Click on the recommendations below to view the signs and symptoms that indicate urgent referral.The NICE referral guidelines1
Consider a suspected cancer pathway referral* for oral cancer in people with either:
Consider an urgent referral* for assessment for possible oral cancer by a dentist (see Cancer Research UK (CRUK) recommendation below) in people who have either:
Consider a suspected cancer pathway referral by the dentist* for oral cancer in people when assessed by a dentist as having either:
Consider a suspected cancer pathway referral* for thyroid cancer in people with an unexplained thyroid lump.
*for an appointment within 2 weeks
CRUK recommends that both GPs and dentists should consider referring to secondary care for all oral cancer signs and symptoms featured in NICE guidance, without the need for cross referral from GPs to dentists for assessment of symptoms. The reasons for this are:
Consider an urgent suspicion of cancer referral for head and neck cancer in people with the following symptoms:
Consider an urgent suspicion of cancer referral for thyroid cancer in people with the following symptoms:
Cancer Research UK would like to acknowledge the following clinicians for their invaluable input into the development of the Oral Cancer Recognition Toolkit:
Professor Richard Shaw, Professor Peter Brennan, Professor Saman Warnakulasuriya, Dr Afsana Safa, Mr Craig Wales, Professor Mark McGurk, Professor Crispian Scully and Dr Nigel Carter.
To learn more about diagnosing and referring oral cancer, read case studies from Richard Shaw, Professor of Head and Neck Surgery, University of Liverpool and Aintree University Hospital NHS Trust.View patient case studies
Some of the risk factors associated with oral cancer include:
Your comments will help to improve this toolkit.
By submitting your email address you agree to CRUK contacting you regarding your comment