In line with national referral recommendations, patients should be referred on an urgent or suspected cancer pathway if they have any of the following: • an unexplained ulceration in the oral cavity lasting for more than 3 weeks • a persistent and unexplained lump in the neck • a lump on the lip or in the oral cavity consistent with oral cancer • a red patch in the oral cavity consistent with erythroplakia • a red and white patch in the oral cavity consistent with erythroleukoplakia • persistent
Clinical Recommendation
🏴 England • Public Health England (PHE)
Recommendation Statement
In line with national referral recommendations, patients should be referred on an urgent or suspected cancer pathway if they have any of the following: • an unexplained ulceration in the oral cavity lasting for more than 3 weeks • a persistent and unexplained lump in the neck • a lump on the lip or in the oral cavity consistent with oral cancer • a red patch in the oral cavity consistent with erythroplakia • a red and white patch in the oral cavity consistent with erythroleukoplakia • persistent
In line with national referral recommendations, patients should be referred on an urgent or suspected cancer pathway if they have any of the following
an unexplained ulceration in the oral cavity lasting for more than 3 weeks • a persistent and unexplained lump in the neck • a lump on the lip or in the oral cavity consistent with oral cancer • a red patch in the oral cavity consistent with erythroplakia • a red and white patch in the oral cavity consistent with erythroleukoplakia • persistent unexplained hoarseness • persistent pain in the throat or pain on swallowing lasting for more than 3 weeks
Clinical Topics
Keywords
Oral Cancer Screening
References
Department of Health and Social Care (2021). General. National Institute for Health and Care Excellence. Suspected cancer: recognition and referral. NICE guideline [NG12]. London: NICE; 2015.; Cancer Research UK. Mouth and oropharyngeal cancer statistics. London: CRUK; 2020.
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Evidence Assessment
About GRADE Assessment
GRADE (Grading of Recommendations Assessment, Development and Evaluation) is a systematic approach to rating the quality of evidence and strength of recommendations in clinical practice guidelines.