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Click here                   Wednesday 21 March 2018

  Two-Week Wait Rule - Suspected Cancer  
Referral Guidelines for Suspected Cancer (Two week wait rule) based on NICE Guidance 2005
Last Updated October 2012.

Gynaecological Cancer

Urgent Referral

  • Clinical features suggestive of cervical cancer on examination. A smear test is not required before referral, and a previous negative result should not delay referral
  • Not on HRT with postmenopausal bleeding
  • On HRT with persistent or unexplained postmenopausal bleeding after cessation of HRT for 6 weeks
  • Taking tamoxifen with postmenopausal bleeding
  • With an unexplained vulval lump
  • With vulval bleeding due to ulceration
  • With a palpable abdominal or pelvic mass on examination that is not obviously uterine fibroids or not of GI or urological origin


Consider Urgent Referral

  • Patients with persistent intermenstrual bleeding and negative pelvic examination




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Last Update: 31 January 2008