Publication - Advice and guidance

Scottish referral guidelines for suspected cancer: quick reference guide

Scottish Referral Guidelines for Suspected Cancer is a quick reference guide for cancer referrals.

Urgent Referral

Lesions suspicious of cancer on cervix or vagina at speculum examination.
Lesions suspicious of cancer on inspection of vulva.
Palpable pelvic mass not obviously fibroids.
Suspicious pelvic mass on ultrasound.
More than one or a single heavy episode of PMB in women over 55 yrs who are not on HRT.
Postcoital bleeding age >35 yrs that persists for more than 4 weeks.
HRT: unexpected or prolonged bleeding persisting for >4 weeks after stopping HRT.

Non-urgent referrals

Any other women with PMB not on HRT.
Repeated unexplained postcoital bleeding.
In women >45 yrs with persistent abdominal pain or distension, ovarian cancer should be considered and pelvic USS requested.

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