NICE guidelines allow GPs to order tests and scans

NICE has announced a new set of guidelines to let GPS directly order tests and scans for 37 suspected cancers without having to refer to a specialist first. This is in a bid to save lives and get an earlier diagnosis.

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The guidelines include suspected sarcoma.

1.11 Sarcomas

Bone sarcoma in adults

1.11.1 Consider a suspected cancer pathway referral (for an appointment within 2 weeks) for adults[4] if an X‑ray suggests the possibility of bone sarcoma. [new 2015]

Bone sarcoma in children and young people

1.11.2 Consider a very urgent referral (for an appointment within 48 hours) for specialist assessment for children and young people[4] if an X‑ray suggests the possibility of bone sarcoma. [new 2015]

1.11.3 Consider a very urgent direct access X‑ray (to be performed within 48 hours) to assess for bone sarcoma in children and young people with unexplained bone swelling or pain. [new 2015]

Soft tissue sarcoma in adults

1.11.4 Consider an urgent direct access ultrasound scan (to be performed within 2 weeks) to assess for soft tissue sarcoma in adults[4] with an unexplained lump that is increasing in size. [new 2015]

1.11.5 Consider a suspected cancer pathway referral (for an appointment within 2 weeks) for adults[4] if they have ultrasound scan findings that are suggestive of soft tissue sarcoma or if ultrasound findings are uncertain and clinical concern persists. [new 2015]

Soft tissue sarcoma in children and young people

1.11.6 Consider a very urgent direct access ultrasound scan (to be performed within 48 hours) to assess for soft tissue sarcoma in children and young people[4] with an unexplained lump that is increasing in size. [new 2015]

1.11.7 Consider a very urgent referral (for an appointment within 48 hours) for children and young people[4] if they have ultrasound scan findings that are suggestive of soft tissue sarcoma or if ultrasound findings are uncertain and clinical concern persists. [new 2015]

Source: http://www.nice.org.uk/guidance/NG12/chapter/1-recommendations#sarcomas

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