guidelines for the management of urological cancer - Merseyside ...

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2. National Institute for Health and Clinical Excellence: Referral guidelines for suspected cancer - Clinical Guideline 27 (issued June, 2005) Definitions ‘Urgent’: the patient is seen within the national target for urgent referrals (currently 2 weeks) ‘Persistent’ as used in the recommendations in this guideline refers to the continuation of specified symptoms and/or signs beyond a period that would normally be associated with self-limiting problems. The precise period will vary depending on the severity of symptoms and associated features, as assessed by the healthcare professional. In many cases, the upper limit the professional will permit symptoms and/or signs to persist before initiating referral will be 4–6 weeks. Page 32 of 44
‘Unexplained’ as used in the recommendations in this guideline refers to a symptom(s) and/or sign(s) that has not led to a diagnosis being made by the primary care professional after initial assessment of the history, examination and primary care investigations (if any). An algorithm 2 summarising the principal recommendations on how to proceed when a patient presents with the following symptoms. 2. National Institute for Health and Clinical Excellence: Referral guidelines for suspected cancer - Clinical Guideline 27 (issued June, 2005) Page 33 of 44
Page 1 and 2: GUIDELINES FOR THE MANAGEMENT OF UR
Page 3 and 4: Appendix 1 - SMDT contacts Appendix
Page 5 and 6: 1.2 Definition of Terms Carcinoma i
Page 7 and 8: Patients with haematuria may have a
Page 9 and 10: 4. ASSESSMENT OF IDENTIFIED BLADDER
Page 11 and 12: 5.1 Referral to the SMDT 1. It is t
Page 13 and 14: For patients referred from the loca
Page 15 and 16: 6.1 Page 15 of 44
Page 17 and 18: 6.1 Page 17 of 44
Page 19 and 20: 6.2 Recurrent Non-muscle Invasive T
Page 21 and 22: 6.52 Radiotherapy Radical RT Fit p
Page 23 and 24: All patients will be offered clear
Page 25 and 26: References 1. Tolley DA, Parmar MK,
Page 27 and 28: 28. Madersbacher S, Hochreiter W, B
Page 29 and 30: Appendix 2 - Referral Form Referrin
Page 31: Non-urgent referral • Refer non-u
Page 35 and 36: Appendix 3 - TNM Classification of
Page 37 and 38: Appendix 5 - TCC Algorithm: New Non
Page 39 and 40: Appendix 7 - TCC Algorithm: Muscle
Page 41 and 42: Appendix 9 - Radiology Guidelines M
Page 43 and 44: Specific Anatomic Region Applicatio

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