Suspected Head and Neck Cancer - General:
An unexplained palpable lump in the neck i.e. of recent onset or a previously undiagnosed lump that has changed over a period of 3 – 6 weeks.
An unexplained persistent swelling in the parotid or submandibular gland
Suspected Thyroid Cancer:
unexplained thyroid lump (consider)
Please perform thyroid function test in parallel with referral.
Suspected Head and Neck Cancer – Ear, Nose and Throat Origin:
Persistent unexplained hoarseness i.e. >3 weeks, with negative chest X-ray (consider)
An unexplained persistent sore throat especially if associated with dysphagia, hoarseness or otalgia
Referred otalgia as a symptom of laryngeal or pharyngeal malignancy
Dysphagia with obstruction in pharynx or cervical oesophagus
Persistent unilateral nasal obstruction with bloody discharge
Unexplained unilateral serous otitis media/ effusion in a patient aged over 18
Suspected Head and Neck Cancer – Oral Maxillo-Facial Origin
Unexplained ulceration of the oral cavity or mass persisting for more than 3 weeks (consider)
Unexplained red and white patches (including suspected lichen planus) of the oral cavity particularly if painful, bleeding or swollen (consider).
Oral cavity and lip lesions or persistent symptoms of the oral cavity followed up for six weeks where definitive diagnosis of a benign lesion cannot be made
Non-healing extraction sockets (>4 weeks duration) or suspicious loosening of teeth, where malignancy is suspected (particularly if associated with numbness of the lip)