Symptoms suggestive of cancer investigation and referral

Summarised table

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Cancer Research UK

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BMJ Infographics

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Quantitative faecal immunochemical tests (FIT) to guide referral for colorectal cancer in primary care

FIT test carried out in low-risk symptomatic populations, without rectal bleeding, who have low probability (0.1%-3%) of colorectal cancer:

≥50y + unexplained weight loss OR abdominal pain

<60y + any change in their bowel habit or iron-deficiency anaemia

≥60y + anaemia without iron deficiency

If FIT positive, then urgent 2ww referral to lower GI for colonoscopy (or CT colonography)

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