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Urgent Suspected Cancer: Other Tissue Types
NCL WideWhen making a USC referral (previously known as two-week waits or 2WW), please ensure your patient understands that they have been referred on a suspected cancer pathway and that they should make themselves available for diagnostic tests and outpatient appointments for the next 28 days.
For details of how to refer in the case of non-specific symptoms, see the Urgent Suspected Cancer for Non-Specific Cancer Symptoms: Rapid Diagnostic Centres page.
For breast pain, consider the Breast Pain Clinic at RFL.
It is important for practices to have a robust safety netting system. For information see the EMIS user guide.
How to Refer
EMIS form
Referral methods: e-RS
The most common tissue-specific cancers have dedicated tissue-specific service pages (See the Related Services list, below). Urgent referrals for suspected cancer in other tissues should use the forms below.
Imaging needed before referral for USC
- Referral for lung cancer requires a GP DA urgent chest X-ray
- For pancreatic, liver or gallbladder cancer include any abdominal CT/MRI/ultrasound scan
- For brain cancer, include MRI/CT where available
If imaging results support USC referral, use the forms below.
Referral for USC
Where imaging supports USC referral, complete the tissue-specific referral form and send directly to the hospital.
- Pan London Urgent Suspected Brain and CNS Cancer Referral Form
- Pan London Urgent Suspected Breast Cancer Referral Form
- Pan London Urgent Suspected Children's Cancer Referral Form
- Pan London Urgent Suspected Haematological Cancer Referral Form
- Pan London Urgent Suspected Head and Neck Cancer Referral Form
- Pan London Urgent Suspected Lung and Pleural Cancer Referral Form
- Pan London Urgent Suspected Ophthalmology Cancer Referral Form
- Pan London Urgent Suspected Upper GI Cancer Referral Form.
Where to find the forms
- NCL Global Documents > Urgent Suspected Cancer (formerly 2WW)
Please check that you are using the correct version of the form on your EMIS system.
Downloads
Resources
Related Services
Breast Pain Clinics
Provide patients with a consultation and physical assessment NCL WideUrgent Suspected Cancer for Non-Specific Cancer Symptoms: Rapid Diagnostic Centres
A diagnostic pathway for patients with non-specific symptoms that could indicate cancer NCL WideUrgent Suspected Cancer: Lower GI
Guidance and referral information for urgent suspected lower gastro-intestinal cancers (previously two-week wait/2WW) NCL WideUrgent Suspected Cancer: Sarcoma
Guidance and referral information for urgent suspected sarcomas (previously two-week wait/2WW) NCL WideUrgent Suspected Cancer: Skin
Guidance and referral information for urgent suspected skin cancers (previously two-week wait/2WW) NCL WideUrgent Suspected Cancer: Urology
Guidance and referral information for urgent suspected cancers, previously called the two-week wait (2WW) pathway NCL WideRelated Topics View All
Review date: Saturday, 27 March 2027