Exodontia.Info
Oral Cancer -
Referral of Patients with Suspicious
Lesions
The Pathway of Care shows how a patient with a (District
General Hospital
) and seen within 2 weeks (in the UK).

If the lesion is thought to be suspicious, then investigations,
imaging ± biopsy are carried out.

The biopsy results are 'fast-tracked' and the patient would
be seen with the histological results of the biopsy,
investigations & imaging results at the
MDT
(
Multi-Disciplinary Team) meeting (held in my area, down
at Maidstone Hospital, Kent).
The suspicious features that the GDP should be aware of are listed here
(high-lighted in yellow); these are in a box on the
Rapid Referral Form.
I find the only problem with this pro-forma is that the lettering is too small so that
when this is faxed, details are lost; also, if filled out by hand, it is often illegible.

Communication is everything so if details are lost / illegible, you are doing the
patient a disservice and possibly yourself.  It requires minimal effort to fill in and
can possibly save your patient’s life.

If you need copies of this, you can download copies from
this web address.
Last Updated 28th June 2017

Oral Cancer LDV



Useful Articles:


NICE Guidelines 2004.  Healthcare Services for Head & Neck Cancers.  
Understanding NICE Guidance – Information for the Public

J Can Dent Assoc 2008.  Biopsy & Histopathologic Diagnosis of Oral Premalignant
& Malignant Lesions

BDJ 2010.  Study of the Experience of Primary Care GDP's in the detection &
Management of Potentially Malignant Lesion. 1. Factors influencing detetction &
the Decision to Refer

BDJ 2010.  Study of the Experience of Primary Care GDP's in the detection &
Management of Potentially Malignant Lesion. 2. Mechanics of the Referral &
Patient Communication

Dental Update 2011.  Importance of Quality in Referral Letters Sent for Potentially
Malignant Oral, Head & Neck Lesions

Head & Neck Cancer Guidelines 2011

Dent Update 2016.  Mouth Cancer for Clinicians Part 8. Referral

NICE Guidelines 2017.  Head & Neck Cancer
Warning Features suggestive of Oral Cancer