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Symptoms suggestive of cancer investigation and referral

Summarised table


Cancer Research UK


BMJ Infographics




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)