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Brain tumours (intracerebral, meningioma, skull base, pituitary)


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Intracerebral space-occupying lesion, (suspected or confirmed on CT) with minimal and/or slowly progressing symptoms
    • Symptomatic small benign intracranial tumours (e.g. acoustic neuroma/vestibular schwannoma, meningioma, craniopharyngioma epidermoid cyst, arachnoid cyst) without cerebral oedema
    • Pituitary tumour associated with visual field deficits and/or symptomatic hyper/hypopituitarism
  • Category 2
    (appointment within 90 calendar days)
    • Functioning or non-functioning pituitary adenoma, pituitary tumours with slowly progressive visual field deficit
    • Incidental finding on imaging e.g. epidermoid cyst, arachnoid cyst and/or unusual pathology e.g. adults with newly diagnosed chiari malformation, empty sella, temporal lobe herniation, venous angioma
  • Category 3
    (appointment within 365 calendar days)
    • Pituitary tumours with no visual impairment, normal pituitary function and/or mild hyper-prolactinemia

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • CT/MRI results
  • Pituitary function tests including prolactin if suspected pituitary tumour (e.g. prolactin, random cortisol, growth hormone and IGF1, TFT's)

3. Additional referral information Useful for processing the referral

  • Details of previous malignancy including treatment/any relevant imaging results

4. Request

Last updated: 13 June 2023