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Lateral neck masses, sinuses and fistula


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Rapidly non infected enlarging masses should be referred urgently for consideration of malignancy
    • Progressive enlargement over 4 weeks
  • Category 2
    (appointment within 90 calendar days)
    • Recurrent infections
    • Discharging sinuses or fistula
    • Stable persistent enlargement lymph nodes > 3 months
  • Category 3
    (appointment within 365 calendar days)
    • Non discharging sinuses or fistula
    • Sialectasis
    • Benign low flow vascular anomaly

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

  • Duration of symptoms
  • History of recent infection
  • Family history of TB (if applicable)
  • FBC CRP results (Category 1 only)
  • CXR results (Category 1 only)

3. Additional referral information Useful for processing the referral

  • Consider cat scratch disease
  • USS results

4. Request

Last updated: 13 June 2023