fatigue in adults - NICE urgent cancer referral guidance

Last reviewed 01/2018

Fatigue

Symptom and Specific Features Possible Cancer Recommendation
Fatigue (unexplained), 40 and over, ever smoked Lung or mesothelioma Offer a chest Xray

Symptom and Specific Features Possible Cancer Recommendation
Fatigue (unexplained), 40 and over, exposed to asbestos Mesothelioma Offer a chest Xray

Symptom and Specific Features Possible Cancer Recommendation
Fatigue with cough or shortness of breath or chest pain or weight loss or appetite loss (unexplained), 40 and over Lung or mesothelioma Offer a chest Xray

Symptom and Specific Features Possible Cancer Recommendation
Fatigue (persistent) in adults Leukaemia Consider a very urgent full blood count (within 48 hours)

 

Symptom and Specific Features Possible Cancer Recommendation
Fatigue (unexplained) in women Ovarian

Carry out tests in primary care

measure serum CA125 in primary care

Reference: