Family History of Colorectal Cancer

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to the referral standards and include:

  • Specific family history of cancer including:
    • Family member's relationship to the patient
    • Family member's age at diagnosis of colorectal cancer
    • If genetic testing has been done within the family

Tests

  • Consider FOBT prior to referral
  • Indicate if the patient is symptomatic or asymptomatic

Interim/GP management

To refer a patient with this condition, please see the Colorectal Surgery clinic page for the full referral process and templates.

All patients referred for surveillance colonoscopies after removal of polyps or for family history are triaged according to the following guidelines:

Note: Referrals of asymptomatic patients deemed not to meet guidelines will be returned to the referrer.

For more information please see the Tasmanian Health Pathways website.

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Consider referral for Direct Access Colonoscopy or to Genetics Service for discussion of risk.

Emergency:

Proceed to Emergency Department (ED).
LGH ED Reception  – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100  Fax: (03) 6173 0489

Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:
Routine: