Suspected Upper GIT Cancer

Availability

North South North West Statewide

Pre-referral work-up

History

This includes pancreatic cancer, gastric cancer, cholangiocarcinoma, hepatic cancer

All referrals should comply to referral standards and include in particular:

  • Onset of symptoms including explanation of diagnosis or suspicion
  • Current condition especially weight loss and appetite
  • List of medications and allergies

Tests

Tests required:

  • CT
  • FBE/LFT's
  • Other blood tests pertinent to the organ involved if possible but should not delay the hand over
  • Any other imaging that has been done
  • Any endoscopy findings if done

Interim/GP management

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

If you are worried about rapid progression of symptoms, severe pain, vomiting or bleeding, send the patient to Emergency Department.

Referral process: Contact Outpatient Clinics by phone on 6166 0000 prior to faxing referral on patients with confirmed cancers so that the referral can be immediately booked into the next clinic for the appropriate doctor.

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.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6426 5115
NWRH ED – Phone: (03) 6493 6340  Fax: (03) 6430 6691
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6222 8919

Urgent:

For urgent referrals call the RHH switch on 6166 8308 and ask for the nurse in charge of surgical clinics or the relevant consultant to expedite the consultation.

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

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment