derriford:vetting

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derriford:vetting [2026/05/21 12:20] – formatting, section on MRI head adminderriford:vetting [2026/05/21 12:24] (current) – [Suspected ENT Cancer] - added comment to say send these to H&N admin
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 === Risk Stratification: === === Risk Stratification: ===
  
-LOW RISK Patients - MNECK - no contrast:+LOW RISK Patients:
   *  Have 2WW symptoms - e.g. referred otalgia, chronic lateralising throat pain, FOSIT   *  Have 2WW symptoms - e.g. referred otalgia, chronic lateralising throat pain, FOSIT
   *  Have NORMAL examination including fibre-optic nasendoscopy.   *  Have NORMAL examination including fibre-optic nasendoscopy.
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   *  Following multiple normal surveillance studies, can change to non-contrast surveillance.   *  Following multiple normal surveillance studies, can change to non-contrast surveillance.
  
-HIGH RISK Patients - MNECKC - contrast:+HIGH RISK Patients:
   *  Have abnormal examination on FNE - suspicious nasal, pharyngeal or laryngeal mass.   *  Have abnormal examination on FNE - suspicious nasal, pharyngeal or laryngeal mass.
   *  Oral cavity lesion on MaxFacs examination.   *  Oral cavity lesion on MaxFacs examination.
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 === MRI Head/Orbits === === MRI Head/Orbits ===
  
-MRI head is rarely indicated in suspected ENT cancers - MRI neck sequences are sufficient to assess skull base invasion and perineural spread. MRI head +While these are often requested, MRI head is rarely indicated in suspected ENT cancers - MRI neck sequences are sufficient to assess skull base invasion and perineural spread. MRI head is only required where there is a scalp lesion with suspected skull invasion, or where there is the suspicion of intracranial metastasis indicated by suspicious neurological symptoms. Feel free to send these study to the HNREP vetting silo for H&N to assess.
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