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Urgent suspected cancer referrals for childhood lymphadenopathy
  1. Rebecca E Ling,
  2. Anna Capsomidis,
  3. Soonie R Patel
  1. Department of Paediatrics, Croydon University Hospital, London, UK
  1. Correspondence to Dr Soonie Patel, Department of Paediatrics, Croydon University Hospital, Croydon, Surrey CR7 7YE, UK; Soonie.patel{at}croydonhealth.nhs.uk

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Lymphadenopathy in children is a common presentation in primary care. It is often associated with heightened parental anxiety due to its association with cancer, although is often explained by self-limiting viral infections.1 The diagnostic challenge for the general practitioner (GP) is to determine which children have high-risk features of suspected cancer, warranting urgent referral to a paediatric specialist, from those with benign illnesses. The National Institute for Health and Care Excellence (NICE) referral guideline for suspected cancer provides access to an experienced paediatrician within 2 weeks.2 Evidence published in this journal reports that the yield of cancer diagnoses for children and young people referred via this …

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