Table 4

NICE NG 12. Referral criteria for suspected malignant pleural mesothelioma185

Offer an urgent chest X-ray (to be performed within 2 weeks) to assess for mesothelioma in people aged 40 and over if
 They have 2 or more of the following unexplained symptoms, or
 They have 1 or more of the following unexplained symptoms and have ever smoked, or
 They have 1 or more of the following unexplained and have been exposed to asbestos:
  Cough
  Fatigue
  Shortness of breath
  Chest pain
  Weight loss
  Appetite loss. [new 2015]
Consider an urgent chest X-ray (to be performed within 2 weeks) to assess for mesothelioma in people aged 50 and over with either:
 Finger clubbing
 Chest signs compatible with pleural disease. [new 2015]
  • ©NICE [2015] Suspected cancer: recognition and referral. Available from www.nice.org.uk/guidance/ng12 All rights reserved. Subject to Notice of rights.

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