Pathway for patients with suspected Upper GI OG Cancer UGI Cancer Pathway Final Allocate UGI CNS GP to ensure that patient stops PPIs 2 weeks in advance Referral received in secondary care ID: 934100
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14 Days
Maximum
Wait (Days)
Pathway for patients with suspected Upper GI (OG) Cancer
UGI Cancer Pathway [Final]
Allocate UGI CNS
GP to ensure that patient stops PPI’s 2 weeks in advance
Referral received in secondary care
16-18 years old – refer to Paediatric Oncology (GNCC) for treatment and TYA MDT for discussion
19-24 years old – continue on tumour site specific pathway & refer to TYA MDT for discussion
.
Rapid specialist assessment & one stop diagnostic service
Is UGI cancer or HGD confirmed or suspected?
Local MDT discussion with Specialist MDT
Further diagnostic / staging investigations as appropriate
Specialist MDT discuss treatment & rehabilitation plan plus consideration for clinical trials
Staging investigations as indicated
Agree proposed treatment plan with patient
Supportive & palliative care
Radical
treatment
Is further treatment required
Appropriate after care
Holistic assessment
Consider rehabilitation needs
See TYA pathway
Inform patient’s GP
See OG rehabilitation care pathway liaise & involve healthcare professionals as required
Decision to treat
First treatment
E
arliest
C
linically Appropriate Date for commencement of subsequent treatment
Y
es
HER2 testing for gastric & junctional tumours
No
History
Physical examination
WHO performance status
Endoscopy & biopsy
CT
Patient removed from
cancer pathway
Laparoscopy
EUS
PET Scan
MRI
Assess fitness
Bone Scan
Surgery
Radiotherapy
Chemo Radiotherapy
Endoscopic treatment
Neo Adjuvant Surgery
No
Y
es
Refer for PET scan if indicated
62
0
14
49
17 Days
First Seen
Provide information and psychological support throughout the pathway
Inter Provider Transfer
Network Best Practice
31
18 Days
13 Days