Borders Ref Help Toolkit
Who to refer:
- Size significant lymphadenopathy, persistent for 6 weeks or more:
- Nodes at an unusual site
- Lymph nodes that are increasing in size
- Nodes > 2cms
- Widespread nodal enlargement and / or splenomegaly.
- Size significant lymphadenopathy with significant systemic symptoms: drenching night sweats, weight loss, fever, alcohol-induced pain.
Prior to referral, please undertake the investigations listed under Primary Care Management.
Who not to refer:
‘Pea-sized’ nodes, 1cm or less in diameter, in individuals with no significant systemic symptoms. This is a common clinical finding especially in slim young adults and in most cases is not abnormal.
How to refer:
Please refer via SCI Gateway to haematology at the BGH.
Patients with clinically significant isolated neck nodes should be referred directly to ENT for consideration of biopsy.