Colorectal 2 Week Referral Form

Tick if present Breast pain Non blood stained nipple discharge Family history Patients under 30 with. unexplained breast lump. with or without pain should be referred as non-urgent to the local breast clinic. Suspected Breast Cancer Tick if chosen Feature Tick if present Age . 30. and over with an unexplained breast lump (with or without pain ... ................
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