Referral to a specialist for symptoms of salivary gland cancer
Your GP should arrange for you to see a specialist if you have symptoms that could be due to salivary gland cancer.
Depending on your symptoms and other factors, this might be an urgent referral.
Seeing your GP
It can be hard for GPs to decide who may have cancer and who might have a more minor condition. For some symptoms, your doctor may ask you to wait to see if the symptoms get better or respond to treatment, such as antibiotics.
UK referral guidelines
There are guidelines for GPs to help them decide who needs a referral. These vary slightly between the different UK nations. Your GP will use these guidelines as well as their own experience and judgement.
General head and neck guidelines
There are general guidelines for all head and neck suspected cancer referrals. These guidelines vary slightly between the different UK nations. The following is a summary.
Your doctor (or sometimes your dentist) might refer you to a specialist urgently if you have:
- an unexplained lump in the head and neck area
Or any of these symptoms if they don’t get better:
- a swelling or break (ulceration) on the lips or in the mouth
- an unexplained sore or painful throat
- unexplained painful swallowing
- an unexplained hoarse voice
- red or red and white patches in your mouth
A symptom that does not get better usually means a symptom that lasts for more than 3 weeks.
Neck lump clinic
A lump or growth in your neck is a common symptom of head and neck cancer and may be the only symptom you have. Your GP might refer you to a neck lump clinic if there is one at your hospital.
The neck lump clinic is a one stop clinic. You see a specialist who examines your lump. You then have tests to check for cancer, such as an ultrasound scan. The doctor may take a sample of tissue 
.
Many neck lumps are not cancer, but it is important to be sure.
Depending on the clinic, you will either:
- have a follow up appointment about a week later to get the results
- or get some or all of the results on the same day
Other symptoms
Your GP will consider any other symptoms that you are having, so do mention these.
They might also take into account whether you have any risk factors that affect your chances of developing salivary gland cancer.
If you are still worried
If you are still worried, it’s worth remembering that salivary gland cancers are very rare. You could make another appointment with your GP if you are concerned they are not taking your symptoms seriously.
You could print this page and ask your GP to talk it through with you. Then you might be able to decide together whether you need to see a specialist.
What should I do if I don’t get my appointment?
If your GP has referred you, ask them when you should get your appointment. Contact them again if you don’t get one. Or some hospitals have a referral service you could try contacting if you know which hospital you are going to. Explain that you are waiting for an urgent suspected cancer referral.
Waiting times
Your hospital is working towards waiting time targets. For example, a target to find out whether you have cancer or not. And there are targets to start treatment if you are diagnosed with cancer. These are slightly different depending on where you live in the UK.
