# Neoplasm of the Nervous System

- Category: chronic
- Review status: reviewed (every claim checked against a document named on this page)
- Sources: ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class ND25 - condition scope only, no dose · NICE NG12: Suspected cancer: recognition and referral (recommendation 1.16) - https://www.ncbi.nlm.nih.gov/books/NBK555330/ · No dose - referral pathway, no medicine given in primary care
- Verified date: 2026-08

## Verified against

- No dose - referral pathway, no medicine given in primary care

## Treatment metadata

- No drug therapy in primary care (Referral & Advice)

## Complete treatment card

```text
NEOPLASM OF THE NERVOUS SYSTEM
Sources: ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class ND25 -
         condition scope only, no dose · NICE NG12: Suspected cancer: recognition and referral
         (recommendation 1.16) - https://www.ncbi.nlm.nih.gov/books/NBK555330/ · No dose - referral
         pathway, no medicine given in primary care
Review status: REVIEWED against the source listed above  (2026-08)

1. NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE)    [1st line]
   Adult    Umbrella category for benign, malignant, or uncertain-behaviour tumours of the brain,
            spinal cord, or nerves (e.g. astrocytoma, meningioma, ependymoma); the GP's role is
            recognising red-flag neurological symptoms and arranging urgent imaging and
            neurosurgical/oncology referral, with dexamethasone or an anticonvulsant sometimes
            started for interim symptom control. - Refer, with advice
   Peds     Children follow the same pathway: recognise and refer. No primary-care medicine is
            implied.
   Source   No dose - referral pathway, no medicine given in primary care
   Why      Umbrella category for benign, malignant, or uncertain-behaviour tumours of the brain,
            spinal cord, or nerves (e.g. astrocytoma, meningioma, ependymoma); the GP's role is
            recognising red-flag neurological symptoms and arranging urgent imaging and
            neurosurgical/oncology referral, with dexamethasone or an anticonvulsant sometimes
            started for interim symptom control.
   Caution  No medicine is prescribed for this in primary care - this entry is for recognition and
            referral. Anything given is decided by the service it is referred to.
            RED FLAG - A progressive focal neurological deficit, a new headache that wakes the
            patient at night or is worse lying down, papilloedema or a new seizure, or early morning
            vomiting.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.
```

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