{
  "schema_version": 1,
  "kind": "condition",
  "id": "pharyngeal-cancer",
  "name": "Pharyngeal (Throat) Cancer",
  "category": "chronic",
  "sources": "ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class DD28.03 - condition scope only, no dose · NICE NG12: Suspected cancer: recognition and referral (recommendation 1.2) - https://www.ncbi.nlm.nih.gov/books/NBK555330/ · No dose - referral pathway, no medicine given in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Pharyngeal (Throat) Cancer - disease-level clinical article (pharyngeal-cancer-full.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1451,
      "generic": "No drug therapy in primary care (Referral & Advice)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "Cancer of the pharynx, less commonly encountered in Egyptian primary care than other regional cancers. GP recognises persistent throat symptoms, especially in smokers, and refers urgently to ENT/oncology.",
      "adult_duration": "Refer, with advice",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "Cancer of the pharynx, less commonly encountered in Egyptian primary care than other regional cancers. GP recognises persistent throat symptoms, especially in smokers, and refers urgently to ENT/oncology.",
      "cautions": [
        "RED FLAG - Acute airway obstruction or stridor secondary to expanding pharyngeal mass: assess urgently and refer.",
        "Rare in Egyptian primary care.",
        "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 - In adults, any new neck mass persisting for more than 2 weeks must be presumed malignant until proven otherwise and referred.",
        "RED FLAG - Unilateral middle ear effusion in an adult should raise suspicion for nasopharyngeal obstruction/cancer.",
        "RED FLAG - Hoarseness or sore throat persisting more than 3 weeks, a one-sided neck lump, difficulty swallowing, unexplained weight loss, or ear pain with no ear cause found."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "pharyngeal-cancer"
    }
  ]
}