# Neoplasm of Uncertain Behaviour, 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 ND25.02 - 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 UNCERTAIN BEHAVIOUR, NERVOUS SYSTEM
Sources: ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class ND25.02 -
         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    A pathology-reporting category for CNS tumours whose malignant potential cannot be
            determined on initial assessment; the GP's role is ensuring the patient reaches
            neurosurgery/neuro-oncology for definitive histology and follow-up, not prescribing. -
            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      A pathology-reporting category for CNS tumours whose malignant potential cannot be
            determined on initial assessment; the GP's role is ensuring the patient reaches
            neurosurgery/neuro-oncology for definitive histology and follow-up, not prescribing.
   Caution  RED FLAG - Acute spinal cord compression: assess urgently and refer.
            RED FLAG - Acute intracranial hypertension or herniation signs (Cushing's triad:
            bradycardia, hypertension, respiratory irregularity): 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 - Any new or progressive focal neurological deficit, or a new seizure.

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

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