Perirectal lump

Hi, 

I have had a perirectal luml/mass for around 2 years but was referred to the wrong specialist to have this assessed. I waited 14 months to be told by the wrong specialist that I should have been seen by colorectal doctors.

I have daily abdominal pain which is particularly bad when standing. I have had issues with my bowels for some time which is mostly going very often often with loose stool but occasionally I can get constipated. More recently I have noticed blood in my stools although this seems to just be when I have my period. However it is very different in consistency and a lot more than my period which is very light. I've never heard of this before and thought I must be imagining that it came from my back passage. However, I've been careful at monitoring this and it is clearly coming from there.

The consultant that I was wrongly sent to advised that I would hear from colorectal surgery or general surgery and she was referring me directly. 

If the referral has gone to general surgery does this mean it is not urgent? My research indicates that any perirectal mass should be seen within 2 weeks but I imagine this will be much longer if it has gone to general surgery rather than colorectal.

I'd be grateful if someone could explain the difference in terms of why I would be referred to one and not the other.

Also I have a first relative who died of cancer in their mid 50s. I know both their oesophagus and bowel was affected but I am unsure which one came first. Should I be concerned about this?

Thank you

  • Hello and thanks for your post

    I'm sorry to read about what has been happening.

    It is more common to be referred to general surgery with your condition. How soon you will be seen depends on what type of referral your consultant has done.  If you are being referred because the consultant thinks you need to be seen urgently then you would see a specialist within two  weeks. However, if the consultant does not think an urgent referral is needed, you will see a specialist within 18 weeks. You can read more about the NHS waiting times here.

    You can ring the consultants secretary to find out what type of referral has been sent. 

    Having relative(s) with cancer in the family isn't unusual and doesn't necessarily mean your risk of developing cancer is a lot higher than average. This is quite a complicated topic and it might be useful to look at our section explaining genes and inherited cancer risk at this link. Cancer is quite a common disease, 1 in 2 people develop it eventually, but mostly in old age.

    Give us a ring if you would like to talk anything over. The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    Kind regards,

    Celene