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Knowing signs and symptoms of sarcoma cancer

5. Bone sarcoma referrals

A thorough   is important in assessing patients. Look out for   signs like young patients needing more pain relief without a clear reason, worsening movement range, or unexplained swelling. Growing pain is a diagnosis made by excluding other causes, and it's not always one-sided. If the history doesn't match the clinical picture, it can be a warning  . Keep re-evaluating to identify potential problems.

If there's uncertainty, it's important to   and investigate if the condition worsens. Plain radiographs are usually enough to diagnose bone sarcoma. When   a patient for a radiograph, make sure to get the report and follow up accordingly.

Symptoms that raise suspicion for radiographs include:

  • Bone or joint pain not related to  
  • Night-time bone pain that doesn't go away with rest or medication
  • Bone swellings

However, diagnosing   is not just about checking off symptoms, and there may be other signs not listed here. If a plain   shows signs of an aggressive bone lesion, refer the patient to a local orthopedic unit or bone sarcoma center.

The referral process may vary depending on where you are. Contact the GP to discuss the case and recommend the appropriate imaging (X-ray for bone) initially. If there are suspicious findings on the radiology report or ongoing concerns, advise a 2WW referral to the local bone centre, which means the   should be seen within two weeks. If you're unsure or worried, reach out to the local sarcoma service for  .

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