DO YOU KNOW THE SYMPTOMS OF PRIMARY BONE CANCER? Primary bone cancers often present with vague symptoms, resembling non-urgent conditions such as growing pains or arthritis. Some symptoms may come and go, others may be constant. Asking your patient to explain all the symptoms experienced, including systemic ones is key to ruling out primary bone cancer. A timely referral and diagnosis can save lives. On average, 18% of patients referred to a specialist Bone Cancer Centre by a GP are metastatic at diagnosis, compared to 41% of patients referred by A&E. YOU CAN MAKE A POSITIVE IMPACT IF YOU SPOT THE SIGNS AND SYMPTOMS: 76% OF PRIMARY BONE CANCER CASES IN THE UK ARE CURRENTLY BEING MISDIAGNOSED. ONLY 17% OF PATIENTS ARE BEING REFERRED BY THEIR GPS IT IS THE COMBINATION OF SEVERAL VAGUE SYMPTOMS THAT CAN IDENTIFY PRIMARY BONE CANCER AS A DIFFERENTIAL DIAGNOSIS AND LEAD TO A TIMELY REFERRAL A BONE CANCER RESEARCH TRUST & CHILDREN WITH CANCER UK PROJECT Information from the Bone Cancer Research Trust 2020 symptoms survey; UK guidelines for the management of bone sarcomas. Gerrand et al. Clin Sarcoma Res (2016) 6:7 DOI 10.1186/s13569-016-0047-1 & https://cks.nice. org.uk/topics/bone-soft-tissue-sarcoma-recognition-referral/diagnosis/ Poster GP BCAI V1 2020 WHAT TO DO IF YOU SUSPECT A PRIMARY BONE CANCER: “Tell me more about the quality of the pain and any other symptoms” Refer for Plain X-ray via 2 week wait (adult) or within 48 hours (child). If the results look indicatory or suspicious for primary bone cancer: Refer directly to a specialist Bone Cancer Centre. For details on these, visit bcrt.org.uk/awareness If the results look negative or clear: If symptoms persist, refer for further imaging including MRI via 2 week wait (adult) or within 48 hours (child) NICE Guidelines Red Flag Symptom • Atypical bony or soft tissue swelling or mass • Inflammation or tenderness • Hot to the touch LUMP • Constant or intermittent • Worse at night • Intensify with time • Resistant to analgesia • Worsened by massage BONE PAIN • Pathological fractures • Fatigue • Headaches • Eye and vision issues • Fever • Weight-loss • Easy bruising OTHER SYMPTOMS • Unexplained limp • Change in gait • Reduced ROM • Stiffness in a joint • Reluctance to do normal activities • Unable to walk • Numbness and loss of strength in limbs • Issues with balance MOBILTY
DO YOU KNOW THE SYMPTOMS OF PRIMARY BONE CANCER?
Sep 05, 2022
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DO YOU KNOW THE SYMPTOMS OF PRIMARY BONE CANCER?
Primary bone cancers often present with vague symptoms, resembling non-urgent conditions such as growing pains or arthritis. Some symptoms may come and go, others may be constant. Asking your patient to explain all the symptoms experienced, including systemic ones is key to ruling out primary bone cancer.
A timely referral and diagnosis can save lives. On average, 18% of patients referred to a specialist Bone Cancer Centre by a GP are metastatic at diagnosis, compared to 41% of patients referred by A&E.
YOU CAN MAKE A POSITIVE IMPACT IF YOU SPOT THE SIGNS AND SYMPTOMS:
76% OF PRIMARY BONE CANCER CASES
IN THE UK ARE CURRENTLY BEING
MISDIAGNOSED. ONLY 17% OF PATIENTS ARE BEING
REFERRED BY THEIR GPS
IT IS THE COMBINATION OF SEVERAL VAGUE
SYMPTOMS THAT CAN IDENTIFY PRIMARY BONE CANCER AS A DIFFERENTIAL DIAGNOSIS AND
LEAD TO A TIMELY REFERRAL
A BONE CANCER RESEARCH TRUST & CHILDREN WITH CANCER UK PROJECT
Information from the Bone Cancer Research Trust 2020 symptoms survey; UK guidelines for the management of bone sarcomas. Gerrand et al. Clin Sarcoma Res (2016) 6:7 DOI 10.1186/s13569-016-0047-1 & https://cks.nice. org.uk/topics/bone-soft-tissue-sarcoma-recognition-referral/diagnosis/
Poster GP BCAI V1 2020
WHAT TO DO IF YOU SUSPECT A PRIMARY BONE CANCER:
“Tell me more about the quality
of the pain and any other symptoms”
Refer for Plain X-ray via 2 week wait (adult) or within 48 hours (child).
If the results look indicatory or suspicious for primary bone cancer: Refer directly to a specialist Bone Cancer Centre. For details on these, visit bcrt.org.uk/awareness
If the results look negative or clear: If symptoms persist, refer for further imaging including MRI via 2 week wait (adult) or within 48 hours (child)
NICE Guidelines Red Flag Symptom
• Atypical bony or soft tissue swelling or mass
• Inflammation or tenderness • Hot to the touch
LUMP • Constant or intermittent • Worse at night • Intensify with time • Resistant to analgesia • Worsened by massage
BONE PAIN
• Pathological fractures • Fatigue • Headaches • Eye and vision issues • Fever • Weight-loss • Easy bruising
OTHER SYMPTOMS • Unexplained limp • Change in gait • Reduced ROM • Stiffness in a joint • Reluctance to do normal activities • Unable to walk • Numbness and loss of strength
in limbs • Issues with balance
MOBILTY
Primary bone cancers often present with vague symptoms, resembling non-urgent conditions such as growing pains or arthritis. Some symptoms may come and go, others may be constant. Asking your patient to explain all the symptoms experienced, including systemic ones is key to ruling out primary bone cancer.
A timely referral and diagnosis can save lives. On average, 18% of patients referred to a specialist Bone Cancer Centre by a GP are metastatic at diagnosis, compared to 41% of patients referred by A&E.
YOU CAN MAKE A POSITIVE IMPACT IF YOU SPOT THE SIGNS AND SYMPTOMS:
76% OF PRIMARY BONE CANCER CASES
IN THE UK ARE CURRENTLY BEING
MISDIAGNOSED. ONLY 17% OF PATIENTS ARE BEING
REFERRED BY THEIR GPS
IT IS THE COMBINATION OF SEVERAL VAGUE
SYMPTOMS THAT CAN IDENTIFY PRIMARY BONE CANCER AS A DIFFERENTIAL DIAGNOSIS AND
LEAD TO A TIMELY REFERRAL
A BONE CANCER RESEARCH TRUST & CHILDREN WITH CANCER UK PROJECT
Information from the Bone Cancer Research Trust 2020 symptoms survey; UK guidelines for the management of bone sarcomas. Gerrand et al. Clin Sarcoma Res (2016) 6:7 DOI 10.1186/s13569-016-0047-1 & https://cks.nice. org.uk/topics/bone-soft-tissue-sarcoma-recognition-referral/diagnosis/
Poster GP BCAI V1 2020
WHAT TO DO IF YOU SUSPECT A PRIMARY BONE CANCER:
“Tell me more about the quality
of the pain and any other symptoms”
Refer for Plain X-ray via 2 week wait (adult) or within 48 hours (child).
If the results look indicatory or suspicious for primary bone cancer: Refer directly to a specialist Bone Cancer Centre. For details on these, visit bcrt.org.uk/awareness
If the results look negative or clear: If symptoms persist, refer for further imaging including MRI via 2 week wait (adult) or within 48 hours (child)
NICE Guidelines Red Flag Symptom
• Atypical bony or soft tissue swelling or mass
• Inflammation or tenderness • Hot to the touch
LUMP • Constant or intermittent • Worse at night • Intensify with time • Resistant to analgesia • Worsened by massage
BONE PAIN
• Pathological fractures • Fatigue • Headaches • Eye and vision issues • Fever • Weight-loss • Easy bruising
OTHER SYMPTOMS • Unexplained limp • Change in gait • Reduced ROM • Stiffness in a joint • Reluctance to do normal activities • Unable to walk • Numbness and loss of strength
in limbs • Issues with balance
MOBILTY
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