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Bone cancer and sarcoma - suspected - Management
General recommendations
- A patient who presents with symptoms suggesting bone cancer or sarcoma should be referred to a team specialising in the management of bone cancer and sarcoma, or to a recognized bone cancer centre, depending on local arrangements (D).
- If a primary healthcare professional has concerns about the interpretation of a patient's symptoms and/or signs, a discussion with the local specialist should be considered (D).
- Patients with increasing, unexplained or persistent bone pain or tenderness, particularly pain at rest (and especially if not in the joint), or an unexplained limp should be investigated by the primary healthcare professional urgently. The nature of the investigations will vary according to the patient's age and clinical features (C [DS]).
- In older people metastases, myeloma or lymphoma, as well as sarcoma, should be considered.
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