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Children's tumours - suspected - Management
Soft tissue sarcoma (all ages)
- A soft tissue sarcoma should be suspected and an urgent referral should be made for a child or young person with an unexplained mass at almost any site that has one or more of the following features. The mass is: (C)
- Deep to the fascia
- Non-tender
- Progressively enlarging
- Associated with a regional lymph node that is enlarging
- Greater than 2 cm in diameter
- A soft tissue mass in an unusual location may give rise to misleading local and persistent unexplained symptoms and signs, and the possibility of sarcoma should be considered. These symptoms and signs include: (C)
- Head and neck sarcomas:
- Proptosis
- Persistent unexplained unilateral nasal obstruction with or without discharge and/or bleeding
- Aural polyps/discharge
- Genito-urinary tract:
- Urinary retention
- Scrotal swelling
- Bloodstained vaginal discharge
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