Cancer Keys: MSCC Red Flags

Cancer Keys: MSCC Red Flags

Latest articles: Potential pitfall: Metastatic spinal cord compression (MSCC) is a medical emergency which can result in paralysis. Many patients living with cancer have pain; within primary care it can difficult to differentiate between significant pain which may be...

read more
Health anxiety and fear of recurrence

Health anxiety and fear of recurrence

Latest articles: Thursday 21st May 2020 Managing a patient’s fear of cancer recurrence and health anxiety can be difficult. After treatment, many patients want to have the reassurance that they are cured. Generally it is not possible for health care professionals to...

read more

Cancer Keys: RUQ Pain in Pancreatic Cancer

Pancreatic cancer diagnoses can be missed due to the non-site specific nature of some early symptoms. However, according to CRUK, up to 70% of patients with pancreatic cancer initially visit the doctor with upper abdominal or back pain.

Potential Pitfall

Pain often presents in the right upper quadrant (RUQ pain). It can begin as general discomfort, such as pressure under the ribs or pain in the abdomen radiating to the back, similar to a pulled muscle or stomach cramps. Patients may note that sitting forward can sometimes relieve the pain but can worsen when lying down or after eating, especially with fatty foods.

Helpful hint

In line with NICE guidelines, the presentation of back or abdominal pain in people aged 60 and over combined with weight loss should be considered for an urgent direct access CT scan to assess for pancreatic cancer (to be performed within 2 weeks), or an urgent ultrasound scan if CT is not available.

 

Cancer Keys are brought to you by GatewayC.

Download this Cancer Key here.

Access GatewayC’s course on early diagnosis of pancreatic cancer here.

LinkedIn Twitter Facebook