Friday 2nd October 2020 Did you miss our free webinar on Safety Netting in Primary Care? Watch it here. Mr Malcolm Wilson, Consultant Colorectal, Peritoneal and Pelvic Oncology Surgeon and Clinical Negligence Advisor, commonly sees clinical negligence cases that...
Friday 25th September 2020 Are you seeking to improve your suspected cancer referrals? Our Improving the Quality of Your Referral course aims to assist you with this and covers: Clinical decision making Helping to reduce DNAs Key information to include in a referral...
Proton Pump Inhibitors (PPIs) are widely used to treat acid reflux and dyspepsia. NICE cautions that PPIs can mask or alter symptoms of stomach cancer, leading to later diagnoses. Potential Pitfall Patients on PPIs who have developed stomach cancer may increase their...
Whilst FIT can be a good indicator of bowel cancer, inflammatory bowel disease and sometimes precursors of cancer, some symptomatic patients can still have false negative results. With this in mind, how should you proceed? Potential Pitfall A normal result can miss...
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.
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.
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.
Download this Cancer Key here.
Access GatewayC’s course on early diagnosis of pancreatic cancer here.