Cancer Keys: Leukaemia and Hepatosplenomegaly

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Swelling of the liver and spleen can be due to a number of causes such as infection, however in some cases it can be an indicator of leukaemia.

A patient with an enlarged spleen may present with a feeling of discomfort or pain behind the left ribs and feel full very quickly after eating.

Helpful hint

NICE NG12 guidelines advise that unexplained hepatosplenomegaly in children requires a referral for immediate specialist assessment, and in adults a very urgent full blood count (within 48 hours).

Be aware: an enlarged spleen can be a symptom of lymphoma. NICE NG12 guidelines advise to take into account any associated symptoms, particularly fever, night sweats, shortness of breath, pruritus or weight loss.

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Latest from the Blog

Assessing peripheral neuropathy

Assessing peripheral neuropathy

Thursday 18th February 2021 It is important for primary care practitioners to explore and assess peripheral neuropathy carefully by evaluating the level of impact on the patient, both physically and emotionally. Many individuals receiving chemotherapy are nervous...

read more

Related Posts

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Neutropenic sepsis is a potentially fatal complication of anticancer treatment (particularly chemotherapy). Helpful hint: NICE have produced a COVID-19 rapid guideline on the delivery of systemic anticancer treatments. If patients present with COVID-19 symptoms this...

read more