Cancer Keys: Thrombocytosis and L.E.G.O

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Telephone consultations: working with verbal cues

Telephone consultations: working with verbal cues

Monday 10th August 2020 GatewayC and the Maguire Communication Skills Training Unit have partnered to produce this resource below. Missed our free webinar on Effective Telephone Consultations? Watch it here. What are cues? It is often the case that people do not...

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Reactive thrombocytosis can be indicator for several underlying causes, which are either self-limiting or serious. These can include infection (e.g. H.pylori), inflammation, blood loss, anaemia and a number of cancers.

Helpful hint

Depending on the presentation, NICE NG12 guidelines advise the need to investigate thrombocytosis for suspected cancer using the acronym L.E.G.O, in the following sites:

Lung: consider an urgent chest x-ray in patients over 40

Endometrial: consider an ultrasound for women over 55 with unexplained vaginal discharge or visible haematuria

Gastric: consider non-urgent direct access upper GI endoscopy for patients over 55 when present with relevant symptoms

Oesophageal: consider non-urgent direct access upper GI endoscopy for patients over 55 when present with relevant symptoms

A study by The British Journal of General Practice suggests that thrombocytosis can also be a marker of colorectal cancer, thus suggesting the use of the acronym LEGO-C to include colorectal cancer.

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