Cancer Keys: MSCC Red Flags

Cancer Keys: MSCC Red Flags

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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...

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

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.

Cancer Keys are brought to you by GatewayC.

 

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

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