Signs and Symptoms of Sarcoma

Guidelines for urgent referral:

Soft Tissue Sarcoma

• Size > 5cm
• Increasing in size
• Painful
• Deep to fascia
• Recurrence at site of previous excision (whatever the previous histology)

Primary Bone Tumour

• Night pain or non-mechanical pain (especially in adolescence)
• Mass or swelling
• Restricted movement in a joint
• Fractures due to a pathological cause
• Radiographic appearances suggesting bone tumour

Metastatic Spinal Tumour

• History of cancer
• Neurological deficits
• Suspected spinal cord compression
• Contact spinal surgeons for emergency admission

Metastatic Bone Tumour

• Suspected pathological or impending fracture
• Contact Oncological orthopaedic surgeons for emergency admission.