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This guidance covers the referral of a patient who presents with symptoms suggesting bone cancer or sarcoma to a team specialising in the management of bone cancer and sarcoma, or to a recognised bone cancer centre, depending on local arrangements.
If you have concerns about a patient's symptoms and/or signs, consider a discussion with the local specialist.
GPs can refer a patient they suspect of having cancer to be seen within 14 days by a specialist. GPs must send the referral within 24 hours of the decision to refer.
Please use the referral forms listed on this page to ensure appropriateness. They have been agreed by the Peninsula Cancer Network.
Urgently investigate increasing, unexplained or persistent bone pain or tenderness, particularly pain at rest (and especially if not in the joint), or an unexplained limp. In older people metastases, myeloma or lymphoma, as well as sarcoma, should be considered.
Refer patient for immediate x-ray with a suspected spontaneous fracture, if the x-ray:
Soft Tissue Sarcoma
The following recent blood results, less than 8 weeks old, would be extremely helpful:
The GP should: use e-Referral Service to book an appointment or send the referral.
Please ensure you include:
Please ensure that referrals are booked via NHS e-Referral Service. If no slots are available please defer to provider and the RDE will book the appointment and contact the patient. Please also ensure that referral letters are attached to the system within 24 hours to enable us to book pre appointment tests and scans timely.
This guideline has been signed off by NEW Devon CCG.
Publication date: November 2016