Soft tissue mass with one or more of the following:
- Size >5 cms.
- Increasing in size.
- Deep to fascia, fixed or immobile, regardless of size.
- Painful (soft tissue sarcomas often painless).
- Recurrence after previous excision.
X-ray if unexplained bone pain of:
- Increasing severity or
- persistent or
- tender or
- non-mechanical bone pain particularly disturbing rest or sleep.
- If symptoms persist but x-ray is normal, repeat x-rays and consider referral.
- Spontaneous or minor trauma fracture should raise suspicion of bone cancer.
Further causes of bone pain in older adults include metastases, myeloma and lymphoma.
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