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SYMPTOMS OF PRIMARY & TUMOURS

Tumours in the skull and often present HEAD symptoms that are non-specific and can BY ANATOMICAL SITES mimic those of 14% of all cases more common More common in adults conditions. Skull: , and Ewing Most common Symptoms: Most Headaches / migraines and eye problems common Less common symptoms: misdiagnoses Issues with balance, . for tumours Chondrosarcoma and in the skull: chordoma are slow Jaw: & Ewing sarcoma. Migraines and growing tumours. Most common symptoms: eye sight issues. Because their Toothache and headaches. A lump can VERTEBRAL often be seen / felt. location is close to Most common Less common symptoms: major nerves, misdiagnoses for COLUMN Bone pain, fatigue, weight loss. tumours can tumours in the jaw: press on these 4% of all cases An abscess or cyst nerves, causing on the jaw. nerve-based Chondrosarcoma, Ewing sarcoma symptoms. & chordoma. More common in adults. Most common symptoms: Bone pain, often NOT at the site of the tumour, loss of strength in limbs, stiffness and issues Most common with balance, numbness in limbs and fatigue. misdiagnoses: Sporting injuries Less common symptoms: Although the presence of / pulled muscles or issues walking, weight loss. a lump is a common and sciatica. In symptom, some younger patients UPPER LIMBS patients with growing pains tumours in the and scoliosis. upper limbs do 17% of all cases not report the Ewing sarcoma, chondrosarcoma, presence osteosarcoma. More common in children and of a lump. TYAs, but significant in adults. Most common symptoms: Patients, particularly those Bone pain, which is particularly worse at Most with Ewing sarcoma, night, often intermittent and intensifies with common experience mild time. Stiffness, bone fractures and fatigue, misdiagnoses: symptoms at first, that a palpable or visible lump. Sporting injuries build up over weeks, Less common symptoms: / pulled muscles or they may appear suddenly. Some RIBS Weight loss, fever, bruising easily and tendinitis. patients report and headaches. In younger patients symptoms that 9% of all cases growing pains. Arthritis disappear in older patients. for relatively Ewing sarcoma, chondrosarcoma long periods, and chordoma. before More common in adults and TYAs. suddenly Most common symptoms: returning. Bone pain, which can occur away from the site of the tumour and fatigue. Although pelvic tumours Most common Less common symptoms: are more common in misdiagnoses: Stiffness / reduced movement adults, a significant Sporting injury / & headaches. number of teenagers pulled muscles. In and young adults present with Ewing younger patients PELVIC sarcoma in the growing pains or chest pelvic bones. Some infections / asthma 18% of all cases are painless and Ewing sarcoma, chondrosarcoma and only manifest osteosarcoma. More common in adults. through a Most common symptoms: fracture where the Bone pain, often radiating down legs or Although bone has can occur in almost every up the back. Stiffness and a limp or inability been weakened bone in the body, the to walk and fatigue. by the tumour. largest percentage Less common symptoms: affect the lower limbs. LOWER LIMBS A palpable or visible lump. Adamantinomas Most common occur mostly in the misdiagnoses: lower leg bones. 34% of all cases Nerve damage and Many children sporting injuries / pulled and teenagers Ewing sarcoma, chondrosarcoma, muscles. In younger and young osteosarcoma, . More common in patients growing pains. adults are children and TYAs, but significant in adults. diagnosed with tumours Most common symptoms: in the lower Bone pain, which is particularly worse at night, limbs. often intermittent and intensifies with time. Stiffness and a limp or inability to walk and Most common fatigue, a palpable or visible lump. misdiagnoses: Less common symptoms: Nerve damage and Bone fractures, weight loss, muscle sporting injuries / wasting and headaches. pulled muscles. In younger patients growing pains. Arthritis FOR MORE in older patients. INFORMATION VISIT: BCRT.ORG.UK/AWARENESS OR CALL 0800 111 4855

A BONE RESEARCH TRUST Sources: Bone Cancer Research Trust website; Oxford handbook of clinical specialities, UK & CHILDREN WITH CANCER UK PROJECT guidelines for the management of bone (2016, C. Gerrand et al). Charity details: Bone Cancer Research Trust charity no 1159590, Children with Cancer UK charity no 298405. Poster Anatomical Sites V1 2020