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Table 4 Type of referral to specialist care, if any, among patients with symptomatic or asymptomatic initiation of the diagnostic process of urological cancer

From: Symptoms and signs of urogenital cancer in primary care

Location

Symptomatic

   

Asymptomatic

 

PC, ordinary referral

PC, fast track referral

PC, urgent referral

SC, no referral

Screening

Incidentally

Bladder, ureter, urethra (30)

12

7

5

3

 

3

Symptomatic 27, Asymptomatic 3

 Renal Cancer (16)

8

1

3

2

 

2

Symptomatic 14, Asymptomatic 2

 Prostate (56)

26

12

1

2

6

9

Symptomatic 41, Asymptomatic 15

Cervix uteri (10)

 Symptomatic 7, Asymptomatic 3

 

2

2

3

3

 

Corpus uteri (14)

 Symptomatic 14, Asymptomatic 0

7

3

3

1

  

Ovary (8)

 Symptomatic 7, Asymptomatic 1

3

 

4

  

1

  1. Reasons for urgent referral:
  2. Bladder: Macro haematuria in 2 patients at consultation and 1 after consultation. 2 patients with lumps (neck, supraclavicular)
  3. Renal: Macro haematuria in 1 patient at consultation and 1 after consultation. 1 patient with deteriorating general condition and anemia
  4. Prostate: Urinary retention at consultion: 1
  5. Cervix: 1 patient with Unexpected genital bleeding at consultation. 1 patient with Hemoptysis (recurrent cancer)
  6. Corpus: At consultation: 2 patients with Unexpected genital bleeding, postmenopausal, and 1 patient with Macro haematuria and Increased urinary freqency
  7. Ovary: At consultation: 2 patients with Distended abdomen, bloating, and also increased abdominal circumference. One of them also had upper abdominal pain, diarrhoea, fatigue, and a palpable tumour
  8. 2 patients without pre-recorded abdominal symptoms consulted for increased abdominal circumference. One of these also had a palpable tumour
  9. Reasons for Fast track referral:
  10. Bladder: Macro hamaturia in 2 patients at consultation and 3 patients after consultation. 1 patient had increasing abdominal pain and 1 had a deteriorating general condition (recurrent cancer)
  11. Renal: 1 patient with Weight loss and anemia, at consultation
  12. Prostate: Increased urinary frequency in combination with positive findings on digital examination: 1 patient at consultation and 2 patients after consultation. 1 patient with Increased urinary frequency and scrotal pain
  13. 2 patients had high PSA + digital examination findings. 1 had digital examination findings. 1 patient had Macro haematuria after first consultation, and 3 patients had increasing PSA. 1 unclear reasons for fast track
  14. Cervix: 1 patient had vaginal discharge with cervical tumour on gynecological examination. 1 patient evoke GP's clinical suspicion when performing routine cervical smear
  15. Corpus: 3 patients had Unexpected genital bleeding after first consultation
  16. PC Primary Care, SC Specialist care/hospital
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BMC Primary Care

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