All patients with a suspected/diagnosed bone sarcoma should be referred to a Sarcoma Specialist Centre.
Please note that this diagnostic toolkit is intended for healthcare professionals based in Scotland only. For England, Wales and Northern Ireland’s diagnostic toolkit, click here.
Clinical presentations
Unexplained bone pain or tenderness, which is:
- persistent
- increasing
- non-mechanical
- nocturnal or at rest
Investigations
Adults
- Refer for urgent x-ray
- Refer for urgent appointment to a sarcoma specialist centre if an x-ray suggests bone sarcoma, or if findings are uncertain and clinical concern remains
Children
- Refer for very urgent x-ray
- Refer for urgent appointment for specialist appointment at a sarcoma specialist centre if an x-ray suggests bone sarcoma, or findings are uncertain and clinical concern remains
