Symptoms and signs of urogenital cancer in primary care

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Holtedahl, KnutUiT Arctic Univ Norway, Norway (author)

Symptoms and signs of urogenital cancer in primary care

Article/chapterEnglish2023

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BMC,2023

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LIBRIS-ID:oai:gup.ub.gu.se/334002
https://gup.ub.gu.se/publication/334002URI
https://doi.org/10.1186/s12875-023-02063-zDOI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-194169URI

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Language:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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BACKGROUND: Urogenital cancers are common, accounting for approximately 20% of cancer incidence globally. Cancers belonging to the same organ system often present with similar symptoms, making initial management challenging. In this study, 511 cases of cancer were recorded after the date of consultation among 61,802 randomly selected patients presenting in primary care in six European countries: a subgroup analysis of urogenital cancers was carried out in order to study variation in symptom presentation. METHODS: Initial data capture was by completion of standardised forms containing closed questions about symptoms recorded during the consultation. The general practitioner (GP) provided follow-up data after diagnosis, based on medical record data made after the consultation. GPs also provided free text comments about the diagnostic procedure for individual patients. RESULTS: The most common symptoms were mainly associated with one or two specific types of cancer: 'Macroscopic haematuria' with bladder or renal cancer (combined sensitivity 28.3%), 'Increased urinary frequency' with bladder (sensitivity 13.3%) or prostatic (sensitivity 32.1%) cancer, or to uterine body (sensitivity 14.3%) cancer, 'Unexpected genital bleeding' with uterine cancer (cervix, sensitivity 20.0%, uterine body, sensitivity 71.4%). 'Distended abdomen, bloating' had sensitivity 62.5% (based on eight cases of ovarian cancer). In ovarian cancer, increased abdominal circumference and a palpable tumour also were important diagnostic elements. Specificity for 'Macroscopic haematuria' was 99.8% (99.7-99.8). PPV>3% was noted for 'Macroscopic haematuria' and bladder or renal cancer combined, for bladder cancer in male patients. In males aged 55-74, PPV=7.1% for 'Macroscopic haematuria' and bladder cancer. Abdominal pain was an infrequent symptom in urogenital cancers. CONCLUSIONS: Most types of urogenital cancer present with rather specific symptoms. If the GP considers ovarian cancer, increased abdominal circumference should be actively determined. Several cases were clarified through the GP's clinical examination, or laboratory investigations.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Cancer och onkologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cancer and Oncology hsv//eng
Bladder cancer
Cervical cancer
General practice
Neoplasms
Ovarian cancer
Primary health care
Prostate cancer
Renal cancer
Urogenital cancer
Uterine body cancer
Neoplasms; Urogenital cancer; Bladder cancer; Renal cancer; Prostate cancer; Cervical cancer; Uterine body cancer; Ovarian cancer; General practice; Primary health care

Added entries (persons, corporate bodies, meetings, titles ...)

Borgquist, LarsLinköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten(Swepub:liu)larbo78 (author)
Donker, Gé A.Netherlands Inst Hlth Serv Res, Netherlands (author)
Buntinx, FrankKatholieke Univ Leuven, Belgium; Maastricht Univ, Netherlands (author)
Weller, DavidUniv Edinburgh, Scotland (author)
Campbell, ChristineUniv Edinburgh, Scotland (author)
Månsson, Jörgen,1958Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Univ Gothenburg, Sweden(Swepub:gu)xmansj (author)
Hammersley, VictoriaUniv Edinburgh, Scotland (author)
Braaten, TonjeUiT Arctic Univ Norway, Norway (author)
Parajuli, RanjanIndependent researcher, Tromsø, Norway (author)
UiT Arctic Univ Norway, NorwayAvdelningen för prevention, rehabilitering och nära vård (creator_code:org_t)

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In:BMC primary care: BMC24:12731-4553

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By the author/editor: Holtedahl, Knut; Borgquist, Lars; Donker, Gé A.; Buntinx, Frank; Weller, David; Campbell, Christ ...; show more...; Månsson, Jörgen, ...; Hammersley, Vict ...; Braaten, Tonje; Parajuli, Ranjan; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cancer and Oncol ...

Articles in the publication: BMC primary care

By the university: University of Gothenburg; Linköping University

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