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Warning-sign checks

Malignant teratoma of the mediastinum: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency help for:

    • Severe or rapidly worsening difficulty breathing
    • Coughing up more than a small streak of blood
    • Sudden swelling of the face or neck with breathing difficulty
    • Fainting, confusion, blue or grey lips, or severe chest pain
    • Fever during chemotherapy when your team has told you infection risk is high
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    If you have been treated, contact your cancer team promptly about a new lump, worsening chest symptoms, persistent fever, unexplained weight loss, unusual bruising, or side effects that are interfering with eating, drinking, walking, or sleep.

    Do not wait for a routine follow-up appointment when symptoms are severe or rapidly worsening.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a medical assessment if you develop a persistent cough, unexplained chest pressure, increasing breathlessness, difficulty swallowing, or swelling around your neck or face.

    These symptoms often have causes other than a tumour, but they should not be ignored.

Every sign above is quoted from the sofidex article on Malignant teratoma of the mediastinum. If you are not sure, err upward — it is always reasonable to be checked.