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Warning-sign checks

Metastatic or recurrent breast cancer: 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 medical care for:

    • Sudden or severe difficulty breathing or chest pain
    • New weakness, facial drooping, trouble speaking, or loss of balance
    • A first seizure or a seizure lasting longer than expected
    • Severe back pain with leg weakness, numbness, or bladder or bowel changes
    • Sudden confusion, collapse, or difficulty waking
    • A severe allergic reaction during or after treatment
    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

    Contact your breast or cancer care team promptly about a new lump, persistent pain, increasing breathlessness, ongoing headaches, unexplained weight loss, jaundice, worsening swelling, or symptoms that do not settle.

    Also seek prompt advice about treatment side effects, especially fever or signs of infection during treatment, repeated vomiting, severe diarrhoea, unusual bleeding, or being unable to keep fluids down.

    Follow any urgent instructions provided by your treatment centre.

    These symptoms can have causes other than cancer, but they should not wait for a routine appointment.

  3. 3

    Does any of this apply?

    Book an appointment

    And for anyone, someone who:

    • has noticed a lump, a mole that has changed, or unexplained weight loss

Every sign above is quoted from the sofidex article on Metastatic or recurrent breast cancer. If you are not sure, err upward — it is always reasonable to be checked.