Cancer Symptom Interval Measure (C-SIM)
Cancer specific questions
Colorectal
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Change in bowel habit
Bleeding from back passage
Breast
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One or more lumps or thickening in your breast(s)
Changes to your nipple(s) (for example: discharge, change in nipple position - e.g. Pulled in or pointing
differently)
Any bleeding or moist reddish areas on your breast which didn't heal easily
Skin changes on your breast(s)
Pain in your breast(s) (unrelated to your periods)
Endometrial/cervix
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If you still have periods: Bleeding between periods
If you still have periods: Heavier or more prolonged periods than usual
If you no longer have periods: Spotting or bleeding like a period
Bleeding after sex
Vaginal discharge unusual for you
Gastric/oesphageal
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Difficulty in swallowing food
Indigestion or heartburn or persistent tummy ache that was not normal for you
Frequent vomiting or regurgitation or difficulty keeping food down
Haematological
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Night sweats
Itching
Breathlessness
Bruising that was unusual for you
Frequent infections
Unusual or prolonged bleeding
Tummy pain that was unusual for you
Lumps or swellings on your body
Lung
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Coughing up blood
A cough, or worsening of a long-standing cough, for more than 3 weeks
Breathlessness, or worsening of a long-standing breathlessness, for more than 3 weeks
Chest or shoulder pain for more than 3 weeks
Hoarseness for more than 3 weeks
Ovarian
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Tummy pain
Problems with your waterworks
Back pain
Constipation that was unusual for you
Tummy bloating that was unusual for you
A lump or swelling in your tummy
Pancreatic
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Jaundice (yellow colour to your skin)
Back pain
Indigestion, heartburn or persistent tummy ache that wasn't normal for you
Prostate
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Problems with your waterworks (for example: difficulty passing, going more often, getting up more at
night to go, poor stream, dribbling or incontinence)
Renal/bladder
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Visible blood in your urine
Pain in your side/lower back
Persistent or recurrent urine infections
Testicular
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Swelling or lump in a testicle