What are the warning signs of malignancy in children?

  1. Pallor and bleeding
  2. Aching bones or joints, especially waking the child at night; backache
  3. Unexplained weight loss, fever or fatigue
  4. Persistent, unexplained lymphadenopathy
  5. Abdominal masses
  6. Lumps in the neck, testes or limbs
  7. Eye changes: white pupil, sudden squint or loss of vision, bulging eyeball
  8. Neurological symptoms or signs: headaches, early morning vomiting, unsteady gait, cranial palsies, change in behaviour

Children presenting with any of these warning (danger) symptoms or signs must be urgently referred for an expert opinion.

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