What should you do if you find a positive indication of cancer in a patient during a primary care visit?

When a positive indication of cancer is found in a patient during a primary care visit, notifying the patient's treating oncologist is a critical step in ensuring appropriate management and treatment of the condition. The oncologist is specialized in cancer care and will have the most relevant expertise to assess the findings and determine the next steps forward, including further diagnostic evaluations and the initiation of treatment if necessary.

This course of action facilitates continuity of care, enabling a coordinated approach that involves specialized knowledge about the specific type of cancer, its treatment options, and any required follow-up investigations. It is essential to ensure that the patient receives the correct treatment promptly and that all clinical decisions are grounded in the latest oncological guidelines.

In contrast, while scheduling a follow-up visit could be considered as a part of the process, it does not address the immediate need to involve specialists who can provide the most informed decisions regarding cancer care. Referring to a psychiatrist may be appropriate in cases of psychosocial distress but is not pertinent in the context of managing a potential cancer diagnosis. Starting treatment immediately without the involvement of an oncologist may lead to inappropriate management and missed opportunities for the optimal treatment pathway tailored to the individual patient's needs.