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Webaware of the risk, what symptoms to look out for and how to get help. For more information on MSCC, speak to your doctor or nurse. You can also speak to our Specialist Nurses, in confidence, on 0800 074 8383. Don’t wait It is very important to seek medical advice immediately if you have any of the signs or symptoms of MSCC. The sooner you WebSigns and symptoms of MSCC, in patients with cancer (NICE, 2008) Diagnosis of MSCC is by whole spine MRI, unless contraindicated. Definitive treatment should be initiated as soon … WebMay 8, 2024 · Make an appointment with your doctor if you have any persistent signs or symptoms that worry you. Causes. Doctors aren't certain what causes stage 4 prostate cancer. Stage 4 prostate cancer occurs when prostate cancer cells break away from the prostate and spread to the lymph nodes or to other areas of the body. chip caray height