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Gynecology/Oncology Clinic

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Seton Infusion Center/ Cancer Care Collaborative

 Gynecologic Oncology Clinic

 

Scope

  • To evaluate and treat newly diagnosed, recurrent or previously treated gynecologic cancers (e.g. Uterine, Cervical, Ovarian, Vulvar, Vaginal, Gestational Trophoblastic Diseases).
  • To evaluate and treat pelvic masses suspicious for malignancy
  • To evaluate and treat patients at elevated risk for gynecologic malignancy (inclusive of: hereditary genetic syndromes such as BRCA and HNPCC, as well as lesions determined to be carcinoma in situ).

 Appropriate patients for referral include:

  • Any invasive gynecologic cancer, newly diagnosed or recurrent
  • Pelvic masses suspicious for invasive gynecologic cancer
  • Patients receiving treatment for their gynecologic cancer
  • Patients needing surveillance for their gynecologic cancer
  • BRCA or HNPCC (Lynch) positive patients
  • VIN III (carcinoma in situ)
  • CIN III (carcinoma in situ)
  • AIS (adenocarcinoma in situ)
  • VAIN

 Do NOT refer the following patients (Unless there has been a doctor to doctor consult and is approved by the Gyn/Onc clinic physician):

  • Any low-risk pre-invasive cancers
    • CIN I, II
    • VIN I, II
    • HGSIL or LGSIL on pap smear (without a histologic diagnosis)
  • Fibroids
  • Simple ovarian cyst
  • Documentation required for scheduling an appointment:
    • History and physical with documented gynecologic examination
    • Current medication list and comorbidities
    • Most recent Pap Test results **If clinically indicated, i.e. patient has a cervix**
    • Most recent imaging report and/or images
    • If already diagnosed, pathology confirming cancer diagnosis
    • If previously treated for diagnosis, send all oncology notes and all treatment records (chemotherapy records, surgical records, radiation records)
  •  Additional information needed for Ovarian Cancer:
    • Any pertinent abdominal or pelvic imaging
    • CA125 results
    • Supporting documentation for recurrence if suspected
    • If metastatic disease present, send supporting documentation for metastatic locations.
  • Additional information needed for Endometrial, Cervical, and Uterine Cancers:
    • Pathology report for any suspected endometrial, cervical, or uterine cancers
    • Most recent Pap Test results for suspected or confirmed endometrial cancer
    • Any pertinent abdominal or pelvic imaging
    • If metastatic disease present, send supporting documentation for metastatic locations.
    • Supporting documentation for recurrence if suspected
  • Additional information needed for pelvic masses suspicious for invasive cancer:
    • CT Scan or Ultrasound confirming mass
    • CA125
  • BRCA positive patients:
    • BRCA results
    • Any breast, abdominal, or pelvic imaging done
    • CA125
    • Any surgical reports related to BRCA results (mastectomy/oophorectomy)

Have questions or comments about the specialty referral guidelines? Submit them here.