Gynecology/Oncology Clinic

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.