Referral Tips

When sending a patient to gynecologic oncology please obtain and send the following information:

Past Medical, Surgical and Family history:

  • Pertinent co morbidities that may influence preoperative clearance such as obesity, hypercholesterolemia, hypertension, diabetes, COPD and/or prior CAD. Refer patients with multiple cardiac risk factors to cardiology before or simultaneously to gynecologic oncology referral
  • Please provide recent pap history, and pathology reports from any biopsies and/or excisional procedures such as CKC or LEEP
  • If an extensive lesion is found but there is a high concern for risk of bleeding, a biopsy may be deferred 
  • If the patient has been previously treated for VAIN, CIN or VIN please forward any previous operative reports, pathology records and/or pertinent treatment records.

Physical examination:

  • Please document your cervical/colposcopic examination with attention to the size and number of lesions seen and biopsy sites, this helps in comparing change over time between our examinations. Please document your assessment of the parametria, vagina and groin region and document any findings suspicious for metastatic disease

Lab work:

  • If you are concerned the patient may have Stage III or IV disease, then a Creatinine and Potassium should be checked to evaluate renal function. Please include the results of these tests if done
  • If the patient presents with significant bleeding, then a Hgb/Hct should be checked to determine the extent of anemia. Please include the results of these tests if done

Radiology:

  • When there is a cancer diagnosis please schedule a PET/CT (full body protocol). Recognizing that this may not be feasible at many sites or that there may be difficulty with prior authorization, do not delay the referral, we can schedule this to occur if necessary