Division Chief: Daniel Smith, MD
Quality Indicators
(Medical/Surgical/Radiation):
- Ovarian cancer patients have full surgical staging with goal of optimal cytoreduction at initial surgery.
- Uterine cancer patients have full surgical staging with pelvic and para-aortic lymphadenectomy at initial surgery.
- Ovarian cancer patients receive neo-adjuvant chemotherapy only on protocol or following tumor board discussion.
- Cervical cancer patients receive therapy determined by examination of patient, scans, and histology by multi-disciplinary group.
- Ovarian cancer patients receive secondary chemotherapy or surgery only on protocol or following tumor board discussion.
- Treatment of all patients are according to protocol – national, local, investigative.
All Patients
- All patients with solid tumors are staged according to ACoS standards.
- All patients who are receiving chemotherapy have a plan documented prior to administration of therapy.
Diagnostic Work Up:
Cervical Cancer
|
|
| Diagnostic Work Up |
| Test/Exam: |
| Gene profiling of tumor |
| Tumor grade |
| Chest x-ray |
| Bone scan |
| CT Chest/Abdomen/Pelvis with contrast |
| PET Scan |
|
| Prognostic Work Up |
|
Histologic features of pathology:
- LVI - Lymphovascular invasion
- Grade of tumor
|
| Tumor stage |
| Recurrence Score |
| |
|
Uterine Cancer
|
|
| Diagnostic Work Up |
| Test/Exam: |
| Gene profiling of tumor |
| Tumor grade |
| Chest x-ray |
| Bone scan |
| CT Chest/Abdomen/Pelvis with contrast |
| PET Scan |
|
| Prognostic Work Up |
|
Histologic features of pathology:
- LVI - Lymphovascular invasion
- Grade of tumor
|
| Tumor stage |
| Recurrence Score |
| |
|
Ovarian Cancer
|
|
| Diagnostic Work Up |
| Test/Exam: |
| Gene profiling of tumor |
| Tumor grade |
| Chest x-ray |
| Bone scan |
| CT Chest/Abdomen/Pelvis with contrast |
| PET Scan |
|
| Prognostic Work Up |
|
Histologic features of pathology:
- LVI - Lymphovascular invasion
- Grade of tumor
|
| Tumor stage |
| Recurrence Score |
| |
|
Fallopian Tube Cancer
|
|
| Diagnostic Work Up |
| Test/Exam: |
| Gene profiling of tumor |
| Tumor grade |
| Chest x-ray |
| Bone scan |
| CT Chest/Abdomen/Pelvis with contrast |
| PET Scan |
|
| Prognostic Work Up |
|
Histologic features of pathology:
- LVI - Lymphovascular invasion
- Grade of tumor
|
| Tumor stage |
| Recurrence Score |
| |
|
Vaginal Cancer
|
|
| Diagnostic Work Up |
| Test/Exam: |
| Gene profiling of tumor |
| Tumor grade |
| Chest x-ray |
| Bone scan |
| CT Chest/Abdomen/Pelvis with contrast |
| PET Scan |
|
| Prognostic Work Up |
|
Histologic features of pathology:
- LVI - Lymphovascular invasion
- Grade of tumor
|
| Tumor stage |
| Recurrence Score |
| |
|
Vulvar Cancer
|
|
| Diagnostic Work Up |
| Test/Exam: |
| Gene profiling of tumor |
| Tumor grade |
| Chest x-ray |
| Bone scan |
| CT Chest/Abdomen/Pelvis with contrast |
| PET Scan |
|
| Prognostic Work Up |
|
Histologic features of pathology:
- LVI - Lymphovascular invasion
- Grade of tumor
|
| Tumor stage |
| Recurrence Score |
| |
|
Gestational Trophoblastic Neoplasia
|
|
| Diagnostic Work Up |
| Test/Exam: |
| Gene profiling of tumor |
| Tumor grade |
| Chest x-ray |
| Bone scan |
| CT Chest/Abdomen/Pelvis with contrast |
| PET Scan |
|
| Prognostic Work Up |
|
Histologic features of pathology:
- LVI - Lymphovascular invasion
- Grade of tumor
|
| Tumor stage |
| Recurrence Score |
| |
|