Clinical Standards of Excellence

Gynecologic Oncology Division

Division Chief:  Daniel Smith, MD

Quality Indicators (Medical/Surgical/Radiation):

  1. Ovarian cancer patients have full surgical staging with goal of optimal cytoreduction at initial surgery.
  2. Uterine cancer patients have full surgical staging with pelvic and para-aortic lymphadenectomy at initial surgery.
  3. Ovarian cancer patients receive neo-adjuvant chemotherapy only on protocol or following tumor board discussion.
  4. Cervical cancer patients receive therapy determined by examination of patient, scans, and histology by multi-disciplinary group.
  5. Ovarian cancer patients receive secondary chemotherapy or surgery only on protocol or following tumor board discussion.
  6. Treatment of all patients are according to protocol – national, local, investigative.

All Patients

  1. All patients with solid tumors are staged according to ACoS standards.
  2. All patients who are receiving chemotherapy have a plan documented prior to administration of therapy.

Diagnostic Work Up:

Cervical Cancer
ICD 9 Codes
180.9
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:

  1. LVI - Lymphovascular invasion
  2. Grade of tumor
Tumor stage
Recurrence Score
 
Uterine Cancer
ICD 9 Codes
182.0
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:

  1. LVI - Lymphovascular invasion
  2. Grade of tumor
Tumor stage
Recurrence Score
 
Ovarian Cancer
ICD 9 Codes
183.0
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:

  1. LVI - Lymphovascular invasion
  2. Grade of tumor
Tumor stage
Recurrence Score
 
Fallopian Tube Cancer
ICD 9 Codes
183.2
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:

  1. LVI - Lymphovascular invasion
  2. Grade of tumor
Tumor stage
Recurrence Score
 
Vaginal Cancer
ICD 9 Codes
184.2
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:

  1. LVI - Lymphovascular invasion
  2. Grade of tumor
Tumor stage
Recurrence Score
 
Vulvar Cancer
ICD 9 Codes
184.4
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:

  1. LVI - Lymphovascular invasion
  2. Grade of tumor
Tumor stage
Recurrence Score
 
Gestational Trophoblastic Neoplasia
ICD 9 Codes
230.0
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:

  1. LVI - Lymphovascular invasion
  2. Grade of tumor
Tumor stage
Recurrence Score
 
Last updated: 2010-07-30