Information for Referrers
Suggested Investigations Prior to Referral
Endometrial cancer on histology or cervical smear:
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TV or TA pelvic ultrasound
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CT chest abdomen and pelvis
Cervical cancer, Vaginal cancer and Vulval cancer:
Many of these patients will require a PET CT and in the case of cervical and vaginal cancer, a pelvic MRI.
Dr Goulding is happy to organize these investigations. However, if your patient is travelling a long distance for their appointment, please contact her rooms for advice regarding the appropriate imaging for each woman’s individual circumstances.
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Tubo-ovarian or peritoneal cancer:
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Tumour markes for CA125, CEA and CA19.9.
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Dr Goulding prefers to assess these cancers with a PET CT, Dr Goulding is happy to organize this. However, if your patient is travelling a long distance to for their appointment, please contact her rooms for advice regarding appropriate imaging.
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Guidelines for the followup of Gynaecological Cancers
Adnexal and Ovarian Cysts:
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TA/TV Pelvic Ultrasound
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If > 40 years old and suspicious features on ultrasound arrange a Ca125, CEA and Ca19.9
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If < 40 years old and suspicious features on ultrasound arrange a Ca125, CEA, Ca19.9, AFP, hcg and LDH
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If ascites or omental disease suspected, consider a PET CT
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If you would like specific advice for individual patients, please contact our rooms
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In the case of a CT or PET CT that shows ascites or omental disease, we can help to co-ordinate an urgent histopathological sample prior to your patient’s first appointment