Anal

• Biopsy
• CT Chest, Abdomen, Pelvis
• Gynecologic Exam
• Pap Smear within 1 year

Bladder: Non-invasive

• Cystoscopy Report
• Cytology Report (urine studies or biopsy)
• Urogram/Renal US
• CT or MRI (pelvis)

Bladder: Muscle

• CXR or CT Imaging
• CBC
• Complete Metabolic Profile with Alkaline Phosphatase
• Urogram/Renal US
• CT or MRI (Abdomen & Pelvis)
• Bone Scan (if symptoms or if Alkaline Phosphatase elevated)

Breast

• Mammography Report
• Biopsy Pathology Report
• Hormone Receptor Status
• Operative Report
• Lumpectomy/Mastectomy Pathology Report
• Post Lumpectomy Mammogram IF calcifications present

Cervical

• Recent H & P/Office Notes
• Operative/Biopsy Note (if applicable)
• Recent Pap Smear
• Pathology Report
• Slides (need to send to MMC Pathology and read)

Colon

• Colonoscopy Report
• Pathology Report
• Operative Report
• CT of Chest/Abdomen/Pelvis
• CBC
• Chemistry Profile
• Pre-op CEA

Endometrial/Uterine

• Recent H & P/Office Notes
• Operative/Biopsy Note
• CA125
• CT/X-ray/Ultrasound/MRI Report
• Recent Pap Smear
• Pathology Report
• Slides (need to send to MMC Pathology and read)

Esophageal

• Upper GI and biopsy
• CT Chest & Abdomen
• If lesion is in distal esophagus needs Upper GI with additional prone images of esophagus
• PET-CT (if no metastasis on CT)
• Endoscopic ultrasound for staging

Gastric

• Upper GI and biopsy
• CT chest, abdomen & pelvis with contrast vs PET

Head and Neck

• Biopsy
• Panorex
• CT or MRI of neck and primary lesion
• Dental Evaluation

Hepatobiliary

• CBC & Platelets with Differential
• Complete Metabolic Profile
• Alpha fetoprotein
• PT/INR
• CT chest
• 3 phase CT or MRI liver
• Core Needle Biopsy or FNA
• Acute viral hepatitis panel

Leukemia: Chronic Lymphocytic

• CBC & Platelets with Differential
• Complete Metabolic Profile
• LDH
• Hepatitis C ab
• Hepatitis B surface Ag and core ab
• Quantitative immunoglobulins

Leukemia: Chronic Myelogenous

• CBC & Platelets with Differential
• Complete Metabolic Profile
• LDH
• Peripheral blood flow cytometry (leukemia/lymphoma immunophenotype)
• Quantitative BCR-ABL

Lung

• CT Chest
• PET
• MRI Brain
• PFT
• Pathology
• Bronchoscopy

Melanoma

• Biopsy
• Excision/sentinel lymph node biopsy (if done, get reports)
• Stage > III consider imaging CT/PET/MRI
• Stage IV LDH
• Stage IV Imaging (CT chest, abdomen, pelvis or PET-CT and MRI Brain)

Myeloma

• Serum protein electrophoresis
• Immunofixation
• Serum free light chain analysis
• Skeletal Survey
• Urine studies (can be done at time of initial visit)

Ovarian

• Recent H & P/Office Note
• Operative Note (if applicable)
• CT/X-ray/Ultrasound/MRI Report
• Films pushed to MMC and Read
• Recent Pap Smear
• Pathology Report (if applicable)
• Slides (need to send to MMC pathology and read)

Pancreatic

• CT chest
• U of M Pancreatic protocol CT (with obvious metastasis, a standard CT a/p is fine)
• CEA
• CA 19-9

Prostate

• Urology Note
• Biopsy w/Gleason
• If Gleason’s Score is 8 or higher or PSA>20, need Bone Scan and CT Abdomen/Pelvis
• PSA Results for the last 5 years
• Ultrasound Report from Biopsy
• Pathology Report
• CBC
• Chemistry profile

Rectal

• Colonoscopy Report
• CT Chest/Abdomen/Pelvis
• Operative Report
• Pathology Report
• CBC
• Chemistry Profile
• Pre-op CEA
• Endo-rectal Ultrasound or Pelvic MRI

Testicular

• Alpha Fetoprotein
• Beta HCG
• CXR
• Testicular US
• LDH
• CMP
• Biopsy

Vaginal

• Recent H & P/Office Note
• Operative/Biopsy Report
• Recent Pap Smear
• Pathology Report
• Slides (Need to send to MMC Pathology and Read)

Vulvar

• Recent H & P/Office Note
• Operative/Biopsy Report
• Pathology Report
• Slides (Need to send to MMC Pathology and Read)
• Recent Pap Smear