Suspicious mass on JCC Referral form Pathology imaging/or biopsy proven History and Physical Operative Notes U/S KIDNEY Abd/Pelvic CT Labs: Bun, Cr Suspicious mass /no tissue LDAP referral -> Referral to LDAP Suspicious nodule(s) / JCC Referral form Operative Note lesion / mass and Biopsy History and Physical Associated consult notes proven cancer Chest Xray LDAP reports Chest CT Bronchoscopy LUNG Pathology Discharge Summary Labs CT, MRI,U/S, Bone Scan Medication List PFT Echo Biopsy proven lesion JCC Referral form Associated consult notes History and physical CT MELANOMA Pathology (biopsy & excision) U/S Operative notes for Wide Local MRI Excision if done Bone Scan Biopsy proven JCC Referral form Associated consult notes History and Physical CT Chest/Abd/Pelvis Pathology CXR MYCOSIS LABS: CBC,LYTES, LFT, BUN, CA, FUNGODIES LD, TSH and CMPB if possible Previous treatments including any radiation records Metastatic diagnosis JCC Referral form Operative notes without focus of primary History and Physical Associated consult notes Labs CT Imaging Mammogram PRIMARY Any pathology done during U/S UNKNOWN investigations MRI Bone scan Past hx of malignancies CXR Any workup done Suspicious mass or biopsy JCC Referral form Operative notes proven sarcoma History and Physical Associated consult notes Suspicious or aggressive Biopsy pathology if available Surgical pathology SARCOMA bone lesion on imaging Imaging reports Discharge summary Send CD of U/S, MRI, Bone scan, CXR to be uploaded prior to apt PATIENT DISEASE SITE APPROPRIATE FOR REQUIRED FOR REFERRAL PROVIDE IF AVAILABLE REFERRAL Biopsy proven JCC Referral form OR notes SKIN History and Physical Photos
KIDNEY Suspicious mass on imaging/or biopsy proven JCC Referral form History and Physical U/S Abd/Pelvic CT Labs: Bun, Cr Pathology Operative Notes LUNG Suspicious mass /no tissue -> Referral to LDAP LDAP referral Suspicious nodule(s) / lesion / mass and Biopsy proven cancer JCC Referral form History and Physical Chest Xray Chest CT Pathology Operative Note Associated consult notes LDAP reports Bronchoscopy Discharge Summary Labs CT, MRI,U/S, Bone Scan Medication List PFT Echo MELANOMA Biopsy proven lesion JCC Referral form History and physical Pathology (biopsy & excision) Operative notes for Wide Local Excision if done Associated consult notes CT U/S MRI Bone Scan MYCOSIS FUNGODIES Biopsy proven JCC Referral form History and Physical Pathology LABS: CBC,LYTES, LFT, BUN, CA, LD, TSH and CMPB if possible Previous treatments including any radiation records Associated consult notes CT Chest/Abd/Pelvis CXR PRIMARY UNKNOWN Metastatic diagnosis without focus of primary JCC Referral form History and Physical Labs Imaging Any pathology done during investigations Past hx of malignancies Operative notes Associated consult notes CT Mammogram U/S MRI Bone scan CXR Any workup done SARCOMA Suspicious mass or biopsy proven sarcoma Suspicious or aggressive bone lesion on imaging JCC Referral form History and Physical Biopsy pathology if available Imaging reports Send CD of U/S, MRI, Bone scan, CXR to be uploaded prior to apt Operative notes Associated consult notes Surgical pathology Discharge summary DISEASE SITE PATIENT APPROPRIATE FOR REFERRAL REQUIRED FOR REFERRAL PROVIDE IF AVAILABLE SKIN Biopsy proven JCC Referral form History and Physical OR notes Photos