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Gynaecology-oncology: public patients

Clinical Lead - Professor Lewis Perrin

Purpose

This page contains information for general practitioners on how to refer patients aged 16 years and over to Gynaecology / Oncology services at Mater Hospital Brisbane. 

Catchment criteria may apply for referrals for this service. Patient referrals from outside the Mater SEQ Catchment (which includes Metro South and West Moreton Hospital and Health Services) may not be accepted.
 
Exception: An agreement is in place between Mater and the Health Services of Metro South, West Moreton, Darling Downs, South West, Cairns and Hinterland, Torres and Cape. Referrals that form part of this agreement will be accepted.

Service 

The Gynaecology-Oncology service is a specialised sub-specialty of gynaecology and accepts tertiary health centre and GP referrals for confirmed gynaecological cancers.  The Gynaecology-Oncology team consists of specialist gynae-oncologists, specialist nurses including a Clinical Nurse Consultant and team of allied health specialists including physiotherapy, psychologists, social work and nutrition & dietetics.

The Gynaecology-Oncology team integrates with other departments including Medical and Radiation Oncology, Radiology and Pathology to establish individualised plans of the most appropriate treatment option through weekly tumour board meetings and radiology meetings. Gynaecology-Oncology also participates actively in trials and research with dedicated staff attending clinics and the weekly tumour board meeting.

The Gynaecology Oncology service consistently reviews their patients within recommended OPD categorisation times. 

How to send a referral

 

Scope of Service

Conditions in scope

Genital Tract Dysplasia with Atypia

For the referral to progress we require:

Essential information 

Cervical Cancer

For the referral to progress we require:

Essential information

  • General Referral Information
  • Histological diagnosis of cervix cancer on smear / biopsy
  • PET CT if evidence of macroscopic disease
  • FBC and ELFT
  • Height, weight and BMI 

Ovarian Cancer / Suspected Ovarian Cancer

For the referral to progress we require:

Essential information 

Additional referral information (useful for processing the referral)

  • HE4 to be considered when CA125 elevated in young females (<40 years) with history of fibroids, endometriosis or endometrioma
  • BHCG, AFP, LDH and Inhibin B to be considered in young females (< 30 years)

Pelvic Mass

For the referral to progress we require:

Essential information

 

Additional referral information (useful for processing the referral)

  • HE4 to be considered when Ca125 elevated in young females (< 40 years) with history of fibroids, endometriosis or endometrioma
  • BHCG, AFP, LDH and Inhibin B to be considered in young females (< 30 years)

 

Placenta Acretta

For the referral to progress we require:

Essential information 

Risk reduction / Prophylactic Surgery

 

For the referral to progress we require:

Essential information 

 

Uterine Cancer and Endometrial Cancer

For the referral to progress we require:

Essential Information

  • General Referral Information
  • Histological diagnosis of uterine cancer on smear/ biopsy
  • CT chest, abdomen, pelvis
    • MRI Pelvis if patient desires fertility preservation / wishes to use Mirena
  • FBC, eLFT
  • Ca125
  • Height, Weight and BMI

Vulval and Vaginal Cancer

For the referral to progress we require:

Essential information

  • General Referral Information
  • CT scan of chest, abdomen and pelvis
    • Consider PET CT if vaginal malignancy suspected
  • FBC, eLFT
  • Height, Weight and BMI

Other Gynaecology - Oncology Condition

For the referral to progress we require:

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

 

 

 

Current Waiting Time for Appointments

Referrals for this service are reviewed at the weekly Multidisciplinary Team Tumour Board and/or Radiology meeting. Category 1 referrals with all essential information are reviewed upon acceptance.  An assessment of each case is conducted for the most appropriate treatment option. Patient, referring practitioner and general practitioner will receive an outcome of this MDT. Where an appointment at Mater is required this will be allocated patients based on clinical priority.

Current waiting times for the service are available here.

Categorisation

Available appointments are provided to our patients based on clinical priority. A process of categorisation ensures safety and equity of access.

Category 1 – urgent

Clinically recommended timeframe for initial appointment is 30 days

Category 2 - Priority

Clinically recommended timeframe for initial appointment is 90 days

Category 3 - Routine

Clinically recommended timeframe for initial appointment is 365 days

Confirmed gynaecological malignancy

Pelvic mass suspicious of malignancy or high risk features:

  • USS findings such as solid areas, papillary projections, septations, abnormal blood flow, bilaterally or ascites
  • Contrast –enhanced CT scan or MRI abdomen/pelvis to support USS findings
  • Elevated CA125

 

Genital tract dysplasia

Advice and management of familial cancers

 

 

 No Category 3 conditions

 

 

 

 

 

 

Bulk Billed Clinics

Mater Health offers patients the opportunity to attend bulk billed clinics. To provide your patient with the opportunity to attend a bulk billed clinic, please provide a named referral to one of the specialists listed above.

Contact Us

If you would like to discuss a referral, including clinical criteria, or update the status of a current patient please contact our priority GP phone line on 07 3163 2200 

Referral Guideline Development

These Mater Referral Guidelines have been developed locally by GPs and specialists to support safe and quality referral to publicly funded specialist outpatient services. 

 

Content last reviewed: 13 December 2023

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