Biopsy proven new diagnosis of lymphoma
Adult

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Emergency Referrals

Useful Management Information

If the referring clinician organises a biopsy – please ensure a core or excisional biopsy (not a FNA) is performed along with flow cytometry
Optimal cancer care pathway for people with Hodgkin and diffuse B-cell lymphomas
Quick reference guide

Minimum Referral Criteria

Does your patient meet the minimum referral criteria?

Category 1 (appointment within 30 calendar days)	Aggressive lymphoma # diffuse large b cell NHL grade 3 follicular lymphoma Hodgkin lymphoma T cell NHL (any subtype excluding cutaneous mycoses fungoides) mantle cell lymphoma For optimum care, patient should be seen within 2 weeks Low Grade lymphoma # follicular lymphoma (grade 1 or 2) Waldenstroms macroglobulinaemia Mycosis fungoides CLL / SLL* # If any life-threatening symptoms present (new hypercalcaemia) or severe or life-threatening symptoms present (e.g. spinal cord compression, SVC compression, ureteric compression, airway compromise etc.) – then call the haematologist on call, or send direct to emergency. *Some CLL behaves very indolently and an appointment time within 90 days may be acceptable – this decision will be made by the triaging clinician.
Category 2 (appointment within 90 calendar days)	No category 2 criteria
Category 3 (appointment within 365 calendar days)	No category 3 criteria
If your patient does not meet the minimum referral criteria Assessment and management information may be found on a range of conditions at HealthPathways If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested: Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.) Please note that your referral may not be accepted or may be redirected to another service

Standard Referral Information

Reason for request

To establish a diagnosis
For treatment or intervention
For advice and management
For specialist to take over management
Reassurance for GP/second opinion
For a specified test/investigation the GP can't order, or the patient can't afford or access
Reassurance for the patient/family
For other reason (e.g. rapidly accelerating disease progression)
Clinical judgement indicates a referral for specialist review is necessary

Relevant clinical information about the condition

Presenting symptoms (evolution and duration)
Physical findings
Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
All conservative options that have been pursued unsuccessfully prior to referral
Body mass index (BMI)
Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
Any special care requirements where relevant (e.g tracheostomy in place, oxygen required)
Current medications and dosages
Drug allergies
Alcohol, tobacco and other drugs use

Patient's Demographic Details

Full name (including aliases)
Date and country of birth
Residential and postal address including whether patient resides at an aged care facility
Telephone contact number/s – home, mobile and alternative
Medicare number (where eligible)
Name of the parent or caregiver (if appropriate)
Name of delegate and contact details (Department of Corrective Services)
Preferred language and interpreter requirements
Identifies as Aboriginal and/or Torres Strait Islander
Any special needs, access requirements and/or disability relevant to the referral

Referring Practitioner Details

Full name
Full address
Contact details – telephone, fax, email
Provider number
Date of referral
Signature
Nominated general practitioner’s details (if known), if the nominated general practitioner is different from the referring practitioner

Other relevant information

Willingness to have surgery (where surgery is a likely intervention)
Choice to be treated as a public or private patient
Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Essential Referral Information

Detailed history of present signs and symptoms
Past medical history/pertinent social history
Current medications and allergies
Histology report
FBC U&E LDH results

Additional Referral Information

Histological diagnosis does not necessarily predict clinical behaviour and as such, some low grade lymphomas may be treated as Cat 1 urgent and some aggressive lymphomas may be treated as Cat 2. This decision should always be made on clinical assessment

Send Referrals To

Smart Referrals

Preferred Method
About Smart Referrals

Secure Web Transfer

Send to: Gold Coast Health Service District

Internal Referrals

Haematology (E-Blueslips)

Fax

(07) 5687 4497

Post

Cancer Referrals Centre
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215

Enquiries

(07) 5687 2708

Related HealthPathways

No directly related pathways found

HealthPathways home page

Service Availability

Dr Rachel Wooldridge

Medical Director Haematology

Facilities

Gold Coast University Hospital

If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.

Biopsy proven new diagnosis of lymphomaAdult