Referral Treatment Follow-up Suspected Diagnosis Secondary Care Referral to Sarcoma Treatment Centre: Royal Marsden Sarcoma Unit London Sarcoma Service or (Royal National Orthopaedic Hospital and University College London Hospital) 2 Week Wait Referral form/Tertiary Referral and imaging sent to Unit Secretaries (RMH) and/or MDT Coordinators. To make a referral please download the referral form above and email it to the Sarcoma MDT Coordinators. Once a diagnosis has been made, the patient will be seen in clinic by a surgeon or oncologist, as appropriate. If a biopsy or surgery has already been carried out, then we will request pathology slides and blocks for review. He has developed specialist surgical oncology practice, with special interests in soft-tissue sarcoma and advanced melanoma. Please do not biopsy the patient, we will arrange this. Stanmore, Middlesex HA7 4LP The Royal Marsden NHS Foundation Trust has an international reputation for high quality patient care, education and research and its partnership with the Institute of Cancer Research has created the largest comprehensive cancer centre in Europe. THE LONDON AND SOUTH EAST SARCOMA NETWORK For use by all Cancer Networks without a designated local diagnostic clinic. For GPs outside of London: To refer suspected sarcoma patients please use the LSESN 2WW referral form. Your patient will be discussed at the next MDT meeting and a management plan agreed. Andrew Hayes, Sarcoma and Melanoma Unit, Department of Academic Surgery, Royal Marsden Hospital NHS Foundation T rust, Fulham Road, London SW3 6JJ, UK. That was almost a year ago and I am very much alive as you can see, thanks to my wonderful sarcoma oncologist and thoracic and sarcoma surgeons. UK sarcoma units Royal Marsden Hospital Sarcoma Unit London Sarcoma Service Patient support Sarcoma UK International sites BoneTumor.org Washington Cancer Through our partnership with HCA Healthcare UK private patients from the UK or overseas can be seen by specialist sarcoma consultants from the London Sarcoma Service. Methods Fifteen sarcoma patients from The Royal Marsden Hospital, United Kingdom, and Radboud For referral advice following ultrasound of soft tissue lumps please see British Sarcoma Group guidelines. A retrospective analysis was undertaken of 120 patients with retroperitoneal sarcoma referred to the Royal Marsden Hospital over a period of 20 years. Welcome to the new London Sarcoma Service website, Royal National Orthopaedic Hospital NHS Trust, University College London Hospitals NHS Foundation Trust, University Hospital Southampton NHS Foundation Trust, Royal Brompton & Harefield NHS Foundation Trust, Copies of any scan reports and histopathology reports, Details of information already given to the patient. Sarcoma Unit, Muriel Sands House Introduction Sarcomas are rare tumours. Information needed for referral London, NW1 2PB The Royal Marsden Hospital is a specialist referral centre for cancer in London where we have around 750 patients with sarcoma referred each year. The pattern of referrals in this regional sarcoma unit in 2008 (subdivided by benign or malignant diagnosis) is … ��ࡱ� > �� � � ���� � � ���������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� � �� �" bjbjW�W� 7� 5� 5� � z � �� �� �� � f f � � ` ` ` ���� t t t 8 � � x � t ` � D � L f f f � � � L � ( �_ �_ �_ �_ �_ �_ �_ $ �a � �d � �_ ` &. If your case is urgent, please ring us on 020 8909 5111/5600. Once a diagnosis has been made, the patient will be seen in clinic by a surgeon or oncologist, as appropriate. The London Sarcoma Service regularly receives requests for second opinions and is happy to provide these. Sarcoma MDT Coordinator Patients who have sarcomas at non-limb/trunk sites (abdomen, gynaecological, head and neck, thorax), or who have metastatic disease, are best referred initially to UCLH. All patients with RLNM from soft tissue sarcoma were identified from the Royal Marsden Hospital Sarcoma Unit prospective database from January 1990. All new National Health Service (NHS) surgical referrals seen in the Soft-Tissue Sarcoma Unit of the Royal Marsden Hospital for the one-year period from April 1st 2003 to March 31st 2004 were considered. Email: rno-tr.cancerreferrals@nhs.net. The Sarcoma UK Support Line is an independent resource which can provide information and guidance about the process for seeking a second opinion from the network of sarcoma specialist centres throughout England, Scotland, Wales, and Northern Ireland. Please refer all limb, trunk and abdominal wall soft tissue sarcomas to RNOH, Please refer all non-limb/trunk soft tissue sarcomas to UCLH (e.g. Title: Advance Magazine - Spring Summer 2019, Author: The Royal Marsden, Name: Advance Magazine - Spring Summer 2019, Length: 11 pages, Page: 8, Published: 2019-09-10 Issuu company logo Issuu If you wish to discuss a referral the office can be contacted via the RNOH switchboard. If you wish to discuss a referral they can be contacted via the UCLH switchboard. We work closely with the Royal Marsden Sarcoma Unit and therefore do not accept referrals for a second opinion if patients have already been discussed there, unless a direct request is made by a clinician from the Royal Marsden. Please note: All referral information has to be received by 3pm on a Wednesday for discussion at that Friday’s MDT. 40, 41 In the Netherlands, national referral guidelines are already well-established for bone sarcoma. Referring patients How to refer your patients to The Royal Marsden The Royal Marsden accepts NHS referrals from both GPs and other hospitals within London and the South East for the diagnosis and treatment of common and rare cancers. It was removed by a sarcoma surgeon at the Royal Marsden Hospital. April 2016 Pan -London Suspected Cancer Referral Guide Sarcoma SPECIALIST SARCOMA CENTRES There are three SPECIALIST SARCOMA CENTRES for London: ROYAL MARSDEN HOSPITAL (soft tissue sarcoma at all sites) ROYAL NATIONAL ORTHOPAEDIC HOSPITAL (RNOH) (all bone sarcoma, soft tissue sarcoma of limb/trunk/spine) Approximately 12 00 sarcomas are diagnosed each year including Background: This study aimed to investigate changes in treatment strategy and outcome for patients with primary retroperitoneal sarcoma (RPS) undergoing resection at referral centers during a recent period. Highly chemosensitive subtypes, for Telephone: 020 8909 5112 Please do not biopsy the patient, we will arrange this. Inclusion Criteria: Have a histologically confirmed case of undifferentiated pleomorphic sarcoma or leiomyosarcoma and be willing to consent for archival tumour material to be requested for transfer to The Royal Marsden for future review. Their rarity, and the heterogeneity of subtype and location means that developing evidence-based guidelines is complicated by the limitations of the data available. Please tick the box of the hospital you are referring to and fax this form with an accompanying letter to the relevant Urgent Referral … The service does not provide second opinions itself or make direct referrals to sarcoma specialist centres on behalf of patients, but has a wealth of information and experience to guide patients and their families, drawing on best practice guidelines on the management and treatment of sarcoma in the British Sarcoma Group guidelines. Early diagnosis is challenging, but important for local control and potentially survival and quality of life(QoL). (2)Colorectal Surgery Unit, Royal Marsden Hospital NHS Foundation Trust, London, UK. However, this makes it more important that STS are managed by teams, expert in such cases, to ensure … If you would like to be referred to the London Sarcoma Service, it is best to ask your GP or your hospital consultant to make the referral, by writing to or telephoning us and sending a referral letter with all your clinical information. We have a weekly multi-disciplinary team (MDT) meeting on Fridays at 08.00 at which all new referrals are discussed. The actuarial 5‐year survival rate of all cases following referral was 29 per cent. I now have three monthly CT scans and know that I can see the sarcoma team straight away if l suspect anything untoward. Methods: The study enrolled consecutive adult patients with primary non-metastatic RPS who underwent resection with curative intent between 2002 and 2017 at 10 referral centers. Please use this form when transferring inpatients to RNOH. Nikos Memos presented an audit of 2WW referrals to the Royal Marsden Hospital from March to September 2016. Services for patients with sarcoma are long established at both UCH/RNOH and RMH. Referral is advised at the earliest suspicion of a thoracic sarcoma and assessment, imaging and biopsy will be undertaken by the sarcoma MDT. You can be directly referred to the individual consultant, or if you are not sure which consultant you should see, by referral to Sarcoma MDT Coordinator at UCLH. The Royal Marsden ‘Soft Tissue Sarcoma: a Clinical Update’ 24 September 2019. To make a referral please download the referral form above and email it to the MDT Office. Author information: (1)Sarcoma and Melanoma Unit, Department of Academic Surgery, Royal Marsden Hospital NHS Foundation Trust, London, UK. Royal Marsden and Royal Brompton Palliative Care Service (N.G., J.R.R., J.R.), Royal Marsden NHS Foundation Trust; The Institute of ... disease treatment seen at a sarcoma referral center. Call us: +44 (0)20 7811 8111 (Monday to Friday, 8am to 6pm) Email us: privatepatients@rmh.nhs.uk or rmh-tr.privatereferrals@nhs.net Write to us: Private Care Referrals, The Royal Marsden, Fulham Road, London SW3 6JJ. As one of the largest soft-tissue sarcoma units in Europe, with more referrals than any other hospital in the UK, The Royal Marsden has the greatest experience in managing this challenging disease. Patients who have a suspected diagnosis of sarcoma, or require limb, trunk or spinal surgery, are best referred to RNOH. It is with great pleasure that we invite you to participate in this very exciting conference on ‘Soft Tissue Sarcomas: a Clinical Update’ on Tuesday 24th September 2019, at the Royal Marsden Education and Conference Centre, London.. In all cases histology was reviewed by a specialist soft tis-sue pathologist on referral to the Royal Marsden Hospital. Participants were recruited between March 2011 and September 2012. At the Royal Marsden Hospital, the referrals raised from 200 in 2012/2013 to more than 500 in 2015/2016. Please bring with you all your medical records, scans, scan reports, pathology reports, and if you are able, slides and pathology blocks from any biopsy or surgery you have had. (RtD) experienced by sarcoma patients, including factors contributing to the length of the RtD from patients’ perspective; (2)the impact of the RtD on QoL and care satisfaction; and (3)differences in aims 1–2 between English and Dutch patients. In 2015 the NICE guidelines introduced an urgent ultrasound scan(USS) as a screening tool before referring a patient under the 2 week pathway in order to reduce the pressure in major sarcoma … Telephone: 020 3447 4821/4418 250 Euston Road University College London Hospital NHS Foundation Trust We work closely with the Royal Marsden Sarcoma Unit and therefore do not accept referrals for a second opinion if patients have already been discussed there, unless a direct request is made by a clinician from the Royal Marsden. Melanoma and Sarcoma Unit, Royal Marsden Hospital, London Objective To illustrate the problems associated with mistaken pre-operative diagnosis following gynae- Design A case series of five referrals. Please read the referral guide before making a referral. Please see our second opinion policy for more information. Suspected sarcoma referrals have increased by 120% to RMH over the last 4 years. We undertook a cross-sectional, prevalence study of pain in patients who attended the sarcoma outpatient clinics at the Royal Marsden Hospital. Article May 2011 Mr Myles Smith took up a substantive post with the Sarcoma, Melanoma and Rare Tumours (SMART) service of The Royal Marsden in 2015, and joined The Institute of Cancer Research in 2017. You can find out more about these services here https://www.hcahealthcare.co.uk/our-services/conditions/sarcoma. All patients will be discussed at the joint thoracic sarcoma MDM (weekly videoconferenced with participation from RMH, UCH and Royal Brompton Hospital). Patients are seen at either our Sutton or Chelsea sites, or at the Sir William Rous Unit at The Kingston Hospital. For GPs in London: To refer suspected sarcoma patients please use the Pan London 2WW referral form. The Royal Marsden Hospital experience of trabectedin in patients with advanced soft tissue sarcoma (STS): Toxicity and efficacy in a nonselected group. The patients were seen here within two weeks of referral, during which time any previous imaging or biopsy was obtained and reviewed. Central Referral and Information Line. The guidance is issued jointly by the Sarcoma Centres of the Royal Marsden Hospital (RMH) and University College Hospital/Royal National Orthopaedic Hospital (UCH/RNOH). intra-abdominal, retroperitoneal, head & neck, urology, breast, skin). Oncology Department, 1st Floor Central MDT Office Brockley Hill Two-week rule referrals to Royal Marsden Hospital soft tissue sarcoma unit per year. Patients’ general practitioners were contacted where necessary to obtain follow-up information. For further information please see http://www.lsesn.nhs.uk/referrers.html. To make a referral please download the referral form above and email it to the MDT Office. Royal Marsden Hospital’s electronic patient record. Results Non-gynaecological tumours were not suspected in each case and hence there was a failure to Soft tissue sarcomas (STS) are rare tumours arising in mesenchymal tissues, and can occur almost anywhere in the body. Patients who have a suspected diagnosis of sarcoma, or require limb, trunk or spinal surgery, are best referred to RNOH. The London Sarcoma Service regularly receives requests for second opinions and is happy to provide these. We will arrange for the patient to be discussed in the most appropriate site-specific MDT, and a management plan agreed. Royal National Orthopaedic Hospital Email: ucl-tr.LondonSarcomaService@nhs.net. Patients can be referred to either the surgical service at the Royal National Orthopaedic Hospital, Stanmore or the oncology service at University College Hospital, whichever is most appropriate. If a biopsy or surgery has already been carried out, then we will request pathology slides and blocks for review. Referrals were triaged every day, a new telephone clinic was set up in March 2016 and extra clinics were scheduled as and when needed. If you wish to discuss a referral the office can be contacted via the RNOH switchboard.

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