Referral Guidance for Surgical Oncology Patients

Lymph node biopsies- Surgical Oncology

Abdominal issues in cancer patients:

1. Patient established with UNMC surgical oncology division for malignancy, seen within three years, and issue is related to previous intervention (for example, SBO) - Surgical oncology
2. Presenting manifestation related or likely related to primary malignancy - Surgical Oncology or to the appropriate Cancer focused surgery team (e.g., colorectal)
1. If discovered intraoperatively, Surgical Oncology consultation is at discretion of EGS staff

                                                              i.      If surgical oncology assumes care intraoperatively - Surgical oncology

                                                            ii.      If malignancy determined to not change treatment strategy - EGS

3. General surgical conditions (symptomatic cholelithiasis or acute/chronic cholecystitis, acute appendicitis, incarcerated hernia, small bowel obstruction) in patient with active cancer issue (on or off active treatment) or history of malignancy – EGS

Approved by Josh Mammen, MD and Hillman Terzian, MD 6/25/2025