For years, physicians have placed their trust in our specialists to treat patients who were diagnosed with cancer. Now, physicians can refer patients to our specialists to rule out a potential cancer diagnosis. Our radiologists and physicians are focused solely on cancer and will provide your patients with a comprehensive assessment of their health concerns.
Refer your patient to the appropriate physician and multidisciplinary team if they exhibit one or more of the following symptoms by calling 800-KARMANOS (800-527-6266) or fill out our online referral form.
Refer patients to Breast Surgical Oncologists or Nurse Practitioners on the Breast Cancer Multidisciplinary Team.
- Breast pain
- Breast discharge
- Breast mass
- Abnormal mammogram, ultrasound, or MRI
- Nipple or skin retraction
- Suspicious rash on nipple/areola (might be Paget's disease indicating an underlying cancer)
- High Risk Breast Disease Diagnosis such as LCIS, Atypical Ductal Hyperplasia or Atypical Lobular Hyperplasia
- Abnormal radiologic findings - evaluation for surgical biopsy
- Significant family history of breast/ovarian cancer or BRCA mutation carrier with any breast symptoms
- Average risk patients with symptoms such as nipple discharge/desquamation/ulceration, breast mass
- Axillary lymphadenopathy
- Presumed breast infection that has failed antibiotics treatment - rule out inflammatory breast cancer.
For more information on when to refer your patient to a Karmanos breast surgeon, click here.
Refer patients to Drs. Steve Kim, Philip Philip, Minsig Choi or Hemchandra Mahaseth of the Gastrointestinal and Neuroendocrine Tumors Multidisciplinary Team.
- Blood per rectum
- Obstructive bowel symptoms
- Chronic abdominal pain plus weight loss
- Mass in abdomen, trunk or extremity
- Difficulty in swallowing (dysphagia)
- Obstructive jaundice
- Diahhrea and hot flashes (carcinoid syndrome)
- Suspicious lesion (cyst or mass) in liver
- Lesion, cyst or mass in the pancreas
Refer patients to any Urologist on the Genitourinary Multidisciplinary Team.
- Urinary obstruction
- Urinary frequency
- Microscopic hematuria
- Elevated PSA
Refer patients to Drs. Jimmy Belotte, Shelly Seward, Leigh Ann Solomon or Robert Morris on the Gynecologic Oncology Multidisciplinary Team.
- Cervix: abnormal pap smear, high risk HPV+, postcoital bleeding
- GTN (gestational trophoblastic neoplasia, molar pregnancy)
- Other: Elevated CA-125, Pelvic mass & Endometrial hyperplasia
- Ovary: bloating, increased abdominal girth, constipation, strong family history of breast/ovarian cancer
- Uterine: abnormal uterine bleeding (e.g., menorrhagia), PCOS, unopposed estrogen treatment, Tamoxifen use, Lynch syndrome, Cowden syndrome, thickened endometrium on pelvic ultrasound, abnormal cytology on Pap smear (atypical glandular cells)
- Vulva: vulvar dystrophy, persistent vulvar itching, abnormal vaginal discharge, suspicious vulvar lesions, history of HPV related cervical, vaginal dysplasia or cancer
- Vagina: history of exposure to DES (less common, abnormal vaginal discharge, previous history of HPB related cervical, vulvar dysplasia or cancer)
Head and Neck Symptoms
Refer patients to Drs. Adam Folbe, Giancarlo Zuliani, Ho-Sheng Lin, John Jacobs or George Yoo on the Head and Heck Oncology Multidisciplinary Team.
- Dysphasia (difficulty swallowing)
- Odynophagia (sore throat, painful swallowing)
- Otalgia ( ear pain)
- Stridor (difficulty breathing)
- Mass or lesion on the neck, face, mouth or skin
- Serous otitis media in an adult
- Conductive hearing loss
- Unilateral nasal obstruction
Lung and Thoracic Symptoms
Refer patients to Dr. Ayman Soubani on the Thoracic Oncology Multidisciplinary Team.
- Lung masses on CT scan or chest x-ray
- Mediastinal adenopathy
- Mediastinal mass
- Mediastinal lymph node
Refer patients to a member of the Skin/Melanoma Multidisciplinary Team.
- Any suspicious pigmented lesion or suspicious lesion on the skin
- Non healing or bleeding skin lesions