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UMHS Home/Logo Consult Request Guidelines

for Lymphoma

Suggested Pre-Referral Evaluation and Management Guidelines  
Suggested Additional Test/Management Prior to Specialty Visit Patients referred to the Lymphoma Clinic should already have a diagnosis of lymphoma. If lymphoma is suspected, a lymph node biopsy or biopsy of a mass must be done showing pathologic confirmation of Hodgkin¿s or Non-Hodgkin¿s lymphoma. If an FNA (fine needle aspirate) yields a diagnosis of lymphoma an excisional biopsy may not be needed, however, often an excisional biopsy is needed for such classification. To complete staging, a CAT scan of the chest/abdomen/pelvis is required prior to the Lymphoma clinic appointment to facilitate treatment planning.
Patient Education/Information (includes preps)

For patient information including pre-appointment forms, maps & directions, participating insurance plans, and support:

Appointment Timeframe 1-2 weeks
How to Get Results to Consultant

UMHS patients: See MiChart
External patients: Fax referral and outside records to 734-232-4900 Attention: Lymphoma Clinic

Send pathology slides and DICOM compatible radiology disks to:
Dept. of Hematology
B1- 358 Cancer Center
1500 E. Medical Center Dr.
Ann Arbor, MI 48109 -0911
Appointments will be made after the above has been received.

Clinic Contact Information Physicians: 800-962-3555
Patient: 734-764-1958
Clinic Location Sites Comprehensive Cancer Center - Ann Arbor
UM Consulting Physician Ammar Al-Zoubi, M.D.
Asra Z. Ahmed, M.D.
Douglas W. Blayney, M.D.
Mark S. Kaminski, M.D.
Revised on: 02/10/2015