Oncology
Abnl UGI / persistent symptoms -> gastric adenocarcinoma Abnormal Pap (any) -> LSIL/HSIL/CA Abnormal Pap (ASCUS or LSIL) -> cervical CIN 1/2/3 Abnormal Pap (ASCUS or LSIL) -> cervical CIN 2/3 Abnormal Pap (ASCUS) -> cervical CIN 1/2/3 Abnormal Pap (ASCUS) -> CIN 2 or worse Abnormal Pap (atypia) -> any cervical dysplasia Abnormal Pap (atypia) -> high-grade cervical dysplasia Abnormal Pap (LSIL) -> cervical CIN 1/2/3 Abnormal Pap (LSIL) -> cervical CIN 2/3 Abnormal uterine bleeding -> abnormal uterine cavity Back pain -> cancer Back pain and suspected CA -> extradural mass Barrett esophagus -> develops esophageal CA Basal cell CA suspected -> basal cell CA Biliary stricture -> cholangiocarcinoma Bowel symptoms -> colorectal cancer Bowel symptoms -> colorectal cancer, high risk adenoma, or IBD Bowel symptoms -> High risk adenoma Bowel symptoms -> Inflammatory bowel disease Breast CA -> bony metastases Breast CA -> liver metastasis Breast CA suspected -> breast CA Breast cancer clinically node neg -> positive axillary nodes Breast lump -> breast CA Breast lump or abnormal mammogram -> breast CA Breast mass or enlargement (men) -> breast cancer Breast mass or enlargement (men) -> gynecomastia Colon CA -> liver metastasis Colon CA suspected -> colon CA Colon cancer -> metastatic disease Colorectal cancer -> cancer recurrence DCIS suspected -> ductal carcinoma in-situ Dyspepsia -> ulcer or cancer Endometrial CA -> nodal metastasis Endometriosis suspected -> endometriosis Esophageal cancer -> nodal staging Esophageal cancer -> spread of disease Gastric cancer -> peritoneal metastases Gastric cancer -> peritoneal metastases Gastrointestinal symptoms -> Barretts esophagus GI bleed -> upper GI bleed HCV or cirrhosis -> hepatocellular CA Headache -> CNS malignancy Hematuria (gross or microscopic) -> bladder CA (any) Hematuria (gross or microscopic) -> bladder CA (excluding TaG1) Hematuria (microscopic) -> cause of bleeding HPV infection -> any cervical dysplasia HPV infection -> high-grade cervical dysplasia Insulinoma -> malignancy Insulinoma suspected -> insulinoma localized Leiomyoma suspected -> leiomyoma Lipoma suspected -> liposarcoma Lung CA (non-small cell) -> hilar or mediastinal nodal spread Lung CA -> bony metastases Lung CA -> hilar adenopathy Lung CA -> liver metastasis Lung CA -> mediastinal adenopathy Lung CA suspected (any lesion) -> lung CA Lung CA suspected (central lesion) -> lung CA Lung CA suspected (peripheral lesion) -> lung CA Lung cancer suspected -> lung cancer Malignant pleural exudate -> death within 3 months Malignant pleural exudate -> successful pleurodesis Mediastinal adenopathy suspected -> mediastinal adenopathy Mediastinal mass -> Hodgkins lymphoma Mediastinal nodes -> malignant nodes Melanoma (palpable nodes) -> distant metastases Melanoma -> lymph node metastasis Men with PSA 4 to 10 ng/ml -> prostate cancer Gleason >= 7 Mucosal lesion GI wall -> gastric adenocarcinoma Mucosal lesion GI wall -> non-Hodgkins lymphoma Neuroblastoma -> bony metastases Neuroblastoma suspected (< 1 yr) -> neuroblastoma Neuroblastoma suspected (1-5 yrs) -> neuroblastoma Neuroblastoma suspected (5-10 yrs) -> neuroblastoma Neuroendocrine tumor suspected -> neuroendocrine tumor Nipple discharge (spontaneous single duct) -> cancer or DCIS Non-palpable breast abnormality -> cancer or DCIS Ovarian mass -> ovarian cancer (malignant or borderline) Pancreatic CA suspected -> pancreatic CA Pancreatic cyst -> serous cystic neoplasm Pelvic mass -> ovarian CA Pheochromocytoma -> localization Pheochromocytoma suspected -> pheochromocytoma Pigmented lesion -> melanoma or other high grade lesion Pleural effusion -> definite or probable malignancy Pleural effusion -> lung CA Pleural or peritoneal effusion -> mesothelioma Positive hemoccult -> colon CA Positive hemoccult -> polyps Prostate CA (T1-2, XRT treated) -> clinical treatment failure Prostate CA -> bony metastases Pulmonary nodule -> lung cancer Renal cell cancer -> degree of extension/invasion SCD suspected -> serious colorectal disease (CA or IBD) Screening (any) -> adenoma > 1 cm Screening (any) -> colon CA Screening (any) -> colon CA (Dukes A/B) Screening (any) -> colon CA (Dukes C) Screening (any) -> colon CA (Dukes D) Screening (any) -> colon CA or > 1cm adenoma Screening (any) -> colon CA or any adenoma Screening (any) -> colon polyps Screening (any) -> malignancy Screening (aspirin user) -> colon CA or advanced adenoma Screening (dense breasts) -> breast cancer or DCIS Screening (initial PSA < 3.0) (men) -> prostate CA (any) Screening (initial PSA < 3.0) (men) -> prostate CA (Gleason >= 7) Screening (initial PSA < 3.0) (men) -> prostate CA (Gleason >= 8) Screening (men) -> prostate CA Screening (non aspirin user) -> colon CA or advanced adenoma Screening (women) -> any cervical dysplasia Screening (women) -> breast CA Screening (women) -> high-grade cervical dysplasia Screening (women) -> HPV infection Screening (women) -> hyperplasia or CA Screening (women) -> ovarian CA Screening (women) -> trichomoniasis Screening -> advanced adenoma Screening -> HSIL or worse Screening -> lung cancer Screening anal cytology showing ASCUS -> HSIL or worse on biopsy Staging Hodgkins -> liver involved Staging Hodgkins -> mesenteric nodes involved Staging Hodgkins -> paraaortic nodes involved Staging Hodgkins -> spleen involved Thyroid cancer papillary -> multiple malignant lymph nodes Thyroid cancer papillary -> single malignant lymph node Thyroid goiter or nodule, nl T4/T3 -> thyroid cancer Thyroid nodule (any) -> thyroid cancer Thyroid nodule (cold) -> thyroid cancer Thyroid nodule (non-palpable) -> thyroid cancer Vaginal bleeding (all) -> endometrial CA Vaginal bleeding (postmenopausal (DM)) -> hyperplasia w/atypia or cancer Vaginal bleeding (postmenopausal (obese)) -> hyperplasia w/atypia or cancer Vaginal bleeding (postmenopausal) -> CA, hyperplasia, or polyp Vaginal bleeding (postmenopausal) -> endometrial CA Zollinger-Ellison suspected -> Zollinger-Ellison syndrome