Below is the process for referring breast cancer patients to the DOH chemo program in PGH Breast Care Center:
1. Establish tissue diagnosis. Should only be the ff: invasive ductal carcinoma, medullary, invasive lobular, mucinous, tubular
2. Establish patient’s stage. DOH only covers patients with breast cancer up to stage IIIB. Acceptable metastatic work up: liver ultrasound, chest X-ray, bone scan (DOH also accepts alkaline phosphatase determination in ruling out bone mets)
3. When diagnostics and necessary metastatic work up are completed, the surgical oncology fellow will then determine the patients’ chemotherapy regimen and dose ( usually sequential AC==> T with dose 60-600-75)
4. The patient is then referred to the DOH chemo navigator. Their office is located just beside the Breast Care Center at the Cancer Institute. (Please see attached copy of the patient enrollment form)
5. The navigator then directs the patients’ chart with attached metastatic workup to the medical oncology fellows for review and approval.
6. Once approved, the BCC nurses will then schedule the patient for chemotherapy.
DOH chemotherapy for Early Stage Breast Cancer up to Stage IIIB
Step 1: Consult DOH approve hospital. History and PE will be done by doctor or physician by the hospital
Step 2: Bring the following laboratories:
Step 3: For approval by DOH Navigator (09420359675 – Jessa)
Step 4: Chemotherapy scheduling by the Breast Care Center. (Chemotherapy protocol to be decided by the doctors). Approved protocol CMS, CAF, AC-T, TC