Gynaecological Cancer

Services

Luton & Dunstable Hospital

Cancer Services

The Luton and Dunstable Hospital NHS Foundation Trust's Cancer Unit is part of the Mount Vernon Cancer Network.  The Network covers a geographical area from North London to mid-Bedfordshire, west to Buckinghamshire and east to Hertfordshire, providing services to a population of two million people.  The Mount Vernon Hospital Cancer Centre provides specialist care, including radiotherapy and complex chemotherapy, with the local Cancer Units and the Primary Care Trusts providing routine and on-going care, including chemotherapy.

Oncology services are provided by consultant staff from Mount Vernon, taking part in combined clinics with the Luton and Dunstable hospital staff.

To access the service please visit your GP.

The lead clinician for cancer services is Mr. Mike Pittam, Consultant Surgeon.

Multi-Disciplinary Team (MDT) meetings for all tumour sites are held on a regular basis, mostly weekly, to discuss newly diagnosed or suspected cancer patients.  Some MDT meetings participate in video-conferencing with other Network Teams to encourage wider discussion and input to the patient pathway.  The MDT Office can be contacted on either: 01582 718 268 or 01582 718 099.

GYNAECOLOGICAL Clinics

  • Gynaecological clinics (weekly) (Mr O Owens)
  • Colposcopy clinics (three per week) (Mr D Horwell) (Mr O Owens) (Ms I Flanagan)
  • Joint gynaecology/oncology clinics

Useful Numbers

Name, Telephone, Fax
Mr O Owens 0845 127 0127 Ext 2563. Bleep 213
Sec to Mr. Owen 01582 497459 01582 718002
Ms Imelda Flanagan [CNS] 01582 497465 Bleep 443
Prof P Hoskin and Prof Rustin via Mount Vernon Hospital

Who to Refer

Urgent referral within 2 weeks (under 2 week rule)

Refer urgently patients:

  • With clinical features suggestive of cervical cancer on examination.  A smear test is not required before referrals, and a previous negative result should not delay referral
  • Not on hormone replacement therapy with postmenopausal bleeding
  • On hormone replacement therapy with persistent or unexplained postmenopausal bleeding after cessation of hormone replacement therapy for 6 weeks
  • Taking tamoxifen with postmenopausal bleeding
  • With an unexplained vulval lump
  • With vulval bleeding due to ulceration

Consider urgent referral for patients with persistent intermenstrual bleeding and negative pelvic examination

Refer urgently for an ultrasound scan patients:

  • With a palpable abdominal or pelvic mass on examination that is not obviously uterine fibroids or not of gastrointestinal or urological origin.  If the scan is suggestive of cancer, an urgent referral should be made.  If urgent ultrasound is not available, an urgent referral should be made.

Investigations

  • A full pelvic examination, including speculum examination of the cervix, is recommended for patients presenting with any of the following:
    • Alterations in the menstrual cycle
    • Intermenstrual bleeding
    • Postcoital bleeding
    • Postmenopausal bleeding
    • Vaginal discharge
  • In patients with vulval pruritus or pain, a period of 'treat, watch and wait' is reasonable.  Active follow-up is recommended until symptoms resolve or a diagnosis is confirmed.  If symptoms persist, the referral may be urgent or non-regent, depending on the symptoms and the degree of concern about cancer

Macmillan Cancer Support Rapid Referral Guidelines

Macmillan Cancer Support Rapid Referral Guidelines

Please note: when seeking/receiving advice in regard to patient care and making referrals, NHS Connecting for Health Information Governance standards and policies must be adhered to.

Resources

Map of Medicine Patient Pathway

Map of medicine - suspected cervical dysplasia cancer

Map of medicine - suspected cervical dysplasia cancer - abnormal cytology

Map of medicine - ovarian cancer presentation

Map of medicine - endometrial cancer 

NICE Guidelines

Website Resources

Cancer Network

Patient Information Leaflets

Patient information leaflet - Two Week Wait

Macmillan Cancer Support at the Luton & Dunstable Hospital



Last updated: 20/06/2013

Update due: 20/06/2014