Gynae Onc Icon02 Gynaecological Oncology

Referrers Information

Areas of expertise:

Dr Helen Green and Dr Elizabeth Goulding accept referrals for both gynae-oncology cases and complex benign general gynaecology cases.

Their interests in general gynaecology include complex surgical cases; minimally invasive surgery; vulval, vaginal and cervical dysplasia; and the management of menopausal symptoms.

Dr Green and Dr Goulding are committed to providing state of the art and evidence based care to their patients. Together they have created the Grace Private Gynaeoncology Group, the largest private Gynaecological Oncology centre on the Gold Coast, and the only service offering its patients a private multidisciplinary meeting to ensure the highest quality of care is delivered to every patient.

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Common referrals include:

  • Gynaecological cancer and pre-cancer diagnosis and surgical management
  • Complex benign gynaecology (uterine, pelvic and ovarian masses)
  • Advanced laparoscopic surgery (benign and cancerous disease)
  • Advanced open surgery (benign and cancerous disease)
  • Counselling and management of women with an increased risk of gynaecological cancer (eg. BRCA and Lynch mutations)
  • Hysteroscopy
  • Colposcopy and the management of cervical dysplasia
  • Vulval disorders and vulvoscopy
  • Abnormal uterine bleeding
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Suggested investigations prior to referral

Endometrial cancer on histology or cervical smear:

  • TV or TA pelvic ultrasound
  • CT chest abdomen and pelvis

Cervical cancer, Vaginal cancer and Vulval cancer:

Many of these patients will require a PET CT and in the case of cervical and vaginal cancer, a pelvic MRI.

Dr Green and Dr Goulding are happy to organize these investigations. However, if your patient is travelling a long distance for their appointment, please contact our rooms for advice regarding the appropriate imaging for each woman’s individual circumstances.

Tubo-ovarian or peritoneal cancer:

  • Tumour markes for CA125, CEA and CA19.9.
  • We prefer to assess these cancers with a PET CT, Dr Green and Dr Goulding are happy to organize this. However, if your patient is travelling a long distance to for their appointment, please contact our rooms for advice regarding appropriate imaging.

Referral for colposcopy:

  • Smear and any prior cervical treatment history

Referral for abnormal uterine bleeding:

  • TA or TV Pelvic Ultrasound
  • FBC +/- Iron studies
  • Co-Test (HrHPV and cervical cytology)

Referral for a complex adnexal/ovarian mass:

  • TA/TV Pelvic Ultrasound
  • If > 40 years old and suspicious features on ultrasound arrange a Ca125, CEA and Ca19.9
  • If < 40 years old and suspicious features on ultrasound arrange a Ca125, CEA, Ca19.9, AFP, hcg and LDH
  • If ascites or omental disease suspected, consider a PET CT
  • If you would like specific advice for individual patients, please contact our rooms
  • In the case of a CT or PET CT that shows ascites or omental disease, we can help to co-ordinate an urgent histopathological sample prior to your patient’s first appointment
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Referral for patients at inherited risk of gynaecological cancers:

Genetic testing/counselling reports are appreciated

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Any questions

If you have a question or would like to discuss a case before referring, please call Grace Private for Women or email our administration team at reception@graceprivate.com.au