Hematology/Oncology & BMT New Surgical Oncology Clinic at Nationwide Children s Hospital This clinic offers convenient, comprehensive care for patients with cancer. Here, in one visit, pediatric patients will have the full resources of the hospital including: oncologists, surgeons, radiation oncologists, pathologists, oncology nurses, child life specialists and other sub-specialists that are an essential part of treating patients with cancer. To date, it is the only pediatric surgical oncology clinic in Ohio. Inside this Practice Tool, look for information about referring patients and other services provided by the clinic.
Hematology/Oncology & BMT Nationwide Children s Hospital is consistently ranked as one of the top children s cancer hospitals in the country based on reputation, quality of care, research, and patient volume. The program is a member of The Ohio State University Comprehensive Cancer Center (a National Institutes of Health Comprehensive Cancer Center). The Biopathology Center at Nationwide Children s Hospital is funded by the National Cancer Institute. It serves as the repository for cancer samples from more than 500 hospitals. Specimens from this center are used for cancer research in institutions worldwide. The Biopathology Center houses one of the largest biobanks in the country, and performs testing for all children throughout the nation who have acute lymphocytic leukemia (ALL), neuroblastoma, Wilms tumor and specific soft tissue sarcomas. other 7% ovary 4% current Oncology Diagnosis/case mix retina 2% sarcoma/soft tissue 4% sarcoma/bone 6% testis 2% brain 30% neuroblastoma 3% melanoma 1% lymphoma 12% liver/biliar 1% leukemia 20% endocr/other 7% kidney 7% Source: Tumor Registry the clinic Team Mark A. Ranalli, MD, is an attending physician in the division of Hematology/Oncology/Bone Marrow Transplantation at Nationwide Children s Hospital and an Associate Professor of Pediatrics at the Ohio State University College of Medicine. He is director of the Embryonal Tumor Program, medical consultant to the Thoracic Oncology Program, and Co-Director of the Surgical Oncology Program. His clinical interests include the treatment of neuroblastoma, primary renal and hepatic tumors, germ cell malignancies, melanoma and rare tumors. His research activities focus on the use of novel therapies for refractory malignancies, and the relationship between the coagulation system and carcinogenesis/cancer progression. Dr. Ranalli is a member of the Children s Oncology Group, the OSUCCC Institutional Review Board, Alloimmunization Program, and Melanoma Disease Group, and an Ad Hoc reviewer for Pediatric Blood and Cancer. He serves as the institutional principle investigator for multiple clinical trials. Jennifer H. Aldrink, MD, is Director of Surgical Oncology at Nationwide Children s Hospital and Assistant Professor of Surgery at The Ohio State University College of Medicine. She completed a specialized fellowship in surgical oncology at Memorial Sloan-Kettering Cancer Center in New York City. She is a member of the Children s Oncology Group, the Society of Surgical Oncology, and the Melanoma Disease Group at The Ohio State University Medical Center. She is a specialist in the surgical management of abdominal and thoracic tumors, including Wilms, hepatoblastoma, germ cell tumors, neuroblastoma, ovarian tumors, chest wall sarcoma, and melanoma. The clinic is located on the fourth floor of the Outpatient Care Center at Nationwide Children s Hospital. Patients will be seen between 1 p.m. 4 p.m. on the 1st and 4th Mondays of each month.
Pediatric Tumors and Cancers Treated at the Clinic The National Institutes of Health states that approximately 10,730 new cases of pediatric cancer were diagnosed in children, adolescents and adults in 2009. Although the incidence of invasive cancer in children has increased slightly over the last 30 years, mortality rates have declined by 50 percent for many childhood cancers. Estimated new cases and deaths from cancer in the United States in 2010: :: New cases: 1,529,560 (does not include nonmelanoma skin cancers) :: Deaths: 569,490 :: Cancer remains the number 2 cause of death of Americans, topped only by heart disease :: Cancer is the leading cause of death by disease among U.S. children between infancy and age 15 :: Adolescents and young adults are much more likely to be diagnosed with cancer than children under the age of 15. Each year more than 72,000 adolescents and young adults are diagnosed with cancer in the United States Some examples of (but not limited to) tumors we can see in the clinic: :: Neuroblastoma :: Wilms tumors :: Hepatoblastoma :: Rhabdomyosarcoma :: Germ cell tumors :: Ovarian tumors :: Sarcoma :: Pancreatic tumors :: Melanoma :: Spitz Nevus Surgical Oncology Clinic
NationwideChildrens.org/Cancer P R A C T I C E T O O L Clinic Features Nurse Clinicians The clinic has two nurse clinicians on staff who facilitate appointments and the care of the patient during outpatient visits and inpatient hospital stays. Treatment We understand the stress that naturally accompanies the diagnosis of cancer in a child and we strive to provide care in a manner that is sensitive, family centered, respectful of a family s cultural beliefs, and minimally disruptive to the normal routine of a child and his or her family. Evaluating Patients Imaging and Other Tests Imaging, blood and tissue tests can be ordered and conducted immediately after the patient s initial consult. If you have already ordered tests, please send the test results and/or images to Nationwide Children s for review prior to the patient s initial consult if possible. After scheduling an appointment, mail imaging and other test results to the specialist at: Attn: Dr. Mark Ranalli Nationwide Children s Hospital 700 Children s Drive Columbus, OH 43205 When should I refer a patient? :: For diagnosis of a condition that has not yet been diagnosed in a symptomatic patient :: For evaluation and treatment after a confirmed diagnosis :: After preliminary testing reveals a possible cancer diagnosis :: Possible presence of a tumor or melanoma :: To confirm a diagnosis :: For continued treatment of post-operative care :: For long-term care :: For outpatient treatments :: For in-hospital surgical procedures Emergency Room Cases Most patients can be seen electively and generally do not require evaluation in an emergency room. However, patients who have severe dehydration, refractory pain, anemia, bleeding or symptoms of bowel obstruction should be referred for urgent evaluation to their local hospital s emergency department. For non-emergent cases, call (614) 722-3550.
Hematology/Oncology & BMT P R A C T I C E T O O L Initial Consultations The Surgical Oncology Clinic at Nationwide Children s Hospital offers a comprehensive and multi-disciplinary treatment approach for children with cancer. During the initial consultation, patients are evaluated by an oncologist and other specialists as needed in one setting during a single appointment. During this visit, the attending oncologist and surgeon will formulate a treatment plan which will be carefully reviewed with the family. The entire physician team is involved from the beginning for staging through treatment and into long-term care. This team improves communication and minimizes confusion which eases stress on families who rely on direct, consistent information from physicians. Patient care will be coordinated through a nurse oncologist. During the first visit, the patient will immediately be seen by an oncologist and surgeon, followed by other specialists who, as a team, will formulate a treatment and/or surgical plan in advance of admitting the patient to the hospital. The clinic welcomes new referrals, post-operative follow-ups and long-term follow-ups. Referring physicians are encouraged to send new patients to the clinic while urgent life-threatening cases should be directed to the Emergency Room. Scheduling an Appointment Phone: (614) 722-3250 Fax: (614) 722-4000 Online: www.nationwidechildrens.org (click Request an Appointment ) Urgent physician consultations: Physician Direct Connect at (614) 355-0221 or (877) 355-0221 Location: The clinic is located on the fourth floor of the Outpatient Care Center at Nationwide Children s Hospital. Hours: Patients will be seen between 1 p.m. 4 p.m. on the 1st and 4th Mondays of each month. Welcome Center Our Welcome Center supports many of the unique needs of our patients arriving from outside central Ohio. These services include: :: Clinical arrangements :: Housing and transportation :: Ronald McDonald House for extended stays :: Financial counseling to assist families with questions related to coverage for health care services, and specifically for out-of-network coverage :: Interpreters :: Sibling care :: Pastoral care For more information about the Welcome Center, visit us online at www.nationwidechildrens.org/welcomecenter
Surgical Oncology Clinic 700 Children s Drive Columbus, Ohio 43205 NationwideChildrens.org/Cancer Surgical Oncology Clinic CH1043.8.10.7300