Treatment

Gynecologic Oncology

As the largest gynecologic oncology program in the Midwest, the Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine has a full continuum of services available to treat women with gynecologic malignancies, including cancer of the cervix, endometrium, fallopian tubes, ovaries, uterus, vagina and vulva. Specialists here see almost 650 new gyn-oncology cases each year and manage more than 10,000 outpatient visits annually. The team is nationally recognized for its expertise in patient care and research.

  • The gynecologic oncology program at Barnes-Jewish Hospital and Washington University School of Medicine is the largest in the Midwest.
  • The team includes 7 subspecialty board-certified gynecologic oncologists as well as 6 full-time oncology nurses and a nurse practitioner.
  • A multidisciplinary team meets weekly to discuss all cases and includes all gynecologic oncologists, radiation oncologists, pathologists and nurse coordinators. The result is that each patient has the full team of specialists reviewing their case and determining best treatment options.
  • All patients undergoing biopsies have their tissue samples interpreted by a team of pathologists that is solely dedicated to reviewing gynecologic oncology cases. • An entire hospital floor is designed for the care of women with gynecologic cancers. It includes a team of nurses with advanced training in gyn-oncology care.
  • The Siteman Cancer Center is designated a Specialized Program of Research Excellence (SPORE) in Endometrial Cancer by the National Cancer Institute. The designation, the first in the nation for endometrial cancer, funds research that could lead to new, more effective treatments. Endometrial cancer is the fourth most common cancer among women in the United States. More than 250 new cases are seen at Siteman Cancer Center each year.
  • Over 40 gyn-oncology clinical trials are offered at Siteman — the largest number in the Midwest. In addition, the Division of Gynecologic Oncology is one of only a handful of centers designated to test Phase I (developmental) studies in addition to Phase II and III clinical trials. Our physicians also are members of the Gynecologic Oncology Group (GOG),now known as the NRG Oncology Group, a multi-institutional clinical research group funded by the National Cancer Institute.
  • Targeted treatments are enhanced by the availability of Washington University’s Genomics and Pathology Services (GPS), which offers genomic testing and next generation sequencing that can identify optimal patient treatment strategies.
  • Siteman Cancer Center has the largest Brachytherapy Center in the United States and sees more than 1,200 patients for gynecologic cancer as well as thousands more for other types of cancer. The Center has excellent patient outcomes, based upon 5-10 year survival rates.
  • Radiation oncologists here are the only ones in the country to offer Image-Guided Adaptive Brachytherapy (IGABT) and have set the protocols and standards of care for this highly specialized and target-specific treatment that allows for adapting both the dose and parameters of radiation beams. The team also is the only one in the region specializing in combined brachytherapy and Intensity-Modulated Radiation Therapy (IMRT).
  • All brachytherapy treatments are outpatient procedures. Referring radiation oncologists have the option of treating patients with external beam radiation at their own facilities and then referring to Siteman Cancer Center for brachytherapy treatments as needed. The option enables patients to stay closer to home and under the care of their primary radiation oncologist and surgeon while accessing Siteman’s brachytherapy specialists.
  • To care for the volume of patients from a 250-mile radius, the Department of Radiation Oncology debuted its fourth brachytherapy treatment room in 2014 and has 15 highly trained staff dedicated to brachytherapy patients. • Radiation oncologists here were the first in the country to use combined PET/CT and PET/MR scanners for more accurate pre-treatment planning and diagnostics.
  • Siteman Cancer Center and Washington University School of Medicine offer the latest fertility preservation treatments for both men and women who undergo chemotherapy, radiation, or surgery to treat their cancer. Specialists in our Infertility and Reproductive Medicine Center offer oocyte (egg) and embryo banking as well as sperm banking through cryopreservation (freezing). As a member of the national Oncofertility Consortium, Washington University also is researching other promising fertility-preservation procedures, such as ovarian tissue cryopreservation.
  • Washington University specialists serving in leadership roles in national groups such as the Society for Gynecologic Oncology (SOG), the Gynecologic Oncology Group (GOG), and the International Federation of Gynecology and Obstetrics (FIGO), have helped to set national and international standards for the care of women with ovarian, uterine and cervical cancer as well as helped to establish international staging criteria for cancers of the cervix, endometrium and vulva.
  • The Division of Gynecologic Oncology has its own Hereditary Risk Counseling Service available for those diagnosed with an inherited form of gynecologic cancer or who have a family history of cancer. The service offers information, genetic testing and guidance about the inheritable risk of gynecologic cancers so that informed choices can be made. More than 200 patients and families use the service annually.
  • A Board-Certified Genetic Counselor and three gynecologic oncologists see patients in the Hereditary Risk Counseling Service. Patients may be referred by physicians here or from other hospitals, or self-refer.
  • Pre-test Genetic Counseling, recently required by some insurance companies prior to actual genetic testing, is available in the Hereditary Risk Counseling Service.

Siteman Cancer Center Facts

  • The largest gynecologic oncology program in the Midwest with 7 subspecialty board-certified gynecologic oncologists.
  • A team of pathologists dedicated solely to reviewing gynecologic oncology cases.
  • Designated a Specialized Program of Research Excellence (SPORE) in Endometrial Cancer.
  • More than 40 gynecologic oncology clinical trials.
  • The largest Brachytherapy Center in the United States.
  • Offers the latest fertility preservation treatments for both men and women in the process of treating their cancer.

How to Make a Referral

Siteman offers a team of clinical referral specialists who assist providers seeking treatment for their patients. To request an appointment, call 314-747-3046 or 877-251-6485 toll free from 8 a.m. to 4:30 p.m., Monday through Friday. Referrals also can be made online through a secure appointment request service at https://siteman.wustl.edu/request-an-appointment/

To expedite the referral process, our referral specialists may ask you to fax records to us at 314-454-8103.

The mailing address is:

Siteman Cancer Center
4940 Parkview Place
Box 8100
St. Louis MO 63110

If appropriate, a financial specialist is available to answer questions about health insurance and identify resources for expenses related to cancer care.

Our referral specialists also handle requests for hospital-to-hospital transfers during regular business hours. Referring physicians will be quickly connected to a specialist physician on staff at Barnes-Jewish Hospital who can authorize a transfer. After-hours requests can be made by calling the hospital’s Doctors’ Access Line at 314-747-3251 or 800-252-3627.