Treating Physician Information Form/authorization For Release Of Medical Records Form - September 11th Victim Compensation Fund - Page 12

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• American Academy of Orthopedic
Surgeons(AAOS) Clinical Practice Guideline
on the Diagnosis of Carpal Tunnel Syndrome
(2007)
research/guidelines/CTS_guideline.pdf
 History (Symptoms) & Physical
 National Comprehensive Cancer Network
Malignant Neoplasm:
General
Findings
(NCCN) guidelines
 Radiographic/Imaging evidence
 Chemistry Laboratory
physician_gls/f_guidelines.asp
 Tissue biopsy or pathology
 National Cancer Institute (NCI)
report*
gov/
Exception: Tissue biopsy is not
cancertopics/factsheet/detection/pathology
required for certain neoplasms.
-reports
See NCCN guidelines for
information about these
 Borowitz M, Westra W, Cooley LD, et al.
neoplasms.
Pathology and laboratory medicine. In:
Abeloff MD, Armitage JO, Niederhuber JE,
Kastan MB, McKenna WG, editors. Clinical
Oncology. 3rd ed. London: Churchill
Livingstone, 2004.
 History (Symptoms) & Physical
 National Comprehensive Cancer Network
Malignant Neoplasm:
In-Situ Neoplasm
Findings
(NCCN) guidelines
 Radiographic/Imaging evidence
physicia
 Chemistry Laboratory
n_gls/f_guidelines.asp
 Tissue biopsy or pathology
report*
 National Cancer Institute (NCI)
gov/cancertopics/factsh
All malignant in-situ neoplasms
eet/detection/pathology-reports
are eligible for certification except
the following: (1) lobular
carcinoma in-situ of the breast
(except pleomorphic lobular
carcinoma); (2) in-situ carcinoma
of the gallbladder; (3) colorectal
adenomatous polyp with area of
in-situ carcinoma; and (4) in-situ
carcinoma of the cervix.
 History (Symptoms) & Physical
 Ettinger DS, Agulnik M, Cates JM, Cristea M,
Malignant Neoplasm:
Unknown primary
Findings
Denlinger CS, Eaton KD, et al. Occult Primary.
 Radiographic/Imaging evidence
Clinical Practice Guidelines in Oncology. J
 Chemistry Laboratory
Natl Compr Canc Netw. 2011;9(12):1358-95.
 Tissue biopsy or pathology
report*
When the diagnosis under review
is a metastatic neoplasm of an
unknown primary, a diagnostic
work-up summary is required to
demonstrate that an appropriate

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