Cancer Treatment Centers of America®

at Western Regional Medical Center

Phoenix, Arizona

Philadelphia, Pennsylvania

Chicago, Illinois

Atlanta, Georgia

Tulsa, Oklahoma

CANCER REGISTRY

Annual Report2017

2 Cancer Treatment Centers of America® at Western Regional Medical Center

At Cancer Treatment Centers of America® (CTCA) at Western Regional Medical Center (Western), the patient is at the center of everything we do. That has remained unchanged this past year as we have continued to acquire compassionate and strong clinical talent, further enhance service line offerings for our patients and commit to an unparalleled level of high-quality and safe care to everyone who walks through our doors.

Over the course of the past year, our hospital has been able to add several physicians to our medical staff that have unique talents, strong passions and a renowned sense of doing what is truly best for our patients. Specifically, we have been able to expand our surgical offerings due to several physicians coming on board including Dr. Farshid Sadeghi, Dr. Derrick Beech, Dr. Diego Muilenburg, Dr. Raquel Prati and Dr. Natalie Godbee. Each of these doctors brings something unique to the table and, in turn, something unique to each patient who seeks care with us.

We also launched the Advanced Surgical Recovery (ASURE™) Program this past year. This program is a standardized, multimodal care pathway that is designed to reduce patients’ stress responses to surgery, maintain normal physiologic parameters and accelerate return to normal daily activities. Within the first four months of launching this program, 17 patients went through this pathway. In turn, those patients were able to go home sooner after surgery and reduce the use of narcotics for pain management.

I am also pleased to share that at the conclusion of our fiscal year, our Press Ganey scores were unprecedented for Western. In the Outpatient Clinic setting, we received an average score of 95.6, while in the Inpatient setting 94.7 percent of our patients indicated they would recommend us to family and friends. These numbers truly speak to the incredible care that our clinicians and physicians are providing to our patients.

In this 2017 report, you will learn more about our new physicians, the patients in our care, and the awards and accreditations we were fortunate to receive. As I reflect on this year, I am even more excited for our path forward.

Sincerely,

Matt McGuire President and CEO Cancer Treatment Centers of America at Western Regional Medical Center

Matt McGuire President and CEO

LETTER FROM THE Chief Executive Officer

32017 C A N C E R R E G I S T R Y A N N UA L R E P O R T

CONTENTS

4 Cancer Registry Report

5 Cancer Registry Activities

5 2017 Estimated Leading New Cancer Cases

6 2017 Cancer Conference Report

7 Accreditations and Recognitions

8 2016 Primary Sites

10 Patients by State

11 Screening and Prevention Programs

12 Comprehensive Services

The information presented throughout the 2017 Cancer Registry Annual Report reflects the data collected from January 1 to December 31, 2016 unless otherwise noted.

594442 549 Analytic

487 Non-Analytic

1,036 Total Patients at Western Regional Medical Center

4 Cancer Treatment Centers of America® at Western Regional Medical Center

CANCER REGISTRY Report

The Western Cancer Registry

maintains a data system

designed for the collection,

management and analysis of

data on individuals diagnosed

with cancer. The Cancer

Registry has entered more than

5,235 cases into the database

since its reference year, 2011.

During 2016, 1,036 new cases were accessioned into the Cancer Registry database. Of these cases, 549 cases were analytic and 487 were non-analytic. “Analytic” patients are those who are diagnosed and/or receive all or part of their first course of cancer treatment at CTCA®. “Non-analytic” patients are those who receive subsequent cancer treatment at CTCA due to progressive or recurrent disease. There were 442 male patients and 594 female patients. Western accessioned patients from 48 states (including one international), with the largest portion of patients residing in Arizona.

The American College of Surgeons Commission on Cancer mandates that “A 90 percent follow-up rate is maintained for all analytic patients diagnosed within the last five years, or from the cancer registry reference date, whichever is shorter. A successful follow-up rate of 80 percent must be maintained on all analytic patients from the cancer registry’s reference date.” The Western Cancer Registry reference year is 2011. Western has exceeded this specified follow-up standard with a 90 percent follow-up rate.

The Cancer Registry staff performs the daily functions of the Tumor Registry and ensures data accuracy with continuous quality improvement reviews by Cancer Committee physicians. The Registry provides the Cancer Committee with information from which analysis of patient outcomes and evidence-informed clinical decision making can be performed.

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52017 C A N C E R R E G I S T R Y A N N UA L R E P O R T

CANCER REGISTRY Activities

Responded to 27 requests for data during 2016. The time required to process these requests was 104 hours.

Western Regional Cancer Registrars participated in the Arizona Cancer Registrars Association Education Workshop in Scottsdale Arizona

Submitted all required cases to the Arizona Central Cancer Registry

Coordinated and attended monthly Cancer Committee meetings

Maintained membership with the National Cancer Registrars Association

2017 ESTIMATED

Leading New Cancer Cases*

Men

Site U. S. Western

Prostate 41% 43%

Lung 30% 23%

Colon 12% 12%

Pancreas 7% 12%

Kidney and Renal Pelvis 10% 10%

Total 100% 100%

Women

Site U. S. Western

Breast 53% 58%

Lung 22% 15%

Thyroid 9% 10%

Pancreas 5% 9%

Colon 10% 8%

Total 100% 100%

* New leading cancer cases 2017. Estimates from the American Cancer Society “Cancer Fact and Figures” 2017 compared to 2016 analytic data at Western.

6 Cancer Treatment Centers of America® at Western Regional Medical Center

2017 CANCER CONFERENCE Report

Weekly Cancer Conferences were held at at Western and attended by a multidisciplinary team including medical oncology, radiation oncology, radiology, pathology and surgery. The nursing and ancillary staff also attended these conferences to ensure comprehensive representation for each patient’s specific case.

Altogether, these oncology experts reviewed cases in detail and discussed stage, prognostic indicators, National Comprehensive Cancer Network Guidelines (NCCN), and plans for appropriate diagnostic studies, therapies and clinical trials. These prospective, patient-oriented and multidisciplinary physician care planning meetings provide free consultations to our patients and education for the medical and hospital staff. During 2016, there were 33 General Cancer Conferences, 43 Breast Cancer Conferences and 37 Lung Cancer Conferences.

Primary Site Number of Cases

Anus 1

Appendix 2

Bile Duct 2

Bladder 2

Breast 134

Colon 1

Esophagus 2

Head/Neck 3

Kidney 4

Lung 90

Lymphoma 4

Pancreas 5

Prostate 13

Rectum 5

Sarcoma 5

Stomach 1

Uterus 1

Total 275

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Accreditations AND RECOGNITIONS

The Joint Commission Western received the Joint Commission’s Gold Seal of Approval® for Hospital Accreditation. This accreditation decision is awarded to a health care organization that demonstrates satisfactory compliance with applicable Joint Commission standards in all performance areas.

National Accreditation Program for Breast Centers ReaccreditationIn 2016, Western was reaccredited by the National Accreditation Program for Breast Centers (NAPBC) for its breast program. In 2013, Western became the first breast cancer center in the state of Arizona to receive this three-year, full accreditation. The NAPBC has established 27 standards that breast centers must meet to ensure all patients with breast disease receive the highest quality of care. The categories for these standards include breast center leadership, clinical management, research, community outreach, professional education and quality improvement.

Quality Oncology Practice Initiative RecertificationWestern is currently recognized as meeting the highest standards for quality cancer care by the Quality Oncology Practice Initiative (QOPI®) Certification Program, an affiliate of the American Society of Clinical Oncology (ASCO). The QOPI Certification Program provides a three-year certification for outpatient hematology-oncology practices. Western first received this accreditation in 2014 and was recertified in 2017. The QCP seal designates those practices that not only score high on the key QOPI quality measures, but also meet rigorous chemotherapy safety standards established by ASCO and the Oncology Nursing Society (ONS).

American College of Surgeons Commission on CancerWestern is currently accredited (June 2015 to June 2018) by the Commission on Cancer (CoC), a quality program of the American College of Surgeons (ACS), with the silver level commendation—the highest level of commendation possible for a new program. In addition, Western achieved commendation in Clinical Trial Accrual, Cancer Registrar Education, Public Reporting of Outcomes and Nursing Care.

Hospital Awards 2016

• Certified Participant in the National Quality Measures for Breast Centers ProgramTM

• Dr. Shauna Birdsall named “Top Doc” by Phoenix Magazine

Additional Accreditations

• College of American Pathologists (CAP) Laboratory Accreditation Program and Clinical Laboratory Improvement Act (CLIA) Accreditation

• American College of Radiology Mammography Accredited Facility

• American College of Radiology Computed Tomography Accredited Facility

• American College of Radiology Nuclear Medicine Accredited Facility

• American College of Radiology Positron Emission Tomography Accredited Facility

• American College of Radiology Magnetic Resonance Imaging Accredited Facility

• American College of Radiology Radiation Oncology Accredited Facility

• American College of Radiology Ultrasound Accredited Facility

• Mammography Quality Standards Act (MQSA) FDA Mammography Accredited Facility

• Quality Respiratory Care Institution from the American Association for Respiratory Care

8 Cancer Treatment Centers of America® at Western Regional Medical Center

Sex Class of Case Status Stage Distribution - Analytic Cases Only

Primary Site Total (%) M F Analy NA Alive Exp Stg 0 Stg I Stg II Stg III Stg IV 88 Unk Blank

ORAL CAVITY & PHARYNX 32 (3.1%) 21 11 17 15 27 5 2 2 2 3 7 0 1 0

Tongue 14 (1.4%) 11 3 7 7 12 2 2 0 0 1 3 0 1 0

Salivary Glands 3 (0.3%) 1 2 1 2 3 0 0 1 0 0 0 0 0 0

Floor of Mouth 1 (0.1%) 1 0 0 1 1 0 0 0 0 0 0 0 0 0

Gum & Other Mouth 3 (0.3%) 1 2 2 1 2 1 0 1 0 1 0 0 0 0

Nasopharynx 4 (0.4%) 2 2 2 2 3 1 0 0 2 0 0 0 0 0

Tonsil 3 (0.3%) 2 1 3 0 3 0 0 0 0 1 2 0 0 0

Oropharynx 1 (0.1%) 1 0 1 0 1 0 0 0 0 0 1 0 0 0

Hypopharynx 2 (0.2%) 2 0 1 1 1 1 0 0 0 0 1 0 0 0

Other Oral Cavity & Pharynx 1 (0.1%) 0 1 0 1 1 0 0 0 0 0 0 0 0 0

DIGESTIVE SYSTEM 240 (23.2%) 129 111 124 116 160 80 1 1 9 31 67 5 10 0

Esophagus 25 (2.4%) 21 4 21 4 12 13 0 0 1 6 11 0 3 0

Stomach 15 (1.4%) 6 9 10 5 8 7 0 0 2 2 4 0 2 0

Small Intestine 5 (0.5%) 4 1 1 4 5 0 0 0 0 0 1 0 0 0

Colon Excluding Rectum 64 (6.2%) 27 37 23 41 50 14 0 0 1 3 18 0 1 0

Cecum 2 0 2 1 1 2 0 0 0 0 0 1 0 0 0

Appendix 7 4 3 3 4 6 1 0 0 0 0 3 0 0 0

Ascending Colon 8 4 4 3 5 5 3 0 0 0 0 3 0 0 0

Hepatic Flexure 1 0 1 1 0 1 0 0 0 1 0 0 0 0 0

Transverse Colon 2 0 2 0 2 1 1 0 0 0 0 0 0 0 0

Descending Colon 1 0 1 1 0 0 1 0 0 0 0 1 0 0 0

Sigmoid Colon 13 7 6 7 6 10 3 0 0 0 3 4 0 0 0

Large Intestine, NOS 30 12 18 7 23 25 5 0 0 0 0 6 0 1 0

Rectum & Rectosigmoid 38 (3.7%) 21 17 19 19 32 6 1 0 3 5 6 1 3 0

Rectosigmoid Junction 2 1 1 1 1 2 0 0 0 0 0 1 0 0 0

Rectum 36 20 16 18 18 30 6 1 0 3 5 5 1 3 0

Anus, Anal Canal & Anorectum 4 (0.4%) 2 2 0 4 3 1 0 0 0 0 0 0 0 0

Liver & Intrahepatic Bile Duct 21 (2.0%) 15 6 11 10 13 8 0 0 1 2 5 3 0 0

Liver 19 14 5 10 9 11 8 0 0 1 2 5 2 0 0

Intrahepatic Bile Duct 2 1 1 1 1 2 0 0 0 0 0 0 1 0 0

Other Biliary 2 (0.2%) 2 0 2 0 1 1 0 0 0 1 0 0 1 0

Pancreas 60 (5.8%) 27 33 36 24 31 29 0 1 1 12 22 0 0 0

Peritoneum, Omentum & Mesentery 3 (0.3%) 1 2 0 3 2 1 0 0 0 0 0 0 0 0

Other Digestive Organs 3 (0.3%) 3 0 1 2 3 0 0 0 0 0 0 1 0 0

RESPIRATORY SYSTEM 120 (11.6%) 56 64 76 44 86 34 0 6 6 12 48 4 0 0

Nose, Nasal Cavity & Middle Ear 2 (0.2%) 1 1 1 1 2 0 0 0 0 0 0 1 0 0

Larynx 3 (0.3%) 1 2 1 2 2 1 0 0 0 0 1 0 0 0

Lung & Bronchus 113 (10.9%) 53 60 74 39 81 32 0 6 6 12 47 3 0 0

Trachea, Mediastinum & Other Respiratory Organs

2 (0.2%) 1 1 0 2 1 1 0 0 0 0 0 0 0 0

Primary Sites Summary by Body System, Sex, Class and Best CS/AJCC Stage Report

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Sex Class of Case Status Stage Distribution - Analytic Cases Only

Primary Site Total (%) M F Analy NA Alive Exp Stg 0 Stg I Stg II Stg III Stg IV 88 Unk Blank

BONES & JOINTS 3 (0.3%) 2 1 1 2 3 0 0 0 0 0 0 1 0 0

SOFT TISSUE (including Heart) 8 (0.8%) 6 2 2 6 8 0 0 0 0 1 0 0 1 0

SKIN EXCLUDING BASAL & SQUAMOUS 22 (2.1%) 16 6 13 9 18 4 1 3 2 4 1 0 2 0

Melanoma -- Skin 21 (2.0%) 16 5 12 9 17 4 1 2 2 4 1 0 2 0

Other Non-Epithelial Skin 1 (0.1%) 0 1 1 0 1 0 0 1 0 0 0 0 0 0

BASAL & SQUAMOUS SKIN 2 (0.2%) 0 2 0 2 2 0 0 0 0 0 0 0 0 0

BREAST 227 (21.9%) 1 226 130 97 214 13 11 52 39 17 10 0 1 0

FEMALE GENITAL SYSTEM 88 (8.5%) 0 88 28 60 78 10 1 7 1 9 2 2 6 0

Cervix Uteri 21 (2.0%) 0 21 4 17 18 3 0 1 0 2 0 0 1 0

Corpus & Uterus, NOS 32 (3.1%) 0 32 15 17 28 4 0 6 0 4 1 1 3 0

Corpus Uteri 25 0 25 15 10 22 3 0 6 0 4 1 1 3 0

Uterus, NOS 7 0 7 0 7 6 1 0 0 0 0 0 0 0 0

Ovary 28 (2.7%) 0 28 5 23 27 1 0 0 1 1 1 1 1 0

Vulva 2 (0.2%) 0 2 1 1 1 1 0 0 0 0 0 0 1 0

Other Female Genital Organs 5 (0.5%) 0 5 3 2 4 1 1 0 0 2 0 0 0 0

MALE GENITAL SYSTEM 116 (11.2%) 116 0 65 51 112 4 0 6 38 6 10 0 5 0

Prostate 113 (10.9%) 113 0 63 50 109 4 0 6 38 5 10 0 4 0

Testis 3 (0.3%) 3 0 2 1 3 0 0 0 0 1 0 0 1 0

URINARY SYSTEM 57 (5.5%) 45 12 29 28 49 8 3 11 2 2 8 0 3 0

Urinary Bladder 20 (1.9%) 16 4 9 11 19 1 2 2 2 1 2 0 0 0

Kidney & Renal Pelvis 37 (3.6%) 29 8 20 17 30 7 1 9 0 1 6 0 3 0

EYE & ORBIT 1 (0.1%) 0 1 0 1 1 0 0 0 0 0 0 0 0 0

BRAIN & OTHER NERVOUS SYSTEM 13 (1.3%) 10 3 4 9 9 4 0 0 0 0 0 4 0 0

Brain 11 (1.1%) 9 2 3 8 8 3 0 0 0 0 0 3 0 0

Cranial Nerves Other Nervous System 2 (0.2%) 1 1 1 1 1 1 0 0 0 0 0 1 0 0

ENDOCRINE SYSTEM 46 (4.4%) 14 32 31 15 45 1 0 22 1 2 1 1 4 0

Thyroid 45 (4.3%) 13 32 30 15 44 1 0 22 1 2 1 0 4 0

Other Endocrine including Thymus 1 (0.1%) 1 0 1 0 1 0 0 0 0 0 0 1 0 0

LYMPHOMA 30 (2.9%) 14 16 19 11 28 2 0 3 1 3 11 0 1 0

Hodgkin Lymphoma 5 (0.5%) 3 2 4 1 5 0 0 3 0 0 1 0 0 0

Non-Hodgkin Lymphoma 25 (2.4%) 11 14 15 10 23 2 0 0 1 3 10 0 1 0

NHL - Nodal 20 8 12 10 10 18 2 0 0 0 3 6 0 1 0

NHL - Extranodal 5 3 2 5 0 5 0 0 0 1 0 4 0 0 0

MYELOMA 5 (0.5%) 3 2 2 3 5 0 0 0 0 0 0 2 0 0

LEUKEMIA 6 (0.6%) 2 4 2 4 6 0 0 0 0 0 0 2 0 0

Lymphocytic Leukemia 5 (0.5%) 2 3 2 3 5 0 0 0 0 0 0 2 0 0

Myeloid & Monocytic Leukemia 1 (0.1%) 0 1 0 1 1 0 0 0 0 0 0 0 0 0

MESOTHELIOMA 1 (0.1%) 0 1 0 1 0 1 0 0 0 0 0 0 0 0

MISCELLANEOUS 19 (1.8%) 7 12 6 13 16 3 0 0 0 0 0 6 0 0

Total 1,036 442 594 549 487 867 169 19 113 101 90 165 27 34 0

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10 Cancer Treatment Centers of America® at Western Regional Medical Center

Patients BY STATE

Alabama 2Alaska 20Arizona 332Arkansas 4California 161Colorado 28Connecticut 1Delaware 2Florida 6Georgia 3Hawaii 20Idaho 20Illinois 6Indiana 4Iowa 0

Kansas 11Kentucky 3Louisiana 5Maine 1Maryland 6Massachusetts 1Michigan 3Minnesota 5Mississippi 2Missouri 13Montana 22Nebraska 1Nevada 65New Hampshire 0New Jersey 1

New Mexico 42New York 6North Carolina 3North Dakota 6Ohio 3Oklahoma 24Oregon 32Pennsylvania 9Rhode Island 1South Carolina 1South Dakota 5Tennessee 2Texas 68Utah 9Vermont 1

Virginia 6Washington 43West Virginia 1Wisconsin 1Wyoming 18

INTERNATIONALMexico 3

112017 C A N C E R R E G I S T R Y A N N UA L R E P O R T

Screening and Prevention PROGRAMS

Colon Cancer Screening and Prevention Project According to the American Cancer Society®, over the past ten years, colorectal cancer incidence rates have dropped by 30 percent in the United States among adults 50 and older. This drop is almost entirely attributed to screening and prevention. Yet colorectal cancer is the second-leading cause of cancer-related deaths in Arizona. Because of this, the Arizona Cancer Coalition and the Arizona Department of Health Services set a goal for the state of Arizona to have 80 percent of adults aged 50 and older screened for colorectal cancer by 2018.

In an effort to work toward this goal, Western partnered with several organizations within the Arizona community to host the first Latino Colon Cancer Screening and Prevention Project. The event, held in January 2016 at the Wesley Community and Health Center, educated more than 100 members of the community about colon cancer awareness and screening as well as nutrition guidelines for colon cancer prevention. Of the 126 individuals in attendance, 60 people were identified as needing a screening. Of those 60, 30 individuals received a fecal immunochemical test (FIT) kit and 12 received a colonoscopy. Of the 24 FIT tests that were returned, three identified positive results.

“Cardinals Against Cancer” Skin and Oral Cancer ScreeningIn an effort to raise awareness for both skin cancer and oral cancer, Western partnered with the Arizona Cardinals for a Cardinals Against Cancer event in Tempe, Arizona.

With 16 physicians, including dentists and dermatologists from various practices within the Phoenix community, 156 members of the community were screened for oral cancer while 383 members of the community were screened for skin cancer. Of the 156 oral cancer screenings, three people needed follow-up. Of the 383 skin cancer screening, 129 people needed follow-up.

Breast Cancer ScreeningsBreast cancer is the leading cancer among women in Arizona, according to the Arizona Department of Health Services. To assist women in getting the proper breast cancer screening and education, Western partnered with Golden Gate Community Center to provide two screening events in 2016. The first event was held in November and provided 38 mammograms, with no follow-ups needed. The second event was held in December and provided 38 mammograms, also with no follow-ups needed.

In addition to mammograms, women were provided educational materials about nutrition, breast health, colon health and sun safety.

2 screening events

sponsored in 2016

76 mammograms

156oral cancer screenings

383 skin cancer screenings

100+attendees educated about colon cancer

30FIT kits

12colonoscopies

12 Cancer Treatment Centers of America® at Western Regional Medical Center

Comprehensive SERVICES

CardiopulmonaryStress TestingElectrocardiogram

Chemotherapy/Immunotherapy/ Targeted TherapyBio TherapiesChemoembolizationChemoradiationGenomic-based TherapyHigh-Dose ChemotherapyImmunochemotherapyImmunotherapyIntrathecal ChemotherapyIntravenous ChemotherapyMonoclonal Antibody TherapyOral ChemotherapyTargeted Drug TherapiesChiropractic ServicesBlood Flow EnhancementFatigue ManagementFlexibility EnhancementJoint MobilizationNervous System EnhancementNeuromuscular ReeducationSoft Tissue MobilizationSomato-Viscero Reflex Enhancement

Critical CareIntensive Care UnitInvasive and Minimally Invasive

Cardiac Monitoring

DiagnosticsImagingAll Digital: Portable Fluoroscopy and X-Rays• Barium Swallow or Enema• Chest X-Ray• Bone Density (Dexa)Computed Tomography (CT) Scan• CT Angiography with 3D CT

• CT Fluoroscopy• Magnetic Resonance Imaging (MRI)• MR Computer-Aided Detection (CAD)Mammography 3D Mammography• Breast Needle Localization• MRI Computer-Aided Detection (CAD) for

Mammography• MRI-Guided Breast Biopsy• Sentinel Lymph Node Mapping and ImagingNuclear Medicine Imaging• Bone Scan• Multiple-Gated Acquisition (MUGA) Scans• Quantitative Ventilation Perfusion StudiesUltrasoundEchocardiogram (ECHO)

Laboratory and PathologyComprehensive Diagnostic and Therapeutic

Laboratory Services for Patients (seven days a week, including holidays)

Clinical and Anatomic PathologySpecimen ProcessingPatient Specimen TestingDistribution of Blood and Blood ProductsBone Marrow Aspirations and BiopsyFrozen Section and Special StainsImmunohistochemistry Stains

GastroenterologyCeliac Plexus Neurolysis (CPN)ColonoscopyCryoablationEndoscopic Mucosal Resection (EMR)Endoscopic Retrograde Cholangiopancreatography

(ERCP) (including for Altered Anatomy)Endoscopic SuturingEndoscopic Ultrasound (EUS)Esophagogastroduodenoscopy (EGD)Fiducial Marker PlacementFlexible SigmoidoscopyHemorrhoidal BandingNutritional/Metabolic SupportPercutaneous Endoscopic Gastrostomy (PEG)

Technologies, Treatments and Services at Western

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PlacementPercutaneous Endoscopic Jejunostomy (PEJ)

PlacementPhotodynamic TherapySingle Balloon EnteroscopyStent PlacementVariceal Treatment (Esophageal and Gastric)Video Capsule Endoscopy

Gynecologic OncologyAblation of Intra-Abdominal TumorsAnterior and Posterior ColporrhaphyCervical and Uterine HDR BrachytherapyColposcopyCone Biopsy/Loop Electrosurgical Excision Procedure

(LEEP)Full Range of Open Laparoscopic Gynecologic

SurgeryFull Range of Robotic Gynecologic SurgeryHysterectomyHysteroscopyInguinal LymphadenectomyIntraperitoneal ChemotherapyOmentectomyOvarian Cancer Debulking and StagingRadical VulvectomyDilation and CurettagePlacement of Levonorgestrel IUD

Interventional PulmonologyAirway StentsArgon Plasma Coagulation (APC)ElectrocauteryBalloon BronchoplastyCryotherapyEndobronchial HDR BrachytherapyEndobronchial Ultrasound (EBUS)Endobronchial ValveFiducial Marker PlacementIndwelling Pleural CatheterLung Nodule AnalysisNavigational BronchoscopyPhotodynamic Therapy (PDT)

Pleurodesis (with Chemotherapy or Talc)/Pleuroscopy

Pulmonary Function Testing (PFT) (including Spirometry, Lung Capacity Studies, Diffusion Analysis and Methacholine Airway Challenge)

Rigid Ventilating Bronchoscopy and Flexible Bronchoscopy

Thoracentesis and Pleural BiopsyTransbronchial Needle Aspiration

Interventional RadiologyAbscess Drainage and Fluid Collection ManagementAblation• Cryoablation• Irreversible Electroporation (NanoKnife®)• Microwave Ablation• Radiofrequency Ablation (RFA)Angiography/Angioplasty/Stent PlacementsArterial Infusion Catheter PlacementArteriographyBiopsy (CT-Guided, US-Guided)• Bone MarrowInferior Vena Cava FilterIntrathecal Chemotherapy AdministrationMammography 3D Tomo Digital Mammography• Breast Needle LocalizationParacentesisPercutaneous Biliary Drainage (Internal and/or

External Stent Placements)Percutaneous Gastrostomy/GastrojejunostomyPercutaneous Image-Guided BiopsyPercutaneous Nephrostomy/Urology ProceduresPortal Vein EmbolizationSir Sphere® Y-90 MicrosphereRadioembolizationTheraSphere® RadioembolizationTransarterial Therapy• Bland Embolization• Intra-Arterial Chemotherapy (IAC)• RadioembolizationVenous Angioplasty/StentingVertebral Augmentation (Kyphoplasty)

and Vertebral Tumor Ablation

14 Cancer Treatment Centers of America® at Western Regional Medical Center

Mind-Body MedicineCounseling (Individual, Couples, Family)Expressive Arts (Music)Relaxation and Guided Imagery TrainingStress Management

Naturopathic MedicineAssessment of Herb-Drug-Nutrient InteractionsIntegrative Medicine Consultation for Oncology

Patients Undergoing Conventional Treatment for Symptom Management and Quality of Life

Counsel Patient on Appropriate and Effective Lifestyle Choices During Treatment

For Patients in Survivorship: Evidence-informed Practices for Prevention of Recurrence

NeurosurgeryBiopsyBrain LAB Stereotactic Radiation SurgeryCraniotomyEndonasal EndoscopyPlacement of an Ommaya ReservoirShunt Placement Stereotactic Radiosurgery (SRS)

Nutrition TherapyDiet and Lifestyle CoachingBioelectrical Impedance Analysis (BIA)Diabetes Self-Management Education ProgramIndirect Calorimetry TestLaboratory Blood Analysis (Nutrition Panel, including

Iron Panel, Vitamin D, Prealbumin)Nutrition AnthropometricsNutrition EducationParenteral and Enteral Nutrition

Oncology RehabilitationPhysical Therapy• Therapeutic Exercise• Manual Therapy• Soft Tissue MobilizationScar Tissue MobilizationsWound CareLymphedema ServicesAuriculotherapyPulmonary RehabNeuromuscular Re-educationGait TrainingWomen’s/Men’s HealthOccupational Therapy

• Functional Capacity/DI Evaluations• ADL Retraining• Fatigue ManagementFlexibility ProgramsInteractive MetronomeKinesiotapingSpeech Language Pathology• Cognitive Therapy• Oral Language Therapy• Dysphagia InterventionsAcupunctureMassage Services• Medical Massage• Myofascial Release• Neuromuscular Therapeutic Massage• Tuning for Therapy• Reflexology• Reiki

Orthopedic OncologyHip and Joint ReplacementImplants (e.g., Metal Implants, Prosthesis)Limb Salvage SurgeryRodding/Rod FixationTumor Resections

Pain ManagementAnatomical Landmark-Guided ProceduresBlocks of Somatic and Visceral Cancer Pain SyndromesCaudal, Lumbar, Thoracic and Cervical Epidural

Steroid InjectionCeliac Plexus Neurolysis (CPN)Facet Joint InjectionsKyphoplasty, Vertebroplasty and Vertebral AblationMinor and Major Joint and Bursa InjectionsNerve Block/Nerve Root BlockNerve InjectionsImplanted Pain PumpsContinuous Infusion Local Anesthetic Nerve BlocksPeripheral and Central Somatic Nerve and Plexus

BlocksTranscutaneous Electric Nerve Stimulation (TENS)Trigger Point InjectionsTargeted Therapy Catheter Placements (for various

nerve sheaths)Narcotic/Opioid Minimizing TherapyImplanted Spinal Cord StimulatorTrigeminal Nerve BlocksNerve Blocks for Surgery Pain

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Radiation OncologyExternal Beam Radiation Therapy (EBRT)High-Dose Rate (HDR) BrachytherapyImage Guided Radiation Therapy (IGRT)Intensity Modulated Radiation Therapy (IMRT)Intraoperative Radiation Therapy (IORT)Large Bore CT/RT with SimulationLocal HyperthermiaRadioactive ProtectantsStereotactic Body Radiation Therapy (SBRT)Systematic Radiation TherapyTomoTherapy® HI-ARTVarian® Linear Accelerator Triology with RapidArc

and SBRT

Spiritual SupportAssistance with Advanced Directives

and/or Living WillsCrisis InterventionFamily ConsultationsGrief and Bereavement Counseling and ReferralInterface with Local Pastor and ChurchNon-Denominational Worship ServiceOur Journey of Hope® ProgramPrayer (Individual and Group)Spiritual CounselingTelephone Consultations

SurgeryAutologous Fat Grafting (Breast Reconstruction)Breast Surgery, including Lumpectomy and

Mastectomy/Breast Conservation/ReconstructionCytoreductive (Debulking) Surgeryda Vinci® Surgical SystemDiagnostic/Staging SurgeryEnteroscopyHead and Neck SurgeryHyperthermic Intraperitoneal Chemotherapy (HIPEC)Intraoperative UltrasoundLaryngectomy with Voice Restoration ProcedureLiver ResectionMelanoma SurgeryMinimally Invasive SurgeryNeck DissectionNeobladder FormationOncoplastic and Breast Reconstructive SurgeryPancreas ResectionReconstructive MicrosurgeryRobotic SurgerySentinel Lymph Node BiopsySPY Elite SystemThoracoscopic ResectionsUrological SurgeryVascularized Lymph Node TransferVideo-Assisted Thoracic Surgery (VATS)

Cancer Treatment Centers of America® at Western Regional Medical Center

14200 W. Celebrate Life Way Goodyear, Arizona 85338

cancercenter.com | 800-333-CTCA

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