When to Refer a Patient for Lymphoma with Dr. Pinilla
Dr. Javier Pinilla, Senior Member and Head of Lymphoma Section in the Department of Malignant Hematology, discusses when community providers should consider referring patients to a lymphoma specialist and how to make that process smoother.
We break it down:
• When to suspect malignant hematology lymphoma cancers
• What to do before referring
Our goal is to simplify referrals and ensure patients receive specialized evaluation as early as possible.
Thanks for watching! Subscribe to Cancer Chats with Marina to get the latest updates from our Physician Liaisons and Moffitt Providers.
To refer a patient to Moffitt, use our online form or contact a physician liaison. Online referrals are typically responded to in 24-48 hours.
Video Transcript
Marina
Welcome to Cancer Chats with Marina. Today we’re joined by Dr. Javier Pinilla, a malignant hematology specialist. Thank you, Dr. Pinilla, for being with us on this episode. We’ll be talking about early warning signs of B-cell lymphomas—clues that community providers should not ignore.
Dr. Pinilla, many patients come in with swollen lymph nodes. When should a provider consider that this could be more than just an infection and think about lymphoma?
Dr. Pinilla
Swollen lymph nodes are common with infections, but if they last more than three to four weeks, feel firm, or continue to grow, providers should think beyond infection. That’s when we consider ordering blood work or imaging to rule out lymphoma.
Marina
Another symptom that can be overlooked is persistent itchy skin without a rash. Why should community physicians take that seriously in the context of lymphoma?
Dr. Pinilla
Persistent itching without a rash is unusual. In lymphoma, it may be related to substances released by the cancer cells. If there’s no obvious dermatologic cause, it’s important to keep lymphoma in mind and investigate further.
Marina
If these symptoms appear—swollen nodes, unexplained itching—what steps should providers take to ensure patients get the right tests and referrals quickly?
Dr. Pinilla
If you see these signs, the best next steps are a complete blood count, basic imaging like an ultrasound or CT, and referral to hematology. Early referral allows us to make a timely diagnosis and start treatment when outcomes are better.
Marina
Dr. Pinilla, thank you for highlighting the importance of not dismissing persistent symptoms. The key takeaway for our providers: early evaluation and referral can make a critical difference for patients with B-cell lymphoma.
And thank you for watching this episode of Cancer Chats with Marina. If you need to refer a patient, please email Physician.Relations@moffitt.org.
