The University of Michigan Comprehensive Cancer Center was established in 1986 as a Center of Excellence at the University of Michigan (U-M) Medical Center and received its comprehensive designation by the National Cancer Institute. The Center is committed to the conquest of cancer through innovation and collaboration between scientists and clinicians to achieve superior and compassionate patient care; scientific and technological innovation in cancer research, prevention, control, and treatment; and excellence in training cancer researchers and health care providers.

The nine-story Cancer Center building opened in May 1997 on the U-M Medical Center campus, placing patient care and research in the same building, and facilitating communication between specialists and the quick transfer of research findings into the clinic. The building offers diagnostics, treatment, and support services dedicated to cancer patients all under one roof, along with convenient parking.

The Center offers a comprehensive array of more than 30 supportive services, including a Patient Education Resource Center, Complementary Therapies, Nutrition Counseling, Child and Family Life Services, Art Therapy, and Social Work Services. Dedicated, highly trained professionals promote healing through these support services and are assisted by a team of volunteers, including many cancer survivors.

The Center has approximately 400 physicians/researchers who receive nearly $80 million in annual total grant funding. The UMCCC consistently ranks highly in the U.S. News and World Report listing of Top Hospitals.

Multidisciplinary Teams	The UMCCC has 14 multidisciplinary clinics that bring together in one setting all the experts needed to develop comprehensive diagnosis and treatment plans. In fact, the U-M Cancer Center has received national attention as a model for its tumor-based team approach to optimize coordination of care for both adult and pediatric patients. Working in teams, with colleagues in local communities throughout Michigan and at other leading centers in the country (NCCN), Cancer Center physicians use an array of advanced methods to detect cancer early and treat it aggressively. The 14 multidisciplinary teams are as follows: � Blood and Marrow Transplant � Lymphoma � Breast Care � Melanoma � Endocrine/Adrenal � Merkel Cell � Gastrointestinal � Neuro-Oncology � Head and Neck � Pancreatic � Liver � Sarcoma � Thoracic/Lung � Urologic
Special Expertise	In addition to the above multidisciplinary clinics which offer a depth of expertise across cancer disciplines in medicine, surgery, radiation oncology, pathology, and radiology, the Cancer Center also has teams with specialized expertise in cutaneous, pediatric, orthopedic, and gastrointestinal and gynecologic cancers as well as hematologic disorders, breast and ovarian cancer risk evaluation, cancer genetics, fertility counseling, gamete cryopreservation and psych-oncology.

General Information

General Information	Cancer AnswerLine: 800.865.1125
Physician-to-Physician Communications	800.962.3555
Location	Ann Arbor, Michigan Located 30 minutes from Detroit Metropolitan Airport.
Facility	The Cancer Center is part of the University of Michigan Health System, located on the northeast corner of the University of Michigan campus in the center of Ann Arbor. The city of Ann Arbor is located 35 miles west of Detroit, the largest metropolitan area in the state. The Cancer Center is located at the north entrance of the Medical Center and is connected to the University Hospital. It houses the Cancer Center's outpatient clinics, infusion center, blood draw and radiology services. Convenient evening and Saturday hours are available to patients receiving infusions. Urgent care services for adult cancer patients are offered Monday through Saturday so patients do not have to visit the U-M Hospital's emergency room for non-emergent, cancer-specific needs. The UMCCC was designed with significant patient input in order to be attractive and comforting to patients, with emphasis on patient-centered care. A full range of support services are offered, including patient education, nutrition, onsite pharmacy, Survivors Art Gallery, and a full array of patient support services.
Travel Assistance	The UMHS has a Guest Assistance Program (GAP) that provides assistance to our patients and families across the spectrum of needs, including transportation by motor vehicle and plane. Information on the GAP can be viewed online at www.med.umich.edu/gap.
Lodging	The Guest Assistance Program is dedicated to assisting patients and families with lodging in and around Ann Arbor. Special accommodations are also available for BMT patients.

Treatment

All Disease Centers listed below can be reached by calling 800.865.1125.

� Adrenal Cancer

� Blood and Marrow Transplant

� Breast Care Center

� Breast and Ovarian Risk Evaluation

� Breast Wellness

� Fertility Counseling and Gamete Cryopreservation

� Gynecologic Oncology

� Head and Neck

� Hematology Oncology

� Leukemia

� Liver

� Long Term Follow-Up Clinic

� Lung

� Lymphoma

� Melanoma

� Neuro Oncology

� Pancreatic

� Pituitary/Neuroendocrine

� Urologic Oncology (prostate, kidney, bladder, testes)

� Radiation Oncology

� Sarcoma

� Surgical Oncology

� Thoracic Surgery Oncology

Blood and Marrow Transplant Program

The following diseases may be treated using autologous, allogenic, or cord blood stem cell transplant:

� Acute and Chronic Leukemias

� Congenital Disorders of Hematopoiesis and Immunity

� Aplastic Anemia

� Myelodysplastic Syndromes

� Myelofibrosis

� Non-Hodgkin's Lymphoma

� Refractory Hodgkin's Disease

� Thalassemia, Sickle Cell Anemia, and other Hemoglobin Disorders

� Germ Cell Tumors

� Hodgkin's Disease

� Multiple Myeloma

� Solid Tumors

Alternative/Complementary Medicine

The mission of the U-M Cancer Center's Complementary Therapies Program is to complete the circle of care by integrating complementary therapies with conventional medical treatment. The Complementary Therapies Program does not encompass clinical trials; however, it does offer the following services:

� Acupressure

� Acupuncture

� Art Therapy

� Guided Imagery

� Massage Therapy, Meditation

� Music Therapy

� Yoga

� Nutrition Services

Patients can learn more about any of these programs by contacting the Patient Support Services staff at 734.615.4012. Visit the Web site at www.cancer.med.umich.edu/support/patient_support.shtml for more information.

Long-Term Follow-Up (Late Effects) Clinic

The University of Michigan Comprehensive Cancer Center's Long-Term Follow-Up Clinic was opened in 1999 to meet the needs of adolescents and young adults diagnosed with a malignancy in childhood or adolescence who have been out of treatment for at least five years. The clinic focuses on the patient's whole life situation, not only on their cancer. Survivorship issues are addressed, including feelings of isolation from one's peer group, neurocognitive problems, and growth and fertility concerns.

Visit the Web site at www.cancer.med.umich.edu/clinic/longtermclinic.htm for more information.

Cancer Prevention and Screening

The Cancer Center conducts regular screenings in the community for head and neck, skin, and prostate cancers free of charge. Smoking cessation and nutritional counseling are offered to Cancer Center patients free of charge as well.

Support Services

The Cancer Center offers over a dozen different support groups, ranging from parents of children with cancer to specific support groups for patients and survivors of bladder, gynecological, head and neck, lung, breast, and numerous other cancers, including groups for young adults. In addition, the U-M Department of Psychiatry, working with the Cancer Center, provides individual and group therapy for patients and families. The Cancer Center's PsychOncology program offers several counseling and therapy options for patients and family members living with advanced cancer. All group therapy sessions are guided by trained professionals who are able to address a variety of family and employment issues.

Supportive Care

Pain Service

Services are coordinated through the U-M Multidisciplinary Pain Center, and are limited to patients of the U-M Health System by physician referral only. For appointments, call 734.763.5459.

Palliative/Supportive Service

Palliative Care at the Cancer Center is directed by Susan Urba, MD, Associate Professor, Internal Medicine/Division of Hematology/Oncology. Dr. Urba is a medical oncologist with a major interest in clinical research in head and neck cancer and pain management.

Home Care/Hospice Service

The Cancer Center's Patient Support Services Department provides referral to home care and hospice services. The Center does not operate such facilities/services.

Nutrition Service

In addition to making dieticians available for cancer inpatients and BMT patients in particular, the Cancer Center employs two full-time nutritionists to offer counseling to all newly-diagnosed cancer patients (1.5 devoted to adult/0.5 devoted to pediatric patients).

Rehabilitation Service

The UMCCC offers a full range of rehabilitative services, including physical therapy, occupational therapy, nausea and fatigue management, speech therapy, and lymphedema management.

Cooperative Group Membership

Cooperative Group Membership List	The UMCCC participates in: � SWOG � RTOG � CCG � ECOG � CALGB � NCCTG � NCIC � GOG
Activities in Cooperative Group	Several faculty have leadership roles in SWOG and CCG. Effective 2005 Dr. Laurence Baker serves as head of SWOG.
Average Number of Adult Clinical Trials	In 2007, the UMCCC enrolled 691 patients on therapeutic trials.

Clinical and Research Efforts

The collaboration and regular contact that occurs in the Cancer Center due to the juxtaposition of clinicians and researchers under one roof encourages translational research. Through these collaborations, new investigator-driven clinical trials have been developed that provide patients with a full range of treatment options, and ultimately lead to better approaches to the prevention, diagnosis, and treatment of cancer. U-M is a national leader in cancer research, having consistently ranked among the top 10 cancer centers in the U.S. based on research funding from the National Cancer Institute.

Adult Oncology Program*

No. of Inpatient Beds (Medical/Surgical)	No. of Admissions	Average Length of Stay (days)	No. of New Outpatients	No. of Oncologists (Medical and Surgical)
64	4,142		13,488	90

*July 1, 2006 - June 30, 2007

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