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Overview

The Hematology Program at Smilow Cancer Hospital offers the most comprehensive services for the diagnosis and treatment of blood cancers in the region. Our services are designed to meet each patient’s physical, emotional and psychological needs. Physicians within the program are organized into a multispecialty team that discusses the treatment plans for patients until consensus is reached on the best management course for each individual patient.

Physicians and scientists are still trying to grasp the causes behind myeloma, leukemia and lymphoma, the three major groups of blood cancers. But there is positive news: Advances in cancer care, some of which came from research at Yale Cancer Center, are increasing survival rates, leading to better blood cancer treatments and curing an increasing number of patients with these blood diseases.

At Smilow Cancer Hospital, we have an expert hematopathology diagnostic team capable of pathologic review of lymph nodes and bone marrow with in-depth molecular and cytogenetic analysis. Every diagnostic technique is available including: bone marrow examination, bone imaging, M protein analysis, cytogenetics, immunophenotyping, and FISH and PCR analysis. Diagnostic analysis also includes relevant genetic testing and the identification of markers of prognosis. Yale Cancer Center maintains a tissue bank used for novel research studies in blood cancer treatment and prevention.

Our physicians are finding particular success treating patients with various blood cancer types such as lymphoma, the most common blood cancer, now curing up to 80 percent of patients with Hodgkin's lymphoma. Dramatic advances have also been made in therapy for certain forms of leukemia, for example, with the development of molecularly targeted therapies such as Gleevec® for a leukemia termed chronic myeloid leukemia (CML). The outlook for patients with myeloma, another blood cancer, has also significantly improved over the last decade, with the introduction of new therapies such as thalidomide and bortezomib.

Diagnostic Expertise

We have an expert hematopathology diagnostic team capable of pathologic review of lymph nodes and bone marrow with in-depth molecular and cytogenetic analysis. Every diagnostic technique is available including: bone marrow examination, bone imaging, M protein analysis, cytogenetics, immunophenotyping, and FISH and PCR analysis. Diagnostic analysis also includes relevant genetic testing and the identification of markers of prognosis. Yale Cancer Center maintains a tissue bank used for novel research studies in cancer treatment and prevention.

Patient-Centered Care

Patients at Smilow Cancer Hospital have the advantage of easy access to a disease-based multispecialty team with special interest and clinical expertise treating lymphoma, leukemia and myeloma. Physicians in medical oncology, hematology and radiation oncology meet regularly to discuss patient care and to develop a comprehensive treatment plan unique for each patient.

Patients and referring physicians can be assured of continuity of care. Referring physicians receive a summary of the transplant procedure and most patients return to their physician within two months of a stem cell transplant. Local referring physicians are welcome to and often participate in the Lymphoma Tumor Board to discuss the history and care of their patient with Yale Medicine physicians. Coordination continues with home care and supportive oncology, both integral parts of the treatment plan. Smilow Cancer Hospital has an extensive second opinion practice and collaborates with out-of-area physicians to coordinate patient care locally.

Additionally, patients have access to caregivers who help them cope with the physical, emotional and psychological issues related to these cancers. Advanced Practice Nurses and Social Workers assist with education, general information and practical issues of travel and accommodation assistance.

Treatments and Programs

The overall aim of treatment is to bring about a complete remission. Treatment approaches for blood cancers may include chemotherapy, radiation oncology, stem cell or marrow transplantation, or immunotherapy. For maximum effectiveness, each patient receives an individual treatment plan, which includes standard care and/or clinical trials. Clinical Trials offering novel treatment options are available through Yale Cancer Center.

CAR T-Cell Therapy

The CAR T-Cell Therapy Program at Smilow Cancer Hospital brings an innovative new immunotherapy treatment option to patients with certain blood cancers.

Learn more about CAR-T-Cell Therapy

Classical Hematology

Classical hematology, or “benign” hematology, is non-cancer related blood disorders. Our hematologists provide a full spectrum of care to patients with non-malignant hematology disorders, and participate in research to advance treatment options for their patients.

The types of disorders that we care for are varied and include thrombosis, anemia, bleeding and platelet disorders.

Cutaneous Lymphoma Expertise

There are a variety of lymphoma treatment options available for cutaneous T and B-cell lymphoma and many patients are able to live relatively normal lives during and following therapy. Early diagnosis, cutting-edge lymphoma treatment, and novel therapies provide a significant benefit to patients with cutaneous lymphomas at Yale Cancer Center and throughout the world.

Yale Cancer Center continues to make innovative advances in the diagnosis and treatment of cutaneous lymphoma through the focused efforts of a ground-breaking clinical research team. Their multispecialty approach to the treatment of patients with cutaneous lymphomas has led to the development of FDA approved lymphoma treatments that are now the standard of care worldwide.

Myelodysplastic Syndromes

Myelodysplastic Syndromes (MDS) are a group of diverse bone marrow disorders in which the bone marrow does not produce enough healthy blood cells. A diagnosis is usually made using a bone marrow biopsy and there are typically not any early signs or symptoms. At Smilow Cancer Hospital, there are different treatment options available to patients, including clinical trials. Patients are treated based on their individual clinical and genetic features and classified as either lower risk or higher risk. Certain patients can be cured with aggressive treatment with chemotherapy followed by stem cell transplant using stem cells from a donor.

Sickle Cell Program

Smilow Cancer Hospital offers a comprehensive program to meet the needs of patients with sickle cell anemia, also known as sickle cell disease. This program provides comprehensive services to meet the needs of patients and families living in the Greater New Haven area. The Sickle Cell Program's objectives are to educate the community, patients, families and health care providers about sickle cell disease, and reduce the number of hospitalizations and emergency room visits. The program offers high-risk adults the opportunity to be seen in the hematology clinic.

Learn more about the Sickle Cell Program

Specialized Resources

Our patients benefit from specialized resources such as the state-of-the-art nuclear imaging technology, one of the largest total skin electron beam radiation oncology program worldwide, 3D conformal radiotherapy, intensity modulated radiation therapy (IMRT) and Gamma Knife services

Stem Cell Transplantation

The Stem Cell Transplant and Cellular Therapy Program at Smilow Cancer Hospital offers treatment with bone marrow transplants, CAR-T cells, Tumor Infiltrating Lymphocytes (TIL), and gene therapies, as well as cellular therapy clinical trials for different types of cancers as well as non-cancerous diseases. We offer a multidisciplinary team of cancer experts who care for adult patients. Children are cared for at Yale New Haven Children’s Hospital. Our multidisciplinary team of cancer experts offers a comprehensive program and access to clinical trials through our affiliation with Yale Cancer Center, Connecticut’s only National Cancer Institute-Designated Comprehensive Cancer Center.

Learn more about Stem Cell Transplant and Cellular Therapy

T Cell Lymphoma

T Cell Lymphomas have a number of different subtypes. The hematology team at Smilow Cancer Hospital has expertise in profiling patient’s tumors to determine the specific genetic mutations so treatment can be tailored. Novel monoclonal antibodies, targeted therapies, and inhibitors are all in study through clinical trials providing multiple options to patients. The role of stem cell transplants, both in newly diagnosed and relapsed patients, is also a treatment consideration that the team discusses at Tumor Board based on stage, health, and donor availability.

Yale School of Medicine

Yale New Haven Health is proud to be affiliated with the prestigious Yale University and its highly ranked Yale School of Medicine.