CONSULT REQUEST GUIDELINES                                                                         Print

Anal Cancer, including anal canal cancer in situ (Bowen’s disease), squamous cell cancer of anal canal, squamous cancer of perianal skin, verrucous cancer

Suggested Pre-Referral Evaluation and Management Guidelines View photos of Bowen's disease and various cancers:
Bowen's disease
Bowen's disease 2
Bowen's precursor
Perianal basal cell cancer
Squamous cancer
Verrucous cancer

Referral is indicated if the patient has a suspicious anal skin lesion (firm, enlarging, exophytic, ulcerated, bleeding, non-healing)

Confirmatory biopsy is preferred.

If biopsy results are outside of the UMHS system, pathology report should be faxed and pathology slides should be mailed for confirmatory review by our pathologists.
Suggested Additional Test/Management Prior to Specialty Visit
  • Screening colonoscopy is suggested if patient is >50 years or at high risk. Need not be done prior to visit.
  • If pathology is invasive anal cancer, CT with oral and IV contrast of chest, abdomen and pelvis will be needed.
  • Reports of any testing performed outside of the UMHS system and radiologic images on CD should be available for review at or before the time of the clinic visit. Receiving these prior to the clinic visit is preferable.
    Patient Education/Information (includes preps)
    Appointment Timeframe Invasive anal cancer, 1 week
    Cancer in situ, perianal skin cancer, 2 weeks
    How to Get Results to Consultant UMHS Patients: See MiChart
    External Patients:
    Reports and/or medical records can be faxed to 734-232-6189

    CDs can be hand-carried to the appointment

    Reports, medical records, CDs, and pathology slides can be mailed to:
    Division of Colorectal Surgery
    Attention: Jain Carver
    2124 Taubman
    1500 East Medical Center Drive, SPC 5343
    Ann Arbor, MI 48109-5343
    Clinic Contact Information Physicians: 800-962-3555
    Patients: 734-615-7565
    Clinic Location Sites Colorectal Surgery Clinic
    UM Consulting Physician Karin M Hardiman, MD
    Arden Marie Morris, MD
    Scott E Regenbogen, MD
    Revised on: 09/19/2012



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