Suggested Pre-Referral Evaluation and Management Guidelines
Referral is indicated when:
patient with FAP is ready to discuss and proceed with surgery (often late adolescence/early adulthood)
malignancy is detected
Patient should have colonoscopy demonstrating findings consistent with this diagnosis. Genetic testing is recommended, though not required, before patient is seen in clinic.
If colonoscopy and biopsy were performed outside of the UMHS system, reports should be faxed and pathology slides should be mailed for confirmatory review by our pathologists at or before the time of the clinic visit. Receiving these prior to the clinic visit is preferable.
Suggested Additional Test/Management Prior to Specialty Visit
- Genetic testing
- If malignancy is detected, CT scan with IV and po contrast of the chest, abdomen, and pelvis within 6 weeks of the clinic visit
- Labs to include comprehensive metabolic panel, CBCP, PT, PTT, and CEA
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.
1-2 weeks, when malignancy detected
2-3 weeks if no malignancy
How to Get Results to Consultant
UMHS Patients: See MiChart
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
1500 East Medical Center Drive, SPC 5343
Ann Arbor, MI 48109-5343