Rectal Cancer, Rectosigmoid Cancer (less than 15 cm from anal verge)
Suggested Pre-Referral Evaluation and Management Guidelines
Referral is indicated if patient has biopsy proven cancer in rectum (<15 cm from anal verge) or a suspicious rectal mass.
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
Additional tests which may be ordered:
CT scan with oral and IV contrast of chest, abdomen, pelvis within 6 weeks of the appointment
Endoscopic ultrasound (rectum). Colorectal surgery performs 3D endorectal ultrasound. This diagnostic study can be scheduled, through them, prior to initial clinic consultation
MRI of pelvis. This MUST be performed with a specific targeted protocol designed for rectal cancer staging, and with monitoring by a qualified radiologist. Rectal cancer staging protocols are not performed in all institutions, and is preferred at UMHS.
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.
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