CONSULT REQUEST GUIDELINES                                                                         Print

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.
Patient Education/Information (includes preps)
Appointment Timeframe 1 week
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
Multidisciplinary Colorectal Cancer Clinic
UM Consulting Physician Colorectal Surgery Physicians
Revised on: 04/22/2015



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