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 patient in UMHS system has suspicious anal skin lesion (firm, enlarging, exophytic, ulcerated, bleeding, non-healing).
- If biopsy has been done at UMMC and report in CareWeb, that is sufficient.

Patient not in UMH system should preferably have biopsy confirming neoplastic disease or cancer
- If biopsy from outside UMMC, pathology report for review by clinician is mandatory.
- If biopsy from outside and slides have not been reviewed by UMMC pathology, glass slides with report at or before clinic visit preferred.
Suggested Additional Test/Management Prior to Specialty Visit
- Colonoscopy, with colonoscopy procedure report if not done within past year (to rule out other colon malignancy) suggested if patient >50 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, pelvis will be needed - report and images (preferably on CD) available for clinic visit.
Patient Education/Information (includes preps)  
Appointment Timeframe If invasive anal cancer, 2 weeks

Cancer in situ, perianal skin cancers, 4 weeks
How to Get Results to Consultant UMHS Patients: See CareWeb
External Patients: Fax or send appropriate medical documents to program (fax 734-936-6927)
Clinic Contact Information Physician: 800-962-3555
Patient: General Surgery Call Center, 734-615-7565
Clinic Location Sites Taubman Health Care Center
Cancer Center
Michigan Bowel Control Program (severe constipation)
UM Consulting Physician Richard E Burney, M.D.
Lisa M Colletti, M.D.
Alfred Edward Chang, M.D.
James A Knol, M.D.
Arden Marie Morris, MD
Rebecca Manget Minter, M.D.
Michael William Mulholland, M.D., Ph.D.
Karin M Hardiman, MD
Scott E Regenbogen, MD
Revised on: 08/19/2011



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