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UMHS Home/Logo Consult Request Guidelines

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

   
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