Updated: 4/18/2020

Anal Cancer

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Introduction
  • Most common type is basaloid cancer 
    • more frequent in women
    • located above dentate line
  • Second most common is squamous cell CA
    • more frequent in men who have anal intercourse
    • associated with HPV 16, 18
    • located in anal canal
  • Risk factors
    • fistulas
    • abscess
    • infections
    • Crohn's disease
Presentation
  • Symptoms
    • 25% asymptomatic
    • anal bleeding
    • pain
    • mucus per rectum
    • pruritus
Evaluation
  • Anoscope
  • Biopsy
Treatment
  • Surgical
    • excision

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