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Anal Cancer: Modern Treatment & Favorable Outlook

Allen Kamrava, MD, MBA, FACS, FASCRS· Board-certified in Colon & Rectal Surgery and General Surgery· Published · Reviewed
Play: Anal Cancer: Modern Treatment & Favorable Outlook

This explainer provides an overview of anal cancer, defining it as cancer starting in the anus, differentiated by location (anal canal vs. perianal area). Approximately 85% of cases are Squamous Cell Carcinoma. The Human Papillomavirus (HPV) is considered the major driver behind most cases. Diagnosis involves a physical exam, biopsy (the only way to know for sure), imaging scans (CT/PET), and staging (TNM system: Tumor, Nodes, Metastasis). The modern standard of care is combination chemo-radiotherapy, which is highly successful and means that major surgery is typically avoided for the vast majority of patients. Post-treatment, careful monitoring is required for 5 years. The outlook is described as "imminently curable" with "favorable outcomes".

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